Block Grant 2605RQMMIS

The Puerto Rico Department of Health received a Medicaid Entitlement block grant award of $96.2 million from the Centers for Medicare and Medicaid Services (CMMS) under the Grants to States for Medicaid program (CFDA 93.778). The award, dated October 1, 2025, with a completion date of September 30, 2026, provides quarterly financial assistance to support medical assistance payments on behalf of eligible low-income populations in Puerto Rico, including cash assistance recipients, children, pregnant women, elderly individuals, and medically-needy persons who meet specified income and resource requirements.

Under this entitlement program, the Puerto Rico Department of Health delivers essential healthcare services through participating Medicaid providers and manages the administration of medical assistance to qualifying beneficiaries throughout the fiscal year. The agency is responsible for maintaining compliance with all federal Medicaid regulations, submitting quarterly estimates of funding needs, and ensuring appropriate record-keeping to substantiate all direct and indirect costs charged to the grant. As Puerto Rico's primary public health authority, the Department of Health serves as the state Medicaid agency, processing medical assistance claims and coordinating healthcare delivery to support vulnerable and underserved populations across the territory.