Medicaid entitlement for 48 - FY 2026 - T19

The Puerto Rico Department of Health received a $47.8 million Medicaid entitlement block grant (CFDA 93.778: Grants to States for Medicaid) from the Centers for Medicare and Medicaid Services, effective October 1, 2025, through September 30, 2026. This award provides quarterly federal funding to support Puerto Rico's administration of medical assistance payments on behalf of categorically eligible populations, including cash assistance recipients, children, pregnant women, the aged, and medically needy persons meeting applicable income and resource requirements. The department delivers comprehensive Medicaid coverage through participating healthcare providers and administers ancillary benefits including Medicare premium payments, copayments, and deductibles for qualified Medicare beneficiaries.

As Puerto Rico's territorial Medicaid administrator, the Department of Health operates under an HHS-approved Medicaid State Plan and maintains records substantiating direct and indirect costs charged to the program. The FY 2026 Medicaid entitlement allocation of $47.8 million is distributed quarterly (October 2025, January 2026, April 2026, and July 2026) based on the department's estimates of funds needed to provide uninterrupted medical assistance. This block grant represents the core funding mechanism for Puerto Rico's Medicaid program, which serves low-income residents requiring eligible medical services and supports the department's operational compliance with federal Medicaid regulations.