Medicaid entitlement for 52 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the Tennessee Department of Finance and Administration, operating as the Tenncare Bureau Office, $3.969 million in block grant funding on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778).

The award funds medical assistance payments on behalf of cash assistance recipients, children, pregnant women, the aged, and other categorically eligible groups meeting income and resource requirements. The Tenncare Bureau Office administers Tennessee's Medicaid program, determining eligibility, processing claims, and overseeing healthcare service delivery to vulnerable low-income populations across Tennessee. The funding period runs through December 31, 2025, with place of performance in Tennessee. This award represents one of four major awards the Tenncare Bureau Office received in October 2025, totaling approximately $2.75 billion for fiscal year 2026. The organization collaborates with sub-grantees including the Tennessee Department of Health and Vanderbilt University Medical Center on specialized initiatives such as the Tennessee Maternal Opioid Misuse Model and Immunization Cooperative Agreements.