Federal Block Grant Award Summary

The Centers for Medicaid and Chip Services (CMCS) awarded the Health & Human Services Commission of Texas $1.047 billion in Medicaid entitlement funding under the Children's Health Insurance Program (CHIP, CFDA 93.767) for the period of October 1, 2025, through September 30, 2027. This federal-state matching block grant enables Texas to maintain and expand health care coverage to low-income, uninsured children under 19 years of age and, at state option, low-income pregnant women. The award represents a critical component of CHIP's broader objective to improve access to healthcare and quality of life for vulnerable pediatric populations.

Through this entitlement award, the Texas Health & Human Services Commission administers the state's CHIP program and related Medicaid expansions, serving as the primary vehicle for deploying federal resources to eligible populations across the state. The commission implements the program through various operational strategies, including outreach, enrollment assistance, and retention services, while coordinating with local sub-recipients such as Area Agencies on Aging, local mental health authorities, community health centers, and nonprofit service organizations. As a pass-through entity, HHSC is responsible for maintaining compliance with federal recordkeeping and audit requirements, ensuring proper administration of funds, and collecting enrollment data to enable federal monitoring and program evaluation.