Medicaid entitlement for 55 - FY 2026 - T21

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the Utah Department of Health and Human Services $138,375,049 for Children's Health Insurance Program (CHIP) Title XXI coverage expansion under Block Grant 2605UT5021, effective October 1, 2025.

The award funds expansion and maintenance of child health assistance to uninsured and low-income children in Utah, and at state option, low-income pregnant women. CHIP is a federal-state matching program with capped federal funding that enables states to operate a separate CHIP program, expand eligibility for children under their state Medicaid program, or operate a combination of these two options. The award period runs through September 30, 2027. Performance takes place in Utah.

As a child entity of the State of Utah, the Utah Department of Health and Human Services operates as the state's administering agency for CHIP and does not compete under Small Business Administration set-asides. The agency sub-awards portions of CHIP funding to 14 county health departments and other local entities across Utah's 29 counties. The recipient maintains and reports enrollment data and monitors grant program administration and compliance with federal requirements.