Medicaid entitlement for 57 - FY 2026 - T19

The U.S. Virgin Islands Department of Health received a Medicaid Entitlement block grant award of $2.19 million from the Centers for Medicaid and CHIP Services (CMCS) under the Grants to States for Medicaid program (CFDA 93.778), effective October 1, 2025 through September 30, 2026. This quarterly block grant provides financial assistance to support Medicaid medical assistance payments on behalf of categorically eligible populations, including cash assistance recipients, children, pregnant women, and aged individuals who meet income and resource requirements.

Under this award, the Virgin Islands Department of Health's Federal Grants Coordination & Monitoring Division administers state Medicaid funds to ensure eligible residents receive coverage for medical services, including support for Medicare premiums, copayments, and deductibles for qualified beneficiaries. The grant operates within the quarterly disbursement framework established by the Centers for Medicare and Medicaid Services, with the awardee required to maintain records substantiating all direct and indirect costs and operate under an HHS-approved Medicaid State Plan.