Medicaid entitlement for 58 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the Vermont Agency of Human Services $611.823 million on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778), with a performance period through September 30, 2026. This block grant entitlement 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 under Vermont's Medicaid State Plan, including qualified Medicare beneficiary premiums, copayments, and deductibles.

The Vermont Agency of Human Services, headquartered in Waterbury, serves as the state's primary federal entitlements administrator and pass-through entity. The agency distributes sub-awards to community-based service providers and healthcare organizations across Vermont's 14 counties. Sub-recipients under this award include the University of Vermont Medical Center Inc., which operates a perinatal consultation grant beginning June 1, 2026, and Vermont Legal Aid, Inc., which operates the Vermont Statewide Office of the Long-Term Care Ombudsman beginning February 6, 2026, delivering advocacy and legal representation for long-term care residents.

Place of performance is Vermont. The award is structured as quarterly payments issued on October 1, January 1, April 1, and July 1 based on the state's estimates of medical assistance funding needs. States must maintain records substantiating direct and indirect costs charged to the grant and operate under an HHS-approved Medicaid State Plan in compliance with federal regulations.