Medicaid entitlement for 58 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded $4.710546752 billion to the Vermont Agency of Human Services on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778), obligated through September 30, 2026. The award funds Medicaid medical assistance payments on behalf of categorically eligible beneficiaries, including cash assistance recipients, children, pregnant women, the aged meeting income and resource requirements, and medically needy persons in certain circumstances. The award also supports Medicare premium, copayment, and deductible payments for qualified Medicare beneficiaries meeting specified income thresholds.

The Vermont Agency of Human Services, headquartered in Waterbury, administers the award as the state's primary federal entitlements administrator, distributing funds through sub-awards to community-based providers and regional organizations across Vermont's 14 counties. Sub-recipients deliver substance use disorder treatment, recovery support services, peer services, family planning, residential and opioid treatment hub services, housing assistance, homelessaring, child and family services administration, and public inebriate programming. Named sub-grantees include Habit Opco LLC (opioid treatment hub services), Another Way Inc. and National Alliance On Mental Illness Of Vermont Inc. (peer support services), Planned Parenthood of Northern New England Inc. (family planning), Serenity House Inc. and Rutland Regional Medical Center (residential and opioid treatment), multiple Turning Point recovery centers across Vermont counties (recovery center support services), Addison County Community Action and The John W. Graham Emergency Shelter Service (housing assistance and shelter), Homeshare Vermont (home sharing programs for elderly and disabled clients), Vermont Parent Child Center Network (child and family services administration), The Collaborative (peer recovery support specialist credentialing), Washington County Mental Health Services Inc. (public inebriate program), multiple court diversion and restorative justice programs, Vermont Program For Quality In Health Care Inc. (zero suicide framework implementation), Prevent Child Abuse – Vermont (child abuse and neglect prevention), and Northshire Day School Inc. (strengthening families programs).

Performance occurs in Vermont. The award is a block grant providing quarterly distributions to the state based on estimated medical assistance needs.