Medicaid entitlement for 59 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the Washington Department of Social & Health Services $1.119 billion on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778), with performance through September 30, 2026. This block grant entitlement funds medical assistance payments on behalf of cash assistance recipients, children, pregnant women, aged individuals, and other categorically-eligible groups meeting income and resource requirements, as well as Medicare premium and cost-sharing assistance for qualified beneficiaries.

The recipient administers Medicaid payments statewide across Washington. Sub-recipients delivering care transition services—comprehensive assessment, service plan development, coordination of discharge support, and monitoring—include the City of Seattle Human Services Department, County of Snohomish, Aging and Long Term Care of Eastern Washington (County of Spokane), Southeast Washington Aging and Long Term Care Council of Governments, and Northwest Regional Council. The City of Seattle Human Services Department also received a sub-award for Home and Community-Based Services expansion designed to increase use of HCBS rather than institutional long-term services and supports in the Medicaid program.