Medicaid entitlement for 61 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the West Virginia Department of Health and Human Resources $553,517,410 on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778). The award funds medical assistance payments on behalf of cash assistance recipients, children, pregnant women, the aged, and other categorically eligible groups, with performance through September 30, 2026, in West Virginia.

The recipient, operating through its Bureau for Medical Services, delivers Medicaid program administration including medical claims processing, healthcare benefit delivery, premium assistance, and eligibility determinations to low-income and vulnerable populations across the state.

The West Virginia Department of Health and Human Resources passed funds to four sub-recipients. The West Virginia Health Information Network, Inc. provides health information exchange services enabling Medicaid providers to exchange patient health information securely. The Children's Home Society of West Virginia, as a Right From The Start Program regional lead agency for Region 5, delivers home visiting and care coordination for Medicaid-eligible women and children up to one year of age. Burlington United Methodist Family Services Inc. administers the Right From The Start Project as a regional lead agency, offering care coordination for Medicaid-eligible women and infants. The West Virginia Bureau of Senior Services maintains operational oversight of certain home and community-based services and operates the long-term care ombudsman program for seniors. Sub-awards were dated November 25, 2025, December 8, 2025, March 10, 2026, and April 29, 2026.