Medicaid entitlement for 61 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded $18.77 billion to the West Virginia Department of Health and Human Resources on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778), with performance concluding September 30, 2026.

The West Virginia Department of Health and Human Resources, operating through its Bureau for Medical Services, uses the award to fund medical assistance payments on behalf of cash assistance recipients, children, pregnant women, the aged, and other categorically eligible groups who meet income and resource requirements. The agency processes medical claims, delivers healthcare benefits, manages eligibility determinations, provides premium assistance, and administers Medicaid program operations statewide. The funding also supports financial assistance for qualified Medicare beneficiaries to pay Medicare premiums, copayments, and deductibles within specified income thresholds.

Performance takes place in West Virginia. The award is structured as a block grant and represents a quarterly entitlement award under the federal Medicaid matching formula. The Grants to States for Medicaid program provides states quarterly awards based on estimated funds needed to provide medical assistance; West Virginia receives funding on October 1 as the first quarterly distribution of fiscal year 2026.

The West Virginia Department of Health and Human Resources has issued sub-awards to the West Virginia Health Information Network, Inc. for health information exchange initiatives and the West Virginia Bureau of Senior Services for senior care oversight and support.