Medicaid entitlement for 63 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the Department of Health Wyoming $253.452 million on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778), a block grant providing financial assistance for medical assistance payments to eligible populations including cash assistance recipients, children, pregnant women, aged individuals, and categorically-eligible groups, with limited financial assistance available for certain Medicare beneficiaries for premiums, copayments, and deductibles.

The award funds Medicaid entitlement for fiscal year 2026 and runs through September 30, 2026. Performance takes place in Wyoming. The program provides quarterly distributions to states based on their estimates of funds needed to provide medical assistance, with awards made on October 1, January 1, April 1, and July 1 each fiscal year. States must maintain records substantiating direct and indirect costs and operate under an HHS-approved Medicaid State Plan in compliance with federal regulations. Eligible individuals may apply to the state at any time and receive assistance as long as they meet state requirements. Individuals denied assistance have the right to a fair hearing on appeal within 60 days.