State Grants for the Implementation, Enhancement, and Expansion of Medicaid and CHIP School-Based Services
Active
- Assistance listing
- 93.771
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Grant awards
- 19 $86,013,289 in federal obligations
Program facts
- Assistance type
-
- Cooperative Agreement
- Treasury account
-
- 75-0512-0-1-551
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Centers for Medicare and Medicaid Services (CMS) is funding states to implement, enhance, or expand Medicaid and CHIP school-based services under Assistance Listing 93.771, with the most recent grant award made on May 1, 2026 (CFDA 93.771).
The program distributes federal funding appropriated by the Bipartisan Safer Communities Act to build infrastructure and capacity for delivering Medicaid and CHIP-covered services in school settings beyond those limited to individualized education programs (IEPs) and individualized family service plans (IFSPs). Funded activities include needs assessments and infrastructure planning; policy development and state plan amendments to expand covered services; technical assistance and training for local education agencies (LEAs) and providers on Medicaid billing, compliance, and service delivery; workforce development and hiring of grant coordinators, Medicaid specialists, and billing navigators; systems improvements and electronic health record (EHR) implementation; and stakeholder engagement across state Medicaid agencies, state education agencies, LEAs, providers, families, and tribal entities. Representative recent awards include Minnesota's $3.85 million award (July 2024) to identify barriers to Medicaid behavioral health billing in schools and build LEA capacity in rural, remote, and tribal-adjacent districts; Kansas's $5.35 million award (July 2024) to strengthen school-based delivery systems through infrastructure assessments and training; and North Carolina's $8.71 million award (July 2024) to expand Medicaid reimbursement utilization across public school units through policy updates and technical assistance.
The portfolio reflects 19 cooperative agreements totaling $86 million obligated, with all funding flowing exclusively from CMS. Award activity accelerated sharply in 2024, when 18 awards were made, followed by a single continuation award in May 2026. Typical award magnitudes range from $2.2 million to $8.7 million, distributed over three-year project periods. The most recent solicitation (CMS-2M2-24-001) posted November 15, 2023, with a due date of March 25, 2024; no currently open opportunities are present in the source. Eligible applicants are state governments only. Recipients must comply with HHS audit requirements under 45 CFR Part 75.
Objective and description
- Objective
The Bipartisan Safer Communities Act (BSCA) provided $50,000,000 to States for the purpose of implementing, enhancing, or expanding the provision of assistance through school-based entities under Medicaid or CHIP.
- Description
Through this NOFO, the Centers for Medicare & Medicaid Services (CMS) will fund recipients to implement, enhance, or expand the provision of assistance through school-based entities under Medicaid and CHIP. Eligible applicants are state governments.
Eligibility
- Applicant eligibility
State governments, specifically State Medicaid Agencies.
- Uses of assistance
The Cooperative Agreement funding will support activities/strategies aimed at implementing, enhancing, and expanding the provision of assistance through school-based entities under Medicaid or CHIP.
- Length and time phasing of assistance
The estimated period of performance is 3 years. The total award for each cooperative agreement will be 2.5 Million dollars. The method of awarding/releasing assistance: Recipients will drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web-based payment system for HHS awards. Year 1: $500,000 Year 2: $1,000,000 Year 3: $1,000,000
How to apply
- Criteria for selecting proposals
All applicants are required to complete the activities listed within the "General Activities" section of the NOFO. In addition to the general criteria, applicants will also be scored on the activities which best describes their States need for and intended use of grant funding. These additional criteria include activities related to the initial implementation of SBS, the expansion of existing SBS and the enhancement of SBS. All elements of this criteria are used to assess a State's ability to effectively and appropriately utilize the funding.
- Award procedure
CMS will review all applications to make sure they meet basic criteria described in the Notice of Funding Opportunity. All qualified applications are forwarded to a merit review committee. Qualified experts review the applications and advise the CMS approving official. After award decisions are made, a risk review is performed for each applicant. If an applicant is selected for award, CMS will send out an electronic Notice of Award (NoA). The NoA is the legal document authorizing the cooperative agreement.
- Deadlines
Application deadline will be 60 calendar days after the NOFO is published on Grants.gov
- Time to approval or disapproval
Application review period will take approximately 60 days
Grant opportunities
| Opportunity | Status | Posted | Applications due |
|---|---|---|---|
| State Grants for the Implementation, Enhancement, and Expansion of Medicaid and CHIP School-Based Services | Closed |
Grant awards
Latest 10 of 19 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | North Carolina Department Of Health & Human Services | $8,705,882 | 10% |
| 2 | New Hampshire Department Of Health & Human Services | $8,205,883 | 10% |
| 3 | State Of Alaska Department Of Health | $6,205,883 | 7% |
| 4 | Delaware Dept Of Health And Social Services | $5,705,883 | 7% |
| 5 | Kansas Department Of Health & Environment | $5,352,941 | 6% |
| 6 | Maryland Department Of Health | $4,852,914 | 6% |
| 7 | Human Services Vermont Agency Of | $4,352,941 | 5% |
| 8 | Commonwealth Of Massachusetts Executive Office Of Health And Human Services | $4,321,415 | 5% |
| 9 | Oregon Health Authority | $3,852,941 | 4% |
| 10 | Pa Department Of Human Services | $3,852,941 | 4% |
10 of 19 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $26,013,289 |
| FY2025 | $46,000,000 |
| FY2024 | $14,000,000 |
Quick answers
What is Assistance Listing 93.771?
Assistance Listing 93.771 is State Grants for the Implementation, Enhancement, and Expansion of Medicaid and CHIP School-Based Services, a federal grant program run by Centers for Medicare and Medicaid Services (Department of Health and Human Services).
What is the CFDA number for State Grants for the Implementation, Enhancement, and Expansion of Medicaid and CHIP School-Based Services?
Its CFDA number is 93.771: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.771 awarded?
19 grant awards under 93.771 have obligated $86,013,289 in federal funds to 19 recipients.
Who receives the most funding from 93.771?
The recipients obligated the most under State Grants for the Implementation, Enhancement, and Expansion of Medicaid and CHIP School-Based Services are North Carolina Department Of Health & Human Services ($8,705,882), New Hampshire Department Of Health & Human Services ($8,205,883) and State Of Alaska Department Of Health ($6,205,883).
How much did 93.771 obligate in fiscal year 2025?
Grants under 93.771 obligated $46,000,000 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.771?
No opportunity listed under 93.771 is open now. The latest, State Grants for the Implementation, Enhancement, and Expansion of Medicaid and CHIP School-Based Services, was posted on November 15, 2023.
On GovTribe
See this program's full record
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