Medicaid Transformation Grants

The Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS) administered the Medicaid Transformation Grants program (CFDA 93.793) to fund state adoption of innovative methods to improve effectiveness and efficiency in Medicaid administration. The program is inactive; the most recent grant award was issued on August 15, 2008, over eighteen years ago. No recent grant opportunities are posted.

Program activity ended nearly two decades ago with minimal continued disbursement. The portfolio shows 69 total awards: 68 issued in 2007 and 1 in 2008. All funding came from CMS, which obligated $138.6 million across the program's lifetime. The assistance-type mix was predominantly Block Grants (57 percent, 39 awards) with a substantial share of Project Grants (43 percent, 30 awards).

Award magnitudes ranged from tens of thousands to tens of millions. Representative funded activities included Pennsylvania's predictive modeling and medical assistance administration enhancement ($3.5 million); Oklahoma's transformation initiatives ($6.1 million); Hawaii's electronic health record and information exchange system ($1.7 million); Georgia's health information solutions ($3.9 million); Colorado's fraud and abuse detection system ($5.6 million); and New Jersey's electronic medical information system for children (both Block and Project Grants). Several awards in the 2007 cohort recorded negative obligated amounts, indicating funds clawed back or voided.

State-level implementation dominated the portfolio. Funded initiatives centered on electronic health records, health information exchange platforms, e-prescribing systems, fraud and abuse detection, medication management, data warehousing, and eligibility and enrollment administration modernization. Projects typically operated on two- to four-year completion timelines between 2007 and 2011.

This program ceased awarding grants in 2008 and presents no current pursuit opportunity for new applicants.