State Of Alaska Department Of Health

The State of Alaska Department of Health, Finance & Management Services Division operates as a state government entity and recipient of federal grant awards and purchase orders, delivering vital statistics data collection, newborn screening and metabolic testing, behavioral health services, Medicaid administration, nutrition assistance programs, and early intervention services to federal agencies across more than seventy distinct customer agencies. The division is a child entity of the State of Alaska Office of the Governor and competes in full-and-open federal funding without set-asides.

The department's federal work spans primarily formula grants and block grants administered as a pass-through entity to sub-recipients across Alaska's geographically dispersed population, alongside direct-delivery contracts. Recent contract work includes a $243,096 delivery order from the Centers for Disease Control and Prevention for the 2026 Vital Statistics Cooperative Program data collection and reporting (completion May 1, 2027), a $571,500 purchase order from the Defense Health Agency for newborn screening services at Elmendorf Air Force Base and Bassett Army Community Hospital (completion November 30, 2030), a $372,303 Social Security Administration purchase order for enumeration at birth and race and ethnicity records collection (completion June 28, 2029), and a $217,980 SSA order for electronic death records services (completion December 26, 2028). The department holds a single-award indefinite delivery contract with the CDC valued at $3.2 million under the National Center for Health Statistics Vital Statistics Cooperative Program, with task orders running through April 2027.

The department's grant portfolio anchors the state's federal health and human services infrastructure. Major recipients include Medicaid entitlement block grants totaling $11.544 billion obligated for fiscal year 2026 (CFDA 93.778, Centers for Medicare and Medicaid Services), a $1.088 billion Rural Health Transformation Program cooperative agreement (CFDA 93.798, CMS, completion October 30, 2030) supporting maternal health, health care access, community health, workforce innovation, and regional collaboration across rural and frontier Alaska, and a $4.917 million Preschool Development Grant (CFDA 93.434, Office of Child Care, completion December 30, 2026) for early childhood systems-building. Additional major grants include $110.993 million in Temporary Assistance for Needy Families block grant funding (CFDA 93.558, Office of Family Assistance, completion September 30, 2026), $55.018 million in Child Support Services block grant funding (CFDA 93.563, Office of Child Support Enforcement, completion September 30, 2026), $42.559 million in Child Care and Development Block Grant Discretionary funding (CFDA 93.575, Office of Child Care, completion September 30, 2028), and $20.378 million in Substance Abuse Prevention, Treatment, and Recovery Services block grant funding (CFDA 93.959, SAMHSA Center for Substance Abuse Treatment, completion September 30, 2027). The department also administers formula grants supporting nutrition assistance (WIC at approximately $17.765 million, SNAP at approximately $13.258 million for administrative costs and employment and training support), aging services (approximately $8 million combined across Title III nutrition, supportive services, and caregiver support), and specialized programs addressing maternal and child health, behavioral health integration, immunization and vaccine-preventable disease prevention, tuberculosis elimination, opioid response, and school-based Medicaid services. The department operates as a pass-through entity for most federal funding, sub-awarding portions to healthcare delivery organizations, tribal health organizations including Alaska Native entities such as Yukon-Kuskokwim Health Corporation and Southcentral Foundation, community-based nonprofits, Area Agencies on Aging, and local governments across Alaska.

Customer concentration centers on the Department of Health and Human Services (CMS, CDC, SAMHSA, ACF, HRSA, ACL) and the Department of Agriculture Food and Nutrition Service. The top five customer agencies by award count—CMS (167 awards), Food and Nutrition Service (156 awards), Administration for Community Living (105 awards), and two DHHS sub-agencies (92 and 87 awards)—account for approximately 36 percent of total awards. By dollar value, CDC Pittsburgh anchors the contract portfolio with 41 awards valued at $10.9 million combined potential value, while the grant portfolio is dominated by CMS Medicaid entitlements. Activity has averaged 78 awards per year over the past five years, with 80 awards (combined potential value $819 thousand) completing within the next twenty-four months and facing recompete or non-renewal. The division competes under no set-aside categories across all recent federal work and operates 16 regional public health centers serving the state's population with emphasis on Alaska Native and American Indian populations and health disparities in rural, frontier, and remote communities.