American Samoa Medicaid Agency

American Samoa Medicaid Agency is a U.S. local government entity registered with the federal government to receive federal awards, with its SAM.gov registration having expired on January 25, 2022. The agency serves as the administrative body responsible for implementing and managing Medicaid and Children's Health Insurance Program (CHIP) services throughout the territory of American Samoa. Through federal grant awards, the American Samoa Medicaid Agency provides essential healthcare coverage and medical assistance to vulnerable populations, including low-income individuals, children, pregnant women, the elderly, and persons with disabilities residing in the U.S. territory.

The American Samoa Medicaid Agency has received consistent Block Grant funding from the Centers for Medicaid and Chip Services (CMCS), an agency within the Department of Health and Human Services, primarily under two federal programs: the Medical Assistance Program (CFDA #93.778) and the Children's Health Insurance Program (CFDA #93.767). Recent awards for fiscal year 2026, dated October 1, 2025, include substantial allocations totaling approximately $103.8 million across multiple grant tranches, with the largest single award exceeding $93.8 million under the Medical Assistance Program. The agency's grant-funded activities encompass comprehensive Medicaid administration including healthcare claims processing, eligibility determination, premium assistance, medical procedure payments, and program oversight to ensure compliance with federal Medicaid requirements. Historically, the agency has managed significant annual allocations spanning multiple fiscal years, with documented awards ranging from several hundred thousand dollars to over $263 million in single fiscal year periods. The agency operates as a prime awardee directly receiving these block grants from CMCS with no identified subcontractors in the award documentation, allowing it to deliver medical assistance services directly to eligible American Samoa residents in accordance with federal Medicaid program standards and territorial healthcare delivery requirements.