Department Of Public Health-D IV. Of PH

Department of Public Health-Division IV of Public Health of the Commonwealth of the Northern Mariana Islands (CNMI) serves as the designated state Medicaid agency for the U.S. territory and is responsible for administering critical healthcare programs that provide medical assistance and health insurance coverage to low-income populations. As a U.S. government entity classified as a local government, the agency receives federal block grant awards from the Centers for Medicare and Medicaid Services (CMS) to finance the delivery of essential healthcare services and medical assistance payments to qualifying residents of the Northern Mariana Islands. The Department of Public Health-Division IV functions as the administrative hub for Medicaid and Children's Health Insurance Program (CHIP) operations in the territory, ensuring that vulnerable populations including cash assistance recipients, children, pregnant women, the elderly, and individuals with disabilities have access to comprehensive healthcare coverage and services.

Through its prime federal grant awards, the Department of Public Health-Division IV has delivered a comprehensive range of healthcare administration and medical assistance services funded under two primary federal grant programs: the Grants to States for Medicaid (CFDA 93.778) and the Children's Health Insurance Program (CFDA 93.767), both administered by the Center for Medicaid and CHIP Services under the Department of Health and Human Services. The agency's grant-funded activities encompass medical care payments on behalf of eligible low-income individuals, health insurance premium assistance, program enrollment and eligibility verification, claims processing, and overall healthcare delivery management. Recent fiscal year 2026 awards totaling over $105 million provide sustained funding for these operations through September 2027, while prior-year awards dating back to 2021 demonstrate the agency's consistent role in administering Medicaid and CHIP services with cumulative funding exceeding $800 million. The awards support the agency's capacity to design and implement tailored healthcare programs within federal guidelines, ensuring that qualifying Northern Mariana Islands residents meeting specific income and resource requirements receive consistent access to essential medical services, treatment, coverage, and related healthcare assistance throughout the performance periods.