Kansas Department Of Health & Environment

Kansas Department of Health and Environment, Division of Management and Budget operates as a state government entity and recipient of federal grants, not a federal contractor. The agency administers over one billion dollars in combined annual federal funding across health, environmental, and social service programs—principally Medicaid and CHIP entitlements alongside EPA environmental compliance grants, CDC public health cooperative agreements, and USDA nutrition assistance programs.

KDHE's federal footprint spans 1,035 awards (98% prime recipient) across 64 agencies, with 444 times obligated value relative to combined potential ceiling—a marker of long-running, annually renewed formula grant programs rather than discrete project awards. The top five funding sources account for approximately 45% of award count: EPA (140 awards), EPA Region 7 (127 awards), CDC (73 awards), CMS (66 awards), and USDA (61 awards). By potential value, CDC Pittsburgh anchors the portfolio at $14.2 million across 34 awards, followed by Social Security Administration at $5.8 million across 14 awards. This concentration reflects KDHE's dual role as single state Medicaid agency and state health officer.

KDHE's concrete work falls into five capability clusters: Medicaid and CHIP administration ($6.8 billion and $153.7 million block grants in fiscal year 2026 alone) enabling health coverage for low-income and child populations; vital records and surveillance services (National Death Index submissions, electronic death records exchange with SSA, birth certificate processing) via $3.45 million CDC indefinite delivery contract and $1.4 million SSA enumeration-at-birth program; environmental compliance and permitting ($5.1 million EPA water quality and drinking water revolving fund capitalization grants, $4.8 million hazardous waste management, $3.16 million air quality programs); nutrition assistance including WIC program administration and delivery ($27.1 million food expenses, $16.6 million administrative costs, $653 thousand breastfeeding peer counselor services across formula grants under USDA CFDA 10.557); and rural health transformation (a $665.7 million five-year cooperative agreement with CMS under the Rural Health Transformation Program awarded December 2025, implementing statewide accountable care, Food is Medicine initiatives, and workforce development in rural Kansas with UKHS Care Collaborative Association and Healthworks KHA Foundation as primary subrecipients).

Activity has remained steady at 53–60 awards per year from 2022 through 2025, with 95 awards (combined potential value $1.4 million) facing ultimate completion within the next twenty-four months—primarily annual formula grant renewals. KDHE operates under no set-aside designation and competes in full-and-open procurements; the agency's federal relationships are structured as direct grants to state administering agencies rather than competitive contracts. Subcontract footprint is minimal (2% of awards), reflecting KDHE's statutory role as the state's health department and Medicaid agency; notable sub-recipients include the UKHS Care Collaborative Association, Zero To Three National Center for Infants, Toddlers & Families, and Kansas State Department of Education for early intervention and preschool development services.

KDHE's parent is the State of Kansas Office of Accounts and Reports, a state government entity. The division operates from Topeka, Kansas with administrative oversight extending to public health operations, environmental protection programs, and social service delivery statewide.