Mississippi State Department Of Health

The Mississippi State Department of Health Finance & Accounts Division, operating as Finance And Accounts, is a U.S. state government entity that serves as prime recipient on federal grants and prime contractor on federal service contracts across public health, vital statistics, nutrition assistance, emergency preparedness, and drinking water infrastructure. The division is a child entity under the State of Mississippi and competes exclusively on full-and-open, non-set-aside basis; the division does not hold SBA certifications or designations.

The Finance & Accounts Division delivers concrete public health and regulatory services across multiple federal agencies. It performs vital statistics data collection, epidemiological support, and disease surveillance for the CDC Pittsburgh ($11.3 million across 35 awards, centered on the National Center for Health Statistics Vital Statistics Cooperative Program); administers the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) statewide on behalf of USDA Food and Nutrition Service (123 awards including $72.9 million for WIC food expenses and $20 million for WIC administrative expenses); operates newborn screening laboratory services for the Defense Health Agency (a $121 thousand five-year contract through January 2031 for congenital condition testing at Keesler Air Force Base); collects enumeration-at-birth and electronic death records for the Social Security Administration ($2.76 million combined across two purchase orders extending through 2028); manages Mississippi's Drinking Water State Revolving Fund (DWSRF) capitalization grants distributed by EPA Region 4 (over $500 million awarded since 2022 for low-cost financing of public water system improvements); and conducts human food and milk safety inspections for the FDA ($1.39 million across two recent awards). The division also administers federal grant programs for early intervention services for infants and toddlers with disabilities (CFDA 84.181, Education Department), maternal and child health services (CFDA 93.994, HRSA), HIV surveillance and prevention (CFDA 93.940, CDC), tuberculosis elimination (CDC cooperative agreement), and family violence prevention and sexual assault services (Department of Justice).

Customer concentration skews heavily toward health and nutrition programs. The top five funding agencies—CDC Pittsburgh, USDA Food and Nutrition Service (appearing under two separate funding lines), CMS, and CDC Atlanta—account for approximately 34 percent of awards. CDC Pittsburgh is the largest single customer by dollar volume ($11.3 million across 35 awards), anchored by the $3.2 million single-award IDIQ for vital statistics support that runs through April 2027 and generates recurring $243 thousand delivery orders. USDA Food and Nutrition Service awards predominate by volume (123 awards across formula grant cycles), driven by recurring WIC food expense, administrative, and breastfeeding peer counselor grants. Social Security Administration ranks second by combined potential value ($5.8 million across 20 awards for enumeration, death records, and race/ethnicity services). The EPA regional tier contributes massive but formulaic drinking water capitalization grants ($500 million-plus), while FDA, HRSA, and state-administered federal programs (violence prevention, emergency management disaster relief subawards from Mississippi Emergency Management Agency) round out the portfolio.

Parent contract vehicles center on recurring federal indefinite-delivery arrangements. The division holds task order positions on Basic Ordering Agreement HHSD200201250825I (8 task orders, $1.5 million combined potential value), Indefinite Delivery Contracts SS000860041 (8 task orders, $625 thousand) and HHSD200201792562I (7 task orders, $1.5 million), and SS001260025 (7 task orders, $186 thousand) across HHS and Social Security Administration platforms. The vital statistics IDIQ with CDC Pittsburgh (75D30122D13075) generates five task orders valued at $1.2 million. These vehicles reflect the division's role as a routine service provider on standing federal relationships rather than competitive procurement participant.

Award activity has remained in the 28–51 annual range over the past five years, with 2023 representing the peak at 51 awards and recent 2026 activity at nine awards through late September. Fifty-three awards (combined potential value $1.5 million) complete within the next twenty-four months, presenting recompete opportunity for CDC, USDA, and EPA rolling grants and orders. The division acts as prime recipient on 97 percent of awards; subrecipient roles are limited to 26 sub-awards, primarily disaster assistance pass-through from Mississippi Emergency Management Agency, WIC data coordination work under Johns Hopkins University, and newborn screening consortium participation under Emory University. Work is performed statewide across all 82 Mississippi counties and at Jackson headquarters (570 E Woodrow Wilson Ave), with place of performance on certain vital statistics and epidemiology orders extending to CDC regional offices.

The portfolio spans NAICS codes 621511 (Medical Laboratories), 921000 (Administration of Public Health Programs), and 518210 (Data Processing), reflecting the division's mixed mission in laboratory testing, regulatory oversight, grant administration, and public health surveillance. Most awards carry firm fixed-price, cost-reimbursable, or formula grant structures with no competitive set-aside; work is performed as a state-mandated entity and statutory recipient for federal health, nutrition, and infrastructure programs.