Virgin Islands Department Of Health

Virgin Islands Department Of Health Federal Grants Coordination & Monitoring Division is a U.S. local government entity that administers federal grants as a prime recipient for health, nutrition, and emergency preparedness programs across the U.S. Virgin Islands. The division operates as the grants administration and fiscal management arm of the Virgin Islands Department of Health, a parent agency, and does not compete for federal contracts; its role is to receive, coordinate, and monitor federal block grants, formula grants, cooperative agreements, and project grants flowing to territorial health initiatives.

The division's federal grant footprint is dominated by entitlement and block grant awards from the Department of Health and Human Services. Centers for Medicare and Medicaid Services (CMS) anchors the portfolio with recurring Medicaid entitlement block grants (CFDA 93.778) — the most recent awards from October 2025 total over $1.1 billion in combined annual Medicaid funding, including separate awards for medical assistance, CHIP (Children's Health Insurance Program), and quarterly disbursements. The division also administers the Substance Abuse and Mental Health Services Administration (SAMHSA) Block Grants for Community Mental Health Services (CFDA 93.958, $978,188 awarded October 2025) and the Block Grants for Prevention and Treatment of Substance Abuse (CFDA 93.959, $1,441,776 awarded October 2025), with performance periods running through September 2027. The Department of Agriculture Food and Nutrition Service provides recurring formula grants for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC, CFDA 10.557), including food expenses ($4.336 million awarded October 2025), administrative expenses ($2.72 million), and breastfeeding peer counselor support.

The Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau funds maternal and child health services block grants (CFDA 93.994, $3.93 million awarded October 2025), maternal, infant, and early childhood home visiting programs (CFDA 93.870, $1.658 million awarded September 2025), state newborn screening programs (CFDA 93.307), and loan repayment incentives for health professionals in shortage areas. The Centers for Disease Control and Prevention supports the Preventive Health and Health Services Block Grant (CFDA 93.991, $290,189 awarded September 2026), vaccine-preventable disease prevention and response through a five-year cooperative agreement (awarded July 2025, ultimate completion June 2030), public health emergency preparedness (CFDA 93.074, $500 million awarded January 2025 for five-year emergency preparedness, response, and recovery capacity building), hospital preparedness (cooperative agreement awarded July 2024), behavioral risk factor surveillance (CFDA 93.713, cooperative agreement August 2024), school-based youth risk behavior surveillance, epidemiology laboratory capacity (CFDA 93.521, cooperative agreement August 2024), and rape prevention and education (CFDA 16.017, cooperative agreement February 2024). The division also administers SAMHSA's Projects for Assistance in Transition from Homelessness (PATH, CFDA 93.150, $109,846 awarded September 2024) and 988 suicide and crisis lifeline infrastructure grants, as well as National Center for Chronic Disease Prevention and Health Promotion programs in diabetes prevention (cooperative agreement June 2025) and cancer prevention and control (cooperative agreement June 2022).

The award portfolio spans 455 total grants and sub-awards across 33 federal agencies, with 100% positioned as prime recipient (453 awards) and minimal sub-award activity (2 awards to the parent Virgin Islands Department of Health). The top five customer agencies by award count — CMS, USDA Food and Nutrition Service, HRSA, CDC, and SAMHSA — account for 57% of the division's recent award volume. Combined obligated dollars across the portfolio total $7.21 billion, driven entirely by entitlement Medicaid block grants; the combined potential value of future obligations is $4 thousand, reflecting the recurring annual nature of block grant funding that resets on the fiscal year cycle. Annual award activity averaged 21–29 new or renewed grants across 2022–2025, with 21 awards facing ultimate completion within the next twenty-four months and therefore subject to recompete or renewal cycles. The division's only named parent vehicle is Indefinite Delivery Contract 24362018D0017 (1 task order). Work is performed throughout the U.S. Virgin Islands, with administrative oversight at Hospital Ground, Charlotte Amalie, St. Thomas.