Assistance listing (financial assistance)

Grants to States for Medicaid

Assistance Listing 93.778

FY2026 ended Sep 30 · data still posting · data as of 2026-11-01†

† DoD contract data posts to USAspending about 90 days after award.

$721.7B
Federal awards
FY2026 · data still posting
102
Recipients
Assistance Listing 93.778
Code

CFDA 93.778 (Grants to States for Medicaid) accounted for $721.7B in federal grants in FY2026, led by the Department of Health and Human Services, across 102 recipients. Its largest recipient on record was California Department of Health Care Services, with 15%. FY2026 ended Sep 30 and its data is still posting. Computed

Obligations by year

Computed
$460B
FY20
$516B
FY21
$592.2B
FY22
$666.1B
FY25
$721.7B
FY26 partial
▲ 45%
FY20 to FY25

Key takeaways

Computed
FY2026 ended Sep 30 · data still posting · data as of 2026-11-01
  • Grants to States for Medicaid (Assistance Listing 93.778) accounted for $721.7B in federal obligations in FY2026, compared with $666.1B in FY2025.
  • It ranked #2 among federal assistance programs by obligations in FY2026 (data still posting).
  • The Department of Health and Human Services provided 100% of it.
  • Its largest recipient was California Department of Health Care Services, with 15%.

Top funding agencies

Computed
Department of Health and Human Services$721.7B

Related

Why the labels? The graph is only worth anything if the links are trusted. Facts taken straight from a federal filing are Source; figures we calculate are Computed; links we infer (corporate parents, districts, similar contractors, connections between records) are Inferred, worded carefully, never asserted as fact and never a claim that one thing caused another. Spot an error? Tell us.