Centers for Medicare and Medicaid ServicesContracts, grants and other awards of this sub-agency
- Sub-agency of the Department of Health and Human Services
- USAspending abbreviation CMS
Centers for Medicare and Medicaid Services obligated $1.9T to awards in FY2026.
The obligations since FY2023 are $7.1T.
That is 92% of the obligations of the Department of Health and Human Services since FY2023.
2,056 awards of $1 million or more started in FY2023 or later, with an award value of $2.8T.
An outlay occurs when federal money is actually paid out, not just promised to be paid ("obligated").
Procurement data (such as for contracts and indefinite delivery vehicles (IDV)) for the Department of Defense (DOD) and U.S. Army Corps of Engineers (USACE) are published on a 90-day delay in the Federal Procurement Data System (FPDS).
These are the words of USAspending. Sources: USAspending.gov, About the Data (PDF, last updated 19 November 2025) and USAspending.gov, Glossary. The site copied them on .
The amounts on this page are obligations. An obligation is a promise to pay. It is not a payment. Contract records of the Department of Defense come late, so a recent month can be low.
USAspending loaded the data on .
Obligations by award type and fiscal year
- Contracts $7.0B, under 1%
- Grants $768B, 41%
- Direct payments $1.1T, 59%
- Other assistance $5.2B, under 1%
| Fiscal year | Contracts | Grants | Direct payments | Loans (subsidy cost) | Other assistance | All awards |
|---|---|---|---|---|---|---|
| FY2023 | $7.4B | $629B | $993B | $0 | $11B | $1.6T |
| FY2024 | $8.4B | $648B | $1.0T | $0 | $4.0B | $1.7T |
| FY2025 | $7.9B | $703B | $1.2T | $0 | $1.7B | $1.9T |
| FY2026 | $7.0B | $768B | $1.1T | $0 | $5.2B | $1.9T |
| FY2027 to date | $0 | $0 | $0 | $0 | $0 | $0 |
Recipients
| Recipient | Awards | Award value | Share |
|---|---|---|---|
| Health Care Services, California Department of | 16 | $420B | 22% |
| NYS Department of Health | 27 | $277B | 15% |
| Health & Human SVC COMMN TX | 24 | $144B | 8% |
| PA Department of Human Services | 22 | $122B | 6% |
| Ohio Department of Medicaid | 19 | $108B | 6% |
| Florida Agency for Health Care Administration | 19 | $97B | 5% |
| North Carolina Department of Health & Human Services | 25 | $93B | 5% |
| Illinois Department of Healthcare & Family Services | 22 | $89B | 5% |
| Michigan Department of Health and Human Services | 17 | $80B | 4% |
| Arizona Health Care Cost Containment System | 19 | $71B | 4% |
| Human Services, New Jersey Department of | 16 | $67B | 4% |
| The Commonwealth of Massachusetts | 14 | $65B | 3% |
| VA Department of Medical Assistance Service | 20 | $64B | 3% |
| Health Services Kentucky Cabinet for | 25 | $64B | 3% |
| Department of Social & Health Services | 22 | $62B | 3% |
$78B went to recipients that the site does not show. The site shows no name of a person.
Awards of $1 million or more
| Recipient | Type | Award value | Start date | Place | Record |
|---|---|---|---|---|---|
| Health Care Services, California Department of | GrantBlock Grant (a) | $111B | 1 Oct 2025 | CA | USAspending |
| Health Care Services, California Department of | GrantBlock Grant (a) | $100B | 1 Oct 2024 | CA | USAspending |
| Health Care Services, California Department of | GrantBlock Grant (a) | $92B | 1 Oct 2023 | CA | USAspending |
| Health Care Services, California Department of | GrantBlock Grant (a) | $81B | 1 Oct 2022 | CA | USAspending |
| NYS Department of Health | GrantBlock Grant (a) | $61B | 1 Oct 2025 | NY | USAspending |
| NYS Department of Health | GrantBlock Grant (a) | $59B | 1 Oct 2022 | NY | USAspending |
| NYS Department of Health | GrantBlock Grant (a) | $57B | 1 Oct 2024 | NY | USAspending |
| NYS Department of Health | GrantBlock Grant (a) | $54B | 1 Oct 2023 | NY | USAspending |
| Health & Human SVC COMMN TX | GrantBlock Grant (a) | $37B | 1 Oct 2025 | TX | USAspending |
| Health & Human SVC COMMN TX | GrantBlock Grant (a) | $37B | 1 Oct 2022 | TX | USAspending |
Other sub-agencies of the Department of Health and Human Services
In order of name. The figure is the obligations since FY2023.
- Administration for Children and Families$273B
- Administration for Community Living$9.6B
- Agency for Healthcare Research and Quality$1.0B
- Centers for Disease Control and Prevention$31B
- Food and Drug Administration$6.9B
- Health Resources and Services Administration$49B
- Indian Health Service$26B
- National Institutes of Health$163B
- Office of Assistant Secretary for Health$1.4B
- Office of Assistant Secretary for Preparedness and Response$21B
- Office of the Assistant Secretary for Administration$3.0B
- Office of the Assistant Secretary for Financial Resources$1.4B
- Office of the Inspector General$1.4B
- Substance Abuse and Mental Health Services Administration$27B
Official records
- USAspending advanced searchUSAspending.gov. The search of all award records, with filters for recipient, agency, place and time period.
- USAspending recipient profilesUSAspending.gov. The list of all recipient profiles, with a search by name or UEI.
Each link opens a page of a federal agency in a new tab. The site examined the links on .
Cite this page
Fed Spend Map. "Centers for Medicare and Medicaid Services: awards and recipients". Data: USAspending.gov, U.S. Department of the Treasury, Bureau of the Fiscal Service, loaded .
https://fedspendmap.com/agency/department-of-health-and-human-services/centers-for-medicare-and-medicaid-services/
The address of this page is permanent.
Where the figures come from
USAspending.gov API v2: spending by category (awarding sub-agency) by fiscal year and award type, and the award search for the lists of awards. USAspending loaded the data on 30 Sep 2026. See how the atlas is made.
Questions
How large is this sub-agency in the Department of Health and Human Services?
Its obligations in FY2026 were $1.9T. The obligations of the Department of Health and Human Services were $2.0T.
How many awards of $1 million or more are on record?
2,056 awards started in FY2023 or later. Their award value is $2.8T.
Are outlays in these figures?
No. The figures are award obligations. An obligation is a promise to pay, and an outlay is the payment.
The obligations since FY2023 on this page are $7.1T.