Fed Spend Map

State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) MedicareFederal awards under assistance listing 93.777

  • Assistance listing 93.777

Federal agencies obligated $431M to awards under assistance listing 93.777 in FY2026.

The obligations since FY2023 are $1.6B.

The obligations in FY2027 to date are $0.

The largest award value came from the Department of Health and Human Services.

The state with the largest amount by place of performance is California.

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 fiscal year

Obligations under assistance listing 93.777 by fiscal yearFY2027 runs from 1 October 2026 to 30 September 2027. USAspending loaded these data on 30 Sep 2026, so the figures of FY2027 stop on that date.
Fiscal yearObligations
FY2023$376M
FY2024$392M
FY2025$378M
FY2026$431M
FY2027 to date$0

Recipients

Recipients by obligations, FY2022 to FY2025Largest first. The table is a list of awards. It is not a grade of a recipient.
RecipientObligations
Public Health, California Department of$217M
Health & Human SVC COMMN TX$137M
Department of Public Health Illinois$82M
Ohio Department of Health$68M
NYS Department of Health$61M
Licensing and Regulatory Affairs, Department of$54M
Florida Department of Health$51M
Missouri Department of Health & Senior Services$48M
Pennsylvania Department of Health$42M
North Carolina Department of Health & Human Services$41M
Public Health, Massachusetts Department of$39M
Health, New Jersey Department of$39M
Minnesota Department of Health$37M
Indiana Department of Health$36M
State of Wisconsin Department of Health Services$33M
Health, Louisiana Department of$31M
Georgia Department of Community Health$26M
State of Iowa Department of Inspections Appeals and Licensing$25M
Department of Public Health Connecticut$25M
Department of Social & Health Services$23M
Arkansa Department of Human Services$22M
VA State Board of Health$22M
Colorado Department of Public Health & Environment$22M
Tennessee Department of Health$21M
Oklahoma State Department of Health$21M

Agencies and states

Awarding agencies by the award value of awards of $1 million or moreLargest first.
AgencyAward value
Department of Health and Human Services$1.6B
States by obligationsBy place of performance, largest first.
StateObligations
California$219M
Texas$150M
New York$74M
Illinois$73M
Ohio$71M
Michigan$54M
Florida$52M
Missouri$49M
Pennsylvania$44M
Massachusetts$41M
Minnesota$40M
North Carolina$38M

Awards of $1 million or more

Awards that started in FY2023 or laterThe awards with the largest award value, largest first.
RecipientAwarding agencyTypeAward valueStart datePlaceRecord
Public Health, California Department ofDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesOther assistanceOther Reimbursable, Contingent, Intangible, or Indirect Financial Assistance$53M20 Nov 2025CAUSAspending
Public Health, California Department ofDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesOther assistanceOther Reimbursable, Contingent, Intangible, or Indirect Financial Assistance$52M16 Oct 2023CAUSAspending
Public Health, California Department ofDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesOther assistanceOther Reimbursable, Contingent, Intangible, or Indirect Financial Assistance$51M4 Oct 2024CAUSAspending
Public Health, California Department ofDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesOther assistanceOther Reimbursable, Contingent, Intangible, or Indirect Financial Assistance$48M17 Oct 2022CAUSAspending
Health & Human SVC COMMN TXDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesOther assistanceOther Reimbursable, Contingent, Intangible, or Indirect Financial Assistance$40M16 Oct 2023TXUSAspending
Health & Human SVC COMMN TXDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesOther assistanceOther Reimbursable, Contingent, Intangible, or Indirect Financial Assistance$39M4 Oct 2024TXUSAspending
Health & Human SVC COMMN TXDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesOther assistanceOther Reimbursable, Contingent, Intangible, or Indirect Financial Assistance$38M20 Nov 2025TXUSAspending
Health & Human SVC COMMN TXDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesOther assistanceOther Reimbursable, Contingent, Intangible, or Indirect Financial Assistance$34M17 Oct 2022TXUSAspending
NYS Department of HealthDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesOther assistanceOther Reimbursable, Contingent, Intangible, or Indirect Financial Assistance$23M20 Nov 2025NYUSAspending
Department of Public Health IllinoisDepartment of Health and Human ServicesCenters for Medicare and Medicaid ServicesOther assistanceOther Reimbursable, Contingent, Intangible, or Indirect Financial Assistance$19M20 Nov 2025ILUSAspending

Other assistance listings with a number that starts with 93

In order of number. The figure is the obligations since FY2023.

Official records

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. "State Survey and Certification of Health Care… (93.777)". Data: USAspending.gov, U.S. Department of the Treasury, Bureau of the Fiscal Service, loaded .

https://fedspendmap.com/program/93.777/

The address of this page is permanent.

Where the figures come from

USAspending.gov API v2: spending by category (assistance listing) by fiscal year, the table by recipient for FY2022 to FY2025, and the award search. USAspending loaded the data on 30 Sep 2026. See how the atlas is made.

Questions

How many recipients are in the list on this page?

The list has 25 recipients.

It counts the obligations of FY2022 to FY2025.

How many awards of $1 million or more are on record?

223 awards started in FY2023 or later.

Their award value is $1.6B.

What is an assistance listing?

It is the number of one federal assistance program on SAM.gov. Each grant, loan or direct payment record has one.

This listing is 93.777.

Contracts have no assistance listing and are not in these figures.

How complete are the amounts by state?

The amounts by state come from the 100 largest entries of each state. A small amount in a state can be absent.

The total since FY2023, $1.6B, is complete.