Programs › 93.778
Assistance listing · 93.778
Grants to States for Medicaid
Federal financial assistance obligated under listing 93.778, the organisations that receive it and where it goes.
USAspending caveat. Figures are obligations reported by federal agencies to USAspending.gov, not payments. In USAspending's words: "An outlay occurs when federal money is actually paid out, not just promised to be paid ('obligated')." "Every agency has a Senior Accountable Official who must officially certify that the quarterly financial data submitted by their agency is accurate and complete." "If there are any discrepancies in procurement data, FPDS is the authoritative source." Contract data for the Department of Defense and the U.S. Army Corps of Engineers is published with a 90-day delay. Data loaded 30 Sep 2026.
Federal agencies obligated $666B in awards under assistance listing 93.778, Grants to States for Medicaid, in FY2025, and $3.2T over the five fiscal years since FY2022; the program ranks 1 of 1056 on this site.
Obligations were about level on FY2024 ($615B), with $722B so far in FY2026.
The largest recipient organisations over FY2022–FY2025 were Health Care Services, California Department of ($375B), NYS Department of Health ($229B) and Health & Human SVC COMMN TX ($138B).
By place of performance, the most money went to CA, NY and TX.
Obligations by fiscal year
Compared with the largest program FY2025
| Measure | This program | Grants to States for Medicaid | All assistance |
|---|---|---|---|
| Obligations, FY2025 | $666B | $666B | $4.5T |
| Five-year total | $3.2T | $3.2T | $21T |
| Share of all assistance obligations, five years | 15.2% | 15.2% | 100% |
Largest recipients obligations, FY2022–FY2025
Awarding agencies $1.0M+ awards
Where the money goes
Largest awards since FY2022
Other programs numbered 93.xxx
- 93.767 Children's Health Insurance Program $102B
- 93.558 Temporary Assistance for Needy Families $85B
- 93.600 Head Start $57B
- 93.423 1332 State Innovation Waivers $46B
- 93.575 Child Care and Development Block Grant $39B
- 93.658 Foster Care Title IV-E $25B
- 93.568 Low-Income Home Energy Assistance $22B
- 93.855 Allergy and Infectious Diseases Research $21B
- 93.563 Child Support Services $20B
- 93.659 Adoption Assistance $19B
- 93.866 Aging Research $19B
- 93.224 Health Center Program $19B
- 93.210 Tribal Self-Governance Program: IHS Compacts/Funding Agreements $18B
- 93.596 Child Care Mandatory and Matching Funds of the Child Care and Development Fund $16B
- 93.837 Cardiovascular Diseases Research $16B
- 93.859 Biomedical Research and Research Training $15B
- 93.566 Refugee and Entrant Assistance State/Replacement Designee Administered Programs $14B
- 93.243 Substance Abuse and Mental Health Services Projects of Regional and National Significance $11B
- 93.676 Unaccompanied Alien Children Program $10B
- 93.798 Rural Health Transformation Program $10B
- 93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $9.8B
- 93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $9.4B
- 93.959 Block Grants for Prevention and Treatment of Substance Abuse $9.1B
- 93.242 Mental Health Research Grants $8.9B
Questions and answers
How much is obligated under assistance listing 93.778?
$666B in FY2025 and $3.2T over the five fiscal years since FY2022, counting every award type recorded under the listing (grants, direct payments, loan subsidy cost, insurance and other assistance). Obligations are commitments, not payments.
Who receives the most under Grants to States for Medicaid?
Health Care Services, California Department of ($375B), NYS Department of Health ($229B), Health & Human SVC COMMN TX ($138B), PA Department of Human Services ($114B), Ohio Department of Medicaid ($99B). Individuals are never listed; where a program pays individuals, USAspending records aggregated rows that appear here as "not shown".
What is an assistance listing (CFDA) number?
A five-digit number that identifies a federal financial assistance program on SAM.gov (formerly the Catalog of Federal Domestic Assistance). Every grant, loan, direct payment or other assistance award on USAspending carries one; contracts do not.
Provenance
Source: USAspending.gov API v2, spending by category (assistance listing) by fiscal year, recipient cross-tabulation for FY2022–FY2025 and award search, loaded 30 Sep 2026. State figures come from each state's top-100 listing table, so small amounts in a state may be missing. See methodology.