Programs › 93.968
Assistance listing · 93.968
Achieving Healthcare Efficiency through Accountable Design (AHEAD) Model
Federal financial assistance obligated under listing 93.968, 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 $4.0M in awards under assistance listing 93.968, Achieving Healthcare Efficiency through Accountable Design (AHEAD) Model, in FY2025, and $30M over the five fiscal years since FY2022; the program ranks 1038 of 1056 on this site.
Obligations were down 69% on FY2024 ($13M), with $12M so far in FY2026.
The largest recipient organisations by the value of $1.0M-plus awards since FY2022 were Maryland Department of Health ($6.0M), Human Services Vermont Agency of ($5.0M) and Department of Human Services Hawaii ($4.9M).
By place of performance, the most money went to MD, VT and HI.
Obligations by fiscal year
Compared with the largest program FY2025
| Measure | This program | Grants to States for Medicaid | All assistance |
|---|---|---|---|
| Obligations, FY2025 | $4.0M | $666B | $4.5T |
| Five-year total | $30M | $3.2T | $21T |
| Share of all assistance obligations, five years | 0% | 15.2% | 100% |
Largest recipients $1.0M+ award value since FY2022
| # | Organisation | Awards | Award value |
|---|---|---|---|
| 1 | Maryland Department of Health | 1 | $6.0M |
| 2 | Human Services Vermont Agency of | 1 | $5.0M |
| 3 | Department of Human Services Hawaii | 1 | $4.9M |
| 4 | Department of Social Services Connecticut | 1 | $4.8M |
| 5 | Health & Human Services, Rhode Island Executive Office of | 1 | $4.0M |
| 6 | NYS Department of Health | 1 | $3.9M |
Awarding agencies $1.0M+ awards
Where the money goes
Largest awards since FY2022
| Recipient | Awarding agency | Type | Award value | Begun | Place | Record |
|---|---|---|---|---|---|---|
| Maryland Department of Health | Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantCooperative Agreement (B) | $6.0M | 25 Jun 2024 | MD | USAspending |
| Human Services Vermont Agency of | Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantCooperative Agreement (B) | $5.0M | 25 Jun 2024 | VT | USAspending |
| Department of Human Services Hawaii | Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantCooperative Agreement (B) | $4.9M | 29 Jul 2024 | HI | USAspending |
| Department of Social Services Connecticut | Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantCooperative Agreement (B) | $4.8M | 4 Jun 2026 | CT | USAspending |
| Health & Human Services, Rhode Island Executive Office of | Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantCooperative Agreement (B) | $4.0M | 22 Oct 2024 | RI | USAspending |
| NYS Department of Health | Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantCooperative Agreement (B) | $3.9M | 21 Oct 2024 | NY | USAspending |
Other programs numbered 93.xxx
- 93.778 Grants to States for Medicaid $3.2T
- 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
Questions and answers
How much is obligated under assistance listing 93.968?
$4.0M in FY2025 and $30M 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 Achieving Healthcare Efficiency through Accountable Design (AHEAD) Model?
Maryland Department of Health ($6.0M), Human Services Vermont Agency of ($5.0M), Department of Human Services Hawaii ($4.9M), Department of Social Services Connecticut ($4.8M), Health & Human Services, Rhode Island Executive Office of ($4.0M). 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.