Recipients › North Carolina › North Carolina Department of Health & Human Services
Recipient organisation · UEI DKT3LLBWFVL3
North Carolina Department of Health & Human Services
- Government
- Regional or state government
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. View the USAspending recipient profile.
Federal agencies obligated $136B to North Carolina Department of Health & Human Services, Raleigh, NC, in the listed fiscal years 2022, 2023, 2024, 2025, 2026.
In FY2025, the most recent complete fiscal year, obligations were $31B, of which $1.8M (0%) came through contracts; FY2026 to date stands at $33B.
That is up 15% on FY2024 ($27B).
North Carolina Department of Health & Human Services ranks 1 of 631 listed organisations located in NC by five-year obligations, and 5 of 30,000 nationally.
Its $1.0M-plus awards since FY2022 came from Department of Health and Human Services, Department of Agriculture and Department of Education and 3 other agencies: 371 awards worth $120B in total award value.
Obligations by fiscal year contracts vs assistance
| Fiscal year | All obligations | Contracts | Assistance | Change |
|---|---|---|---|---|
| FY2022 | $21,807,992,930 | $1,672,793 | $21,806,320,137 | — |
| FY2023 | $22,656,304,898 | $1,636,666 | $22,654,668,232 | +4% |
| FY2024 | $27,146,708,485 | under $1.0M | $27,146,708,485 | +20% |
| FY2025 | $31,354,339,694 | $1,763,624 | $31,352,576,070 | +15% |
| FY2026 to date | $33,109,359,262 | $1,476,894 | $33,107,882,368 | +6% |
A fiscal year runs 1 October to 30 September. "Contracts" are procurement award types A–D; "assistance" is everything else (grants, direct payments, loan subsidy cost, insurance, other). The contracts column is listed only where contract obligations alone reached $1.0M; the assistance figure is the remainder and may therefore include up to $1.0M of contracts.
Compared with its state and the largest recipients five listed years
| Measure | This organisation | Largest in NC | Largest nationally |
|---|---|---|---|
| Five-year obligations (listed years) | $136B | $136B | $510B |
| FY2025 obligations | $31B | $31B | $113B |
| Contracts, five years | $6.5M | $6.5M | $111B |
| Assistance, five years | $136B | $136B | $510B |
| Rank by five-year obligations | 5 of 30,000 | 1 of 631 in NC | 1 |
Largest in state: North Carolina Department of Health & Human Services. Largest nationally: Health Care Services, California Department of. Rankings count organisations located in the state, by the sum of their listed fiscal years.
Awarding agencies $1.0M+ awards since FY2022
| # | Agency | Awards | Award value | Share |
|---|---|---|---|---|
| 1 | Department of Health and Human Services | 244 | $116B | 97% |
| 2 | Department of Agriculture | 85 | $3.0B | 2% |
| 3 | Department of Education | 16 | $722M | 1% |
| 4 | Department of Housing and Urban Development | 20 | $79M | 0% |
| 5 | Department of Labor | 4 | $7.9M | 0% |
| 6 | Environmental Protection Agency | 2 | $2.9M | 0% |
Assistance programs listings
Places of performance $1.0M+ awards
Counties: Wake County, NC $1.1B · Johnston County, NC $424M · Sampson County, NC $1.0M
Largest awards begun since FY2022
| Awarding agency | Type | Industry or program | Award value | Begun | Place | Record |
|---|---|---|---|---|---|---|
| Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantBlock Grant (a) | 93.778 Grants to States for Medicaid | $26B | 1 Oct 2025 | NC | USAspending |
| Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantBlock Grant (a) | 93.778 Grants to States for Medicaid | $25B | 1 Oct 2024 | NC | USAspending |
| Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantBlock Grant (a) | 93.778 Grants to States for Medicaid | $21B | 1 Oct 2023 | NC | USAspending |
| Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantBlock Grant (a) | 93.778 Medical Assistance Program | $14B | 1 Oct 2022 | NC | USAspending |
| Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantBlock Grant (a) | 93.778 Medical Assistance Program | $14B | 1 Oct 2021 | NC | USAspending |
| Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantBlock Grant (a) | 93.767 Children's Health Insurance Program | $982M | 1 Oct 2025 | NC | USAspending |
| Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantBlock Grant (a) | 93.778 Grants to States for Medicaid | $979M | 1 Oct 2025 | NC | USAspending |
| Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantBlock Grant (a) | 93.767 Children's Health Insurance Program | $929M | 1 Oct 2024 | NC | USAspending |
| Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantBlock Grant (a) | 93.778 Grants to States for Medicaid | $811M | 1 Oct 2023 | NC | USAspending |
| Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantBlock Grant (a) | 93.778 Grants to States for Medicaid | $795M | 1 Oct 2024 | NC | USAspending |
| Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantBlock Grant (a) | 93.767 Children's Health Insurance Program | $736M | 14 Nov 2023 | NC | USAspending |
| Department of Health and Human ServicesCenters for Medicare and Medicaid Services | GrantBlock Grant (a) | 93.778 Medical Assistance Program | $696M | 1 Oct 2022 | NC | USAspending |
Award value is the amount obligated to the award to date as USAspending reports it. Descriptions below are USAspending's text, unedited and truncated; those that appear to name a person are withheld.
- $26B, Department of Health and Human Services, 1 Oct 2025: MEDICAID ENTITLEMENT FOR 35 - FY 2026 - T19
- $25B, Department of Health and Human Services, 1 Oct 2024: MEDICAID ENTITLEMENT FOR 35 - FY 2026 - T19
- $21B, Department of Health and Human Services, 1 Oct 2023: MEDICAID ENTITLEMENT FOR 35 - FY 2025 - T19
- $14B, Department of Health and Human Services, 1 Oct 2022: MEDICAID ENTITLEMENT FOR 35 - FY 2024 - T19
- $14B, Department of Health and Human Services, 1 Oct 2021: MEDICAID ENTITLEMENT FOR 35 - FY 2023 - T19
- $982M, Department of Health and Human Services, 1 Oct 2025: MEDICAID ENTITLEMENT FOR 86 - FY 2026 - T21
- $979M, Department of Health and Human Services, 1 Oct 2025: MEDICAID ENTITLEMENT FOR 35 - FY 2026 - T19
- $929M, Department of Health and Human Services, 1 Oct 2024: MEDICAID ENTITLEMENT FOR 35 - FY 2025 - T21
Questions and answers
How much federal money does North Carolina Department of Health & Human Services receive?
$136B in award obligations over the fiscal years it is listed for (FY2022: $22B; FY2023: $23B; FY2024: $27B; FY2025: $31B; FY2026: $33B). Years not listed were under the $1.0M floor. Obligations are binding commitments, not payments made.
Which agencies award to North Carolina Department of Health & Human Services?
By the value of $1.0M-plus awards begun since FY2022: Department of Health and Human Services ($116B), Department of Agriculture ($3.0B), Department of Education ($722M), Department of Housing and Urban Development ($79M) and Department of Labor ($7.9M).
What is the money for?
Assistance falls under Grants to States for Medicaid (93.778), Children's Health Insurance Program (93.767) and Temporary Assistance for Needy Families (93.558).
Where is the work performed?
Primary places of performance for its larger awards: NC ($119B).
Is North Carolina Department of Health & Human Services a large federal recipient?
It ranks 5 of 30,000 organisations on this site by five-year obligations and 1 of 631 located in NC. The site covers organisations with at least $1.0M in a fiscal year; individuals are excluded.
Where does this data come from?
USAspending.gov (U.S. Treasury), award transactions as loaded on 30 Sep 2026; fiscal-year totals via the spending-by-category endpoint and award lists via the award search endpoint. The USAspending recipient profile is the authoritative record.
Provenance
Source: USAspending.gov API v2 (U.S. Department of the Treasury, Bureau of the Fiscal Service), CC0. Fiscal-year obligations from the spending-by-category recipient ranking by recipient state (listing floor $1.0M per year); awards from the award search endpoint (new awards of $1.0M or more by base obligation date); parent and business categories from the recipient profile where fetched. Closed fiscal years are snapshots taken after year end; FY2026 is refreshed on each build. Data loaded by USAspending on 30 Sep 2026. Individuals and sole proprietors are excluded at ingest. Errors in processing are corrected at the next build; see corrections and the methodology.