Federal sub-agency · Department of Health and Human Services
Centers for Medicare and Medicaid Services
Centers for Medicare and Medicaid Services obligated $7.1B on federal contracts in FY2026 across 2,184 contract actions (−10% vs FY2025). Its largest recipient was GENERAL DYNAMICS INFORMATION TECHNOLOGY, INC. ($745.4M). It also awarded $1.9T in federal grants and other assistance in FY2026.
- Obligations · FY2026
- $7.1B
- Actions
- 2,184
- New awards: 172
- Sole-source
- 2.5%
- Small business
- 21%
Spending by fiscal year
Obligations per federal fiscal year (October–September).
- 6.9BFY2017
- 6.8BFY2018
- 7.2BFY2019
- 7.1BFY2020
- 7BFY2021
- 7.3BFY2022
- 7.4BFY2023
- 8.4BFY2024
- 7.9BFY2025
- 7.1BFY2026
- 0FY2027
Top recipients
Obligations in FY2026.
- MAXIMUS FEDERAL SERVICES, INC.$346.7M4.9%
- NORIDIAN HEALTHCARE SOLUTIONS, LLC$334.6M4.7%
- WELLPOINT FEDERAL SOLUTIONS, INC.$281.9M4.0%
- PALMETTO GBA, LLC$279.3M4.0%
- CARAHSOFT TECHNOLOGY CORP$230.9M3.3%
- SERCO INC$201.7M2.9%
- ACCENTURE FEDERAL SERVICES LLC$200.7M2.8%
- NOVITAS SOLUTIONS, INC.$177.6M2.5%
- SOFTRAMS LLC$177.1M2.5%
What was bought · Where the work was performed
Obligations in FY2026.
What was bought
- IT & telecom$3B43%
- Professional services$2.5B35%
- Education & social services$1.2B17%
- Research & development$323.1M4.6%
- Health & medical$42.2M0.6%
- Other equipment & supplies$2.5M0.0%
- Transportation & logistics$37K0.0%
- Equipment maintenance$10.8K0.0%
Where the work was performed
- Virginia$2.4B34%
- Maryland$2.2B31%
- South Carolina$463.3M6.6%
- North Dakota$334.6M4.7%
- Indiana$270.4M3.8%
- Pennsylvania$178.4M2.5%
- California$171.4M2.4%
- New York$167.8M2.4%
- District of Columbia$157.1M2.2%
- Tennessee$130.7M1.9%
Integrity signals
Shares of the year's obligations, next to the country's.
- Low competition21%US 39% · $1.5B
- Sole-source awards2.5%US 30% · $174.6M
- Single-offer competitions19%US 8.7% · $1.3B
- Urgency justifications0.2%US 5.1% · $13.6M
- Year-end rush10%US 6.0% · $731.9M
- Undefinitized contracts0.8%US 5.0% · $59.7M
- Time-and-materials pricing23%US 4.2% · $1.6B
A signal is a reason to look closer, not evidence of wrongdoing: most sole-source awards are lawful and justified.
Offices with the most sole-source money
- OFC OF ACQUISITION AND GRANTS MGMT$174.6M2.5%
Largest awards
- MAXIMUS FEDERAL SERVICES, INC.· Fairfax County, VA· Professional services· Aug 31, 2022 – Oct 6, 2026· 75FCMC22C0038
- JM AB MAC AWARD$988.2MPALMETTO GBA, LLC· Richland County, SC· Education & social services· Dec 1, 2016 – Sep 29, 2026· HHSM5002015M0028Z
- NOVITAS SOLUTIONS, INC.· Cumberland County, PA· Education & social services· May 30, 2019 – Aug 31, 2026· 75FCMC19C0018
- NOVITAS SOLUTIONS, INC.· Cumberland County, PA· Education & social services· Oct 7, 2016 – Apr 9, 2026· HHSM5002012M0001Z
- IPG DXTRA, INC.· New York County, NY· Professional services· Jun 14, 2022 – Jul 9, 2026· 75FCMC22F0003
- PALMETTO GBA, LLC· Richland County, SC· Education & social services· Sep 23, 2022 – Sep 28, 2026· 75FCMC22C0037
- ACCENTURE FEDERAL SERVICES LLC· Arlington County, VA· IT & telecom· Apr 28, 2021 – Jun 11, 2026· 75FCMC21F0002
Federal grants & assistance awarded
Grants, loans (counted at their subsidy cost), direct payments and insurance, by fiscal year of the action (USAspending.gov, FABS). Reported apart from contracts and never added to them.
Centers for Medicare and Medicaid Services obligated $1.9T in federal assistance in FY2026, on 8,737 actions (754 new awards), +3.2% vs FY2025. Its largest program was 93.778 · Grants to States for Medicaid ($721.6B).
- Assistance · FY2026
- $1.9T
- New awards
- 754
- Actions
- 8,737
- Since FY2021
- $10T
Assistance by fiscal year
- 1.4TFY2021
- 1.5TFY2022
- 1.6TFY2023
- 1.7TFY2024
- 1.9TFY2025
- 1.9TFY2026
- 0FY2027
By type
- Direct payments$1.2T60%
- Grants$768.7B40%
- Insurance$4.4B0.2%
- Other assistance$738.4M0.0%
Top programs
- 93.778 · Grants to States for Medicaid$721.6B37%
- 93.774 · Medicare Supplementary Medical Insurance$556.9B29%
- 93.773 · Medicare Hospital Insurance$418.1B22%
- 93.770 · Medicare Prescription Drug Coverage$178.7B9.3%
- 93.767 · Children's Health Insurance Program$24.8B1.3%
- 93.423 · 1332 State Innovation Waivers$11.9B0.6%
- 93.798 · Rural Health Transformation Program$10B0.5%
- 93.640 · Basic Health Program (Affordable Care ACT)$4.4B0.2%
Top recipients (organizations)
- SACRAMENTO, CA
- NYS DEPARTMENT OF HEALTH$73.4B3.8%ALBANY, NY
- HEALTH & HUMAN SVC COMMN TX$37.9B2.0%AUSTIN, TX
- PA DEPARTMENT OF HUMAN SERVICES$33.2B1.7%HARRISBURG, PA
- OHIO DEPARTMENT OF MEDICAID$29.2B1.5%COLUMBUS, OH
- RALEIGH, NC
- TALLAHASSEE, FL
- SPRINGFIELD, IL
Where it went
- Minnesota$183.3B9.5%
- California$166.7B8.6%
- Pennsylvania$148.9B7.7%
- Kentucky$142.7B7.4%
- Indiana$139.8B7.3%
- Florida$108.8B5.6%
- New York$98.4B5.1%
- North Dakota$87.2B4.5%
- Connecticut$87.2B4.5%
- South Carolina$80.4B4.2%
By state of the place of performance.
Source: Federal financial assistance transactions (Financial Assistance Broker Submission) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 8, 2026, loaded Oct 8, 2026 · FY2021–FY2027.
Federal grants & assistanceSubawards under this agency's awards
First-tier subawards that recipients of this agency's contracts and financial assistance reported, by the fiscal year of the subaward.
FY2026
- Sub-contracts: $683.5M (525 subawards)
- Sub-grants: $4B (3,543 subawards)
1,870 sub-recipients
Largest sub-recipients
- FLORIDA HEALTHY KIDS CORPORATION$635.9M13%TALLAHASSEE, FL · 2 subawards
- HMO COLORADO, INC.$168.8M3.6%DENVER, CO · 1 subaward
- ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC.$109.4M2.3%GRAND JUNCTION, CO · 10 subawards
- UKHS CARE COLLABORATIVE ASSOCIATION$87.1M1.8%HAYS, KS · 5 subawards
- STATE HLTH. PLNG. & DEV. AGENCY$70.4M1.5%HONOLULU, HI · 2 subawards
- CIGNA HEALTH AND LIFE INSURANCE COMPANY$61.8M1.3%BLOOMFIELD, CT · 1 subaward
- MODIVCARE INC.$59.9M1.3%DENVER, CO · 2 subawards
- UNIVERSITY OF HAWAII$57.5M1.2%HONOLULU, HI · 2 subawards
- HAWAII DEPARTMENT OF HEALTH$57.4M1.2%HONOLULU, HI · 2 subawards
- THE FOUNDATION FOR A HEALTHY KENTUCKY, INC .$50.5M1.1%LOUISVILLE, KY · 1 subaward
Primes report first-tier subawards of $30,000 or more themselves, and many go unreported (GAO-24-106214). Reporting moved from FSRS to SAM.gov in March 2025 and fewer sub-contracts have been reported since. Amounts are what primes reported; they are never added to prime award totals.
Source: Subawards (first-tier sub-contracts and sub-grants reported under FFATA) (U.S. Department of the Treasury, USAspending.gov (reports filed in SAM.gov, formerly FSRS)), data current to Oct 9, 2026, loaded Oct 9, 2026 · Subawards loaded from FY2021.
Who lobbies this agency
Organizations whose quarterly lobbying reports list this agency as contacted, ranked by the reports' spending. A report's amount covers all its issues and every agency it lists; reports do not split it.
- Lobbying in 2026
- $390.3M
- Clients
- 983
- Reports
- 1,829
The whole amount of every report that lists this agency.
Organizations lobbying it, 2026
- Chamber of Commerce of the U.S.A.$36.7MNot matched to a contract recipient · Health issues, Medicare and Medicaid, Budget and appropriations
- PHARMACEUTICAL RESEARCH & MANUFACTURERS OF AMERICA$19.6MNot matched to a contract recipient · Health issues, Medicare and Medicaid, Budget and appropriations
- 0.0% of its family's FY2026 contracts from this agency · Health issues, Medicare and Medicaid, Budget and appropriations
- 0.0% of its family's FY2026 contracts from this agency · Health issues, Medicare and Medicaid, Budget and appropriations
- 0.0% of its family's FY2026 contracts from this agency · Health issues, Budget and appropriations, Taxation and the Internal Revenue Code
- AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)$8.3MNot matched to a contract recipient · Health issues, Medicare and Medicaid, Taxation and the Internal Revenue Code
- AARP$7.9MNot matched to a contract recipient · Health issues, Medicare and Medicaid, Budget and appropriations
- CVS HEALTH$6.9MNot matched to a contract recipient · Medicare and Medicaid, Taxation and the Internal Revenue Code, Pharmacy
- 0.0% of its family's FY2026 contracts from this agency · Health issues, Medicare and Medicaid, Taxation and the Internal Revenue Code
- PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION$6.3MNot matched to a contract recipient · Health issues, Medicare and Medicaid, Pharmacy
- The Cigna Group and subsidiaries (Formerly Cigna Corporation$5.6MNot matched to a contract recipient · Health issues, Medicare and Medicaid, Pharmacy
- 0.0% of its family's FY2026 contracts from this agency · Health issues, Medicare and Medicaid, Budget and appropriations
- 0.0% of its family's FY2026 contracts from this agency · Health issues, Medicare and Medicaid, Taxation and the Internal Revenue Code
- JOHNSON & JOHNSON SERVICES, INC.$5MNot matched to a contract recipient · Health issues, Budget and appropriations, Taxation and the Internal Revenue Code
- No FY2026 contracts in its family · Health issues, Medicare and Medicaid, Budget and appropriations
88 more clients ($6.3M) are counted but not named: their names may be a person's.
Lobbying amounts are the filers' own good-faith estimates on quarterly LD-2 reports (the law asks for amounts rounded to $10,000; under $5,000 need not be itemized), latest amendment only. When an organization files its own report, it replaces what outside firms report for it that quarter. Matches are by name. Lobbying and political giving are legal and public: they show engagement with government, not influence over any award. Correlation is not influence: these organizations' lobbying and their contracts are shown side by side, and nothing here implies either affected the other.
Source: Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives), data current to Oct 9, 2026, loaded Oct 9, 2026 · 2023–2026.
Source: Committees, candidates and committee contributions to candidates (Federal Election Commission), data current to Oct 9, 2026, loaded Oct 9, 2026 · 2026, 2024, 2022.
Matches: Analisa AI name judgments (entity-match@1), updated Oct 5, 2026.
Committees that oversee and fund it
Congressional committees whose jurisdiction includes this agency, and the appropriations subcommittees that write its spending bill (Analisa's reading of the House and Senate rules; committees share jurisdiction). Leaders as currently published.
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Source: Federal contract transactions (Federal Procurement Data System) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 9, 2026, loaded Oct 9, 2026.
