Recipient of federal assistance · SACRAMENTO, CA

HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF

HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF received $117.8B in federal grants and other assistance in FY2026, on 104 actions, +4.7% vs FY2025. It has no federal contracts in the loaded years. Since FY2021: $589.7B. Its largest awarding agency was Centers for Medicare and Medicaid Services ($117.3B).

Assistance · FY2026
$117.8B
New awards
1
Actions
104
Since FY2021
$589.7B
UEI
JE73CDQUAPA7
Location
SACRAMENTO, CA
State and local governments
Open in the explorerFederal grants & assistance

Federal grants & assistance received

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.

Assistance by fiscal year

  1. 80.6BFY2021
  2. 92.8BFY2022
  3. 85.1BFY2023
  4. 100.9BFY2024
  5. 112.5BFY2025
  6. 117.8BFY2026

By type

  1. Grants$117.8B100%

Top programs · Awarding agencies

Obligations in FY2026.

Top programs

  1. 93.778 · Grants to States for Medicaid$111.4B95%
  2. 93.767 · Children's Health Insurance Program$5.9B5.0%
  3. 93.959 · Block Grants for Prevention and Treatment of Substance Abuse$264.3M0.2%
  4. 93.788 · Opioid Str$106.8M0.1%
  5. 93.958 · Block Grants for Community Mental Health Services$93.6M0.1%
  6. 93.791 · Money Follows the Person Rebalancing Demonstration$34.2M0.0%
  7. 93.00R · 988 and Behavioral Health Crisis Services Programs$20.2M0.0%
  8. 93.919 · Cooperative Agreements for State-Based Comprehensive Breast and Cervical Cancer Early Detection Programs$7M0.0%

Awarding agencies

  1. Centers for Medicare and Medicaid Services$117.3B99.6%
    Department of Health and Human Services
  2. Substance Abuse and Mental Health Services Administration$490.5M0.4%
    Department of Health and Human Services
  3. Centers for Disease Control and Prevention$7M0.0%
    Department of Health and Human Services
  4. Health Resources and Services Administration$100K0.0%
    Department of Health and Human Services

Largest awards

  1. MEDICAID ENTITLEMENT FOR 7 - FY 2026 - T19$111B
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2025 – Sep 23, 2026· 2605CA5MAP
  2. MEDICAID ENTITLEMENT FOR 7 - FY 2026 - T19$100.1B
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2024 – Sep 23, 2026· 2505CA5MAP
  3. MEDICAID ENTITLEMENT FOR 7 - FY 2025 - T19$92B
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2023 – Jul 6, 2026· 2405CA5MAP
  4. MEDICAID ENTITLEMENT FOR 7 - FY 2024 - T19$80.5B
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2022 – Jul 6, 2026· 2305CA5MAP
  5. MEDICAID ENTITLEMENT FOR 7 - FY 2023 - T19$80.5B
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2021 – Jul 6, 2026· 2205CA5MAP
  6. MEDICAID ENTITLEMENT FOR 7 - FY 2026 - T19$6B
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2025 – Sep 23, 2026· 2605CA5ADM

Subawards

Matched by Unique Entity ID: the first-tier subawards this organization reported as a prime recipient, and those primes reported paying it.

As a prime: who it pays · FY2026

  • Sub-grants: $523.2M (186 subawards)

73 sub-recipients

  1. ADVOCATES FOR HUMAN POTENTIAL INC$82.2M16%
    SUDBURY, MA · 5 subawards
  2. COUNTY OF LOS ANGELES$81.3M16%
    LOS ANGELES, CA · 2 subawards
  3. COUNTY OF SAN DIEGO$24.7M4.7%
    SAN DIEGO, CA · 3 subawards
  4. ORANGE COUNTY HEALTH CARE AGENCY$23.3M4.4%
    SANTA ANA, CA · 3 subawards
  5. HEALTH MANAGEMENT ASSOCIATES INC$19.5M3.7%
    OKEMOS, MI · 2 subawards
  6. DELOITTE CONSULTING LLP$19.2M3.7%
    ARLINGTON, VA · 3 subawards
  7. SIERRA HEALTH FOUNDATION: CENTER FOR HEALTH PROGRAM MANAGEMENT$18.8M3.6%
    SACRAMENTO, CA · 3 subawards
  8. AURRERA HEALTH GROUP LLC$18.2M3.5%
    SACRAMENTO, CA · 12 subawards
  9. SAN BERNARDINO, COUNTY OF$16.3M3.1%
    SAN BERNARDINO, CA · 3 subawards
  10. M&M MEDIA SOLUTIONS, INC$15M2.9%
    SACRAMENTO, CA · 3 subawards

As a sub-recipient: who pays it · FY2026

No subawards reported to it in FY2026.

By fiscal year

  • FY2021: $112.6M paid out · $9.2M received
  • FY2022: $470M paid out · $0 received
  • FY2023: $89.7M paid out · $300K received
  • FY2024: $88.5M paid out · $0 received
  • FY2025: $394.4M paid out · $0 received
  • FY2026: $523.2M paid out · $0 received

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 10, 2026, loaded Oct 10, 2026 · Subawards loaded from FY2021.

Source: Federal financial assistance transactions (Financial Assistance Broker Submission) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 10, 2026, loaded Oct 10, 2026 · FY2021–FY2026.