Recipient of federal assistance · DES MOINES, IA

IA DEPARTMENT OF HUMAN SERVICES

IA DEPARTMENT OF HUMAN SERVICES received $7.3B in federal grants and other assistance in FY2026, on 201 actions, −8.2% vs FY2025. It has no federal contracts in the loaded years. Since FY2021: $41.4B. Its largest awarding agency was Centers for Medicare and Medicaid Services ($6.5B).

Assistance · FY2026
$7.3B
New awards
46
Actions
201
Since FY2021
$41.4B
UEI
Q7P9B28J8BY4
Parent organization
STATE OF IOWA
Location
DES MOINES, IA
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. 6.2BFY2021
  2. 6.3BFY2022
  3. 6.2BFY2023
  4. 7.3BFY2024
  5. 8BFY2025
  6. 7.3BFY2026
  7. 32.6MFY2027

By type

  1. Grants$6.9B94%
  2. Direct payments$468.2M6.4%
  3. Other assistance$3.7M0.1%

Top programs · Awarding agencies

Obligations in FY2026.

Top programs

  1. 93.778 · Grants to States for Medicaid$6.2B85%
  2. 10.551 · Supplemental Nutrition Assistance Program$468.2M6.4%
  3. 93.767 · Children's Health Insurance Program$213.6M2.9%
  4. 93.558 · Temporary Assistance for Needy Families$130.6M1.8%
  5. 93.575 · Child Care and Development Block Grant$83.2M1.1%
  6. 93.563 · Child Support Services$53.1M0.7%
  7. 10.646 · Summer Electronic Benefit Transfer Program for Children$32.2M0.4%
  8. 93.596 · Child Care Mandatory and Matching Funds of the Child Care and Development Fund$30.1M0.4%

Awarding agencies

  1. Centers for Medicare and Medicaid Services$6.5B88%
    Department of Health and Human Services
  2. Food and Nutrition Service$531.5M7.3%
    Department of Agriculture
  3. Administration for Children and Families$333M4.5%
    Department of Health and Human Services
  4. Substance Abuse and Mental Health Services Administration$5.9M0.1%
    Department of Health and Human Services
  5. Administration for Community Living$900.1K0.0%
    Department of Health and Human Services

Largest awards

  1. MEDICAID ENTITLEMENT FOR 18 - FY 2026 - T19$6.9B
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2025 – Jul 16, 2026· 2605IA5MAP
  2. MEDICAID ENTITLEMENT FOR 18 - FY 2026 - T19$5.9B
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2024 – Feb 11, 2026· 2505IA5MAP
  3. SNAP EBT BENEFITS$468.2M
    10.551 · Supplemental Nutrition Assistance Program· Food and Nutrition Service· Direct payment for specified use· Oct 1, 2025 – Aug 1, 2026· 26IA35051992901
  4. MEDICAID ENTITLEMENT FOR 70 - FY 2026 - T21$209M
    93.767 · Children's Health Insurance Program· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2025 – Sep 24, 2026· 2605IA5021
  5. MONEY FOLLOWS THE PERSON DEMO: PARTNERSHIP FOR COMMUNITY INTEGRATION$168.6M
    93.791 · Money Follows the Person Rebalancing Demonstration· Centers for Medicare and Medicaid Services· Project grant· Jun 30, 2021 – Sep 22, 2026· 1LICMS300154
  6. MEDICAID ENTITLEMENT FOR 18 - FY 2026 - T19$166.4M
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2025 – Jul 16, 2026· 2605IA5ADM

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: $48.8M (42 subawards)

28 sub-recipients

  1. FAMILIES FIRST COUNSELING SERVICES OF IOWA, L.L.C$14.5M30%
    WATERLOO, IA · 3 subawards
  2. WORKFORCE DEVELOPMENT CENTER$10.8M22%
    DES MOINES, IA · 1 subaward
  3. CHILDREN & FAMILIES OF IOWA$9.1M19%
    DES MOINES, IA · 2 subawards
  4. FATHER FLANAGAN'S BOYS' HOME$3.5M7.2%
    BOYS TOWN, NE · 1 subaward
  5. FOUR OAKS FAMILY & CHILDRENS SERVICES$3.5M7.1%
    CEDAR RAPIDS, IA · 2 subawards
  6. POLK COUNTY AUDITOR$716.6K1.5%
    DES MOINES, IA · 2 subawards
  7. LUTHERAN SERVICES IN IOWA, INC$640K1.3%
    DES MOINES, IA · 2 subawards
  8. NORTHEAST IOWA COMMUNITY ACTION CORP$560.5K1.1%
    DECORAH, IA · 3 subawards
  9. MID-IOWA COMMUNITY ACTION MICA, INC$513.6K1.1%
    MARSHALLTOWN, IA · 2 subawards
  10. CASS COUNTY MEMORIAL HOSPITAL$458.5K0.9%
    ATLANTIC, IA · 2 subawards

As a sub-recipient: who pays it · FY2026

No subawards reported to it in FY2026.

By fiscal year

  • FY2021: $49.4M paid out · $472.1K received
  • FY2022: $5M paid out · $1.3M received
  • FY2023: $6.7M paid out · $769.2K received
  • FY2024: $8.3M paid out · $0 received
  • FY2025: $34.2M paid out · $0 received
  • FY2026: $48.8M 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–FY2027.