Recipient of federal assistance · SPRINGFIELD, IL

ILLINOIS DEPARTMENT OF HEALTHCARE & FAMILY SERVICES

ILLINOIS DEPARTMENT OF HEALTHCARE & FAMILY SERVICES received $25.5B in federal grants and other assistance in FY2026, on 88 actions, +17% vs FY2025. It has no federal contracts in the loaded years. Since FY2021: $124.8B. Its largest awarding agency was Centers for Medicare and Medicaid Services ($25.3B).

Assistance · FY2026
$25.5B
New awards
11
Actions
88
Since FY2021
$124.8B
UEI
UF4TC1RLR6K7
Parent organization
ILLINOIS DEPARTMENT OF VETERANS' AFFAIRS
Location
SPRINGFIELD, IL
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. 18.1BFY2021
  2. 18BFY2022
  3. 20.9BFY2023
  4. 20.6BFY2024
  5. 21.9BFY2025
  6. 25.5BFY2026

By type

  1. Grants$25.4B99.9%
  2. Other assistance$15.8M0.1%

Top programs · Awarding agencies

Obligations in FY2026.

Top programs

  1. 93.778 · Grants to States for Medicaid$24.5B96%
  2. 93.767 · Children's Health Insurance Program$594.4M2.3%
  3. 93.563 · Child Support Services$196.9M0.8%
  4. 93.798 · Rural Health Transformation Program$193.4M0.8%
  5. 93.796 · State Survey Certification of Health Care Providers and Suppliers (Title XIX) Medicaid$15.8M0.1%
  6. 93.869 · Transforming Maternal Health (TMAH) Model$2M0.0%
  7. 93.885 · Cell and Gene Therapy (CGT) Access Model$1.3M0.0%
  8. 93.791 · Money Follows the Person Rebalancing Demonstration$651.8K0.0%

Awarding agencies

  1. Centers for Medicare and Medicaid Services$25.3B99%
    Department of Health and Human Services
  2. Administration for Children and Families$197.2M0.8%
    Department of Health and Human Services

Largest awards

  1. MEDICAID ENTITLEMENT FOR 20 - FY 2026 - T19$23.3B
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2025 – Sep 22, 2026· 2605IL5MAP
  2. MEDICAID ENTITLEMENT FOR 20 - FY 2026 - T19$20.3B
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2024 – Jul 9, 2026· 2505IL5MAP
  3. MEDICAID ENTITLEMENT FOR 20 - FY 2026 - T19$995M
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2025 – Sep 22, 2026· 2605IL5ADM
  4. MEDICAID ENTITLEMENT FOR 20 - FY 2026 - T19$851.3M
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2024 – Jul 9, 2026· 2505IL5ADM
  5. MEDICAID ENTITLEMENT FOR 77 - FY 2026 - T21$594.4M
    93.767 · Children's Health Insurance Program· Centers for Medicare and Medicaid Services· Block grant· Jan 1, 2026 – Jan 1, 2026· 2605IL5021
  6. ILLINOIS RURAL HEALTH TRANSFORMATION PROGRAM - TO SUPPORT RURAL COMMUNITIES ACROSS THE STATE OF ILLINOIS IN IMPROVING HEALTHCARE ACCESS…$193.4M
    93.798 · Rural Health Transformation Program· Centers for Medicare and Medicaid Services· Cooperative agreement· Dec 29, 2025 – Apr 8, 2026· RHTCMS332055

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: $161.9M (21 subawards)

14 sub-recipients

  1. THE ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK$50M31%
    PRINCETON, IL · 3 subawards
  2. ILLINOIS PRIMARY HEALTH CARE ASSOCIATION$24.5M15%
    SPRINGFIELD, IL · 2 subawards
  3. UNIVERSITY OF ILLINOIS$21.5M13%
    CHICAGO, IL · 3 subawards
  4. COMMUNITY BEHAVIORAL HEALTHCARE ASSOCIATION OF ILLINOIS$19.5M12%
    SPRINGFIELD, IL · 2 subawards
  5. IL COMMUNITY COLLEGE BOARD$18M11%
    SPRINGFIELD, IL · 2 subawards
  6. DEPARTMENT OF PUBLIC HEALTH ILLINOIS$16.5M10%
    SPRINGFIELD, IL · 1 subaward
  7. SICKLE CELL DISEASE ASSOCIATION OF ILLINOIS$2.8M1.7%
    CHICAGO, IL · 1 subaward
  8. OSF HEALTHCARE SYSTEM$2.3M1.4%
    PEORIA, IL · 1 subaward
  9. SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.$2.3M1.4%
    SAUGET, IL · 1 subaward
  10. THE CARLE FOUNDATION$2.2M1.4%
    URBANA, IL · 1 subaward

As a sub-recipient: who pays it · FY2026

  • Sub-grants: $386.5M (1 subaward)

1 prime

  1. ILLINOIS EMERGENCY MANAGEMENT AGENCY AND$386.5M100%
    SPRINGFIELD, IL · 1 subaward

By fiscal year

  • FY2022: $0 paid out · $11.2M received
  • FY2025: $350.7K paid out · $0 received
  • FY2026: $161.9M paid out · $386.5M 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.