Recipient of federal assistance · BISMARCK, ND

NORTH DAKOTA DEPARTMENT OF HUMAN SERVICES

NORTH DAKOTA DEPARTMENT OF HUMAN SERVICES received $1.8B in federal grants and other assistance in FY2026, on 316 actions, +26% vs FY2025. It has no federal contracts in the loaded years. Since FY2021: $9B. Its largest awarding agency was Centers for Medicare and Medicaid Services ($1.4B).

Assistance · FY2026
$1.8B
New awards
72
Actions
316
Since FY2021
$9B
UEI
GSKXYGKGX6A4
Location
BISMARCK, ND
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. 1.8BFY2021
  2. 1.3BFY2022
  3. 1.5BFY2023
  4. 1.2BFY2024
  5. 1.4BFY2025
  6. 1.8BFY2026
  7. 6.6MFY2027

By type

  1. Grants$1.7B94%
  2. Direct payments$101.5M5.8%
  3. Other assistance$1.2M0.1%

Top programs · Awarding agencies

Obligations in FY2026.

Top programs

  1. 93.778 · Grants to States for Medicaid$1.2B68%
  2. 93.798 · Rural Health Transformation Program$198.9M11%
  3. 10.551 · Supplemental Nutrition Assistance Program$101.5M5.8%
  4. 93.767 · Children's Health Insurance Program$29.6M1.7%
  5. 93.558 · Temporary Assistance for Needy Families$26.3M1.5%
  6. 93.568 · Low-Income Home Energy Assistance$23M1.3%
  7. 93.659 · Adoption Assistance$22.3M1.3%
  8. 93.563 · Child Support Services$18.8M1.1%

Awarding agencies

  1. Centers for Medicare and Medicaid Services$1.4B82%
    Department of Health and Human Services
  2. Administration for Children and Families$144.5M8.2%
    Department of Health and Human Services
  3. Food and Nutrition Service$121.7M6.9%
    Department of Agriculture
  4. Substance Abuse and Mental Health Services Administration$22M1.2%
    Department of Health and Human Services
  5. Department of Education$14.2M0.8%
  6. Administration for Community Living$10.8M0.6%
    Department of Health and Human Services
  7. Employment and Training Administration$150K0.0%
    Department of Labor

Largest awards

  1. MEDICAID ENTITLEMENT FOR 36 - FY 2026 - T19$1.1B
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2025 – Jul 28, 2026· 2605ND5MAP
  2. MEDICAID ENTITLEMENT FOR 36 - FY 2026 - T19$995.3M
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2024 – Mar 5, 2026· 2505ND5MAP
  3. NORTH DAKOTA RURAL HEALTH TRANSFORMATION PROGRAM - ORGANIZATION: NORTH DAKOTA DEPARTMENT OF HEALTH AND HUMAN SERVICES (NDHHS) RURAL HEALTH…$198.9M
    93.798 · Rural Health Transformation Program· Centers for Medicare and Medicaid Services· Cooperative agreement· Dec 29, 2025 – Apr 1, 2026· RHTCMS332043
  4. MEDICAID ENTITLEMENT FOR 36 - FY 2026 - T19$124.2M
    93.778 · Grants to States for Medicaid· Centers for Medicare and Medicaid Services· Block grant· Oct 1, 2025 – Jul 28, 2026· 2605ND5ADM
  5. SNAP EBT BENEFITS$101.5M
    10.551 · Supplemental Nutrition Assistance Program· Food and Nutrition Service· Direct payment for specified use· Oct 1, 2025 – Aug 1, 2026· 26ND35053892901
  6. NORTH DAKOTA - MONEY FOLLOWS THE PERSON DEMONSTRATION PROGRAM$91.5M
    93.791 · Money Follows the Person Rebalancing Demonstration· Centers for Medicare and Medicaid Services· Grant· Mar 30, 2021 – Sep 22, 2026· 1LICMS030171

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: $22.7M (129 subawards)

91 sub-recipients

  1. COUNTY OF TRAIL$2.5M11%
    HILLSBORO, ND · 2 subawards
  2. NORTH DAKOTA STATE UNIVERSITY$2.5M11%
    FARGO, ND · 8 subawards
  3. UNIVERSITY OF NORTH DAKOTA$1.7M7.7%
    GRAND FORKS, ND · 7 subawards
  4. MINOT STATE UNIVERSITY$1.4M6.1%
    MINOT, ND · 1 subaward
  5. RONALD MCDONALD HOUSE CHARITIES OF BISMARCK$750K3.3%
    BISMARCK, ND · 1 subaward
  6. COMMUNITY OPTIONS FOR$670.6K2.9%
    BISMARCK, ND · 4 subawards
  7. NORTH DAKOTA ASSISTIVE$631.7K2.8%
    FARGO, ND · 3 subawards
  8. SANFORD HEALTH NETWORK NORTH$540K2.4%
    FARGO, ND · 2 subawards
  9. JOB SERVICE NORTH DAKOTA$536.1K2.4%
    BISMARCK, ND · 4 subawards
  10. TURTLE MOUNTAIN BAND OF CHIPPEWA INDIANS$514.7K2.3%
    BELCOURT, ND · 2 subawards

As a sub-recipient: who pays it · FY2026

  • Sub-grants: $312.5K (21 subawards)

2 primes

  1. NORTH DAKOTA DEPARTMENT OF TRANSPORTATION$300K96%
    BISMARCK, ND · 1 subaward
  2. NORTH DAKOTA DEPARTMENT OF PUBLIC INSTRUCTION$12.5K4.0%
    BISMARCK, ND · 20 subawards

By fiscal year

  • FY2021: $8.9M paid out · $1.9M received
  • FY2022: $32M paid out · $752K received
  • FY2023: $18.1M paid out · $600K received
  • FY2024: $15.2M paid out · $75K received
  • FY2025: $26.3M paid out · $144.7K received
  • FY2026: $22.7M paid out · $312.5K 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.