Federal health records list five fiscal-year 2027 Medicaid awards totaling $170,972,107 for the Virgin Islands Department of Health. The largest award is $147,295,300, with the remainder divided among Medicaid eligibility, information-system, administrative and related program categories.
The Centers for Medicare & Medicaid Services recorded the awards on October 1 for the federal fiscal year. The territory's Medicaid program is administered locally through the V.I. Department of Human Services' Medical Assistance Program.
The authorization represents federal financial participation in eligible Medicaid costs, not a one-time unrestricted grant. It does not show how much money the territory has drawn down, how much local matching funding will be required or how payments will be divided among providers.
Federal award amounts can change as actual expenses, projections and reconciliations are reported during the year. The $170.97 million should therefore be read as an opening authorization rather than a final fiscal-year total.
The territorial government should publish a quarterly Medicaid dashboard showing drawdowns, local matching obligations, enrollment and provider-payment timing for each award category.
Source published Awards recorded October 1, 2026; federal record verified October 8, 2026. Read the original reporting or release for the complete record.
Open original source