$5,265,947,376
Department of Health and Human Services·Centers for Medicare and Medicaid Services
to HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF
WORK BEGAN2024-10-01·LATEST ACTION2026-04-06·SOURCEUSASPENDING·SOURCE IDASST_NON_2505CA5ADM_075
Award description
MEDICAID ENTITLEMENT FOR 7 - FY 2026 - T19
Verbatim from USAspending.gov. Capitalization, abbreviations, and codes are unchanged.
The Buildout's read
What the model surfaced from this award
Confidence: high
In plain English
The latest obligation under California's ongoing Medicaid entitlement, funding state health coverage for low-income residents in fiscal 2026.
Sub-sectors
medicaid-entitlementstate-block-grant
Why this matters
Medicaid entitlements are the largest federal health transfer to states; this 2024-launched program ensures continuous coverage for millions of Californians.
Generated by award_classification v2.1.0 via claude-haiku-4-5-20251001 on 2026-05-17. Cost: $0.002693.
Period of performance
Start
2024-10-01
End
2025-09-30
Status
expired273 days ago
Other awards from this recipient
- 2026-05-21MEDICAID ENTITLEMENT FOR 7 - FY 2026 - T19$100.1B
- 2026-06-22MEDICAID ENTITLEMENT FOR 7 - FY 2026 - T19$79.2B
- 2026-06-22MEDICAID ENTITLEMENT FOR 7 - FY 2026 - T19$4.5B
- 2026-06-05CALIFORNIA MEDICATION ASSISTED TREATMENT EXPANSION 4.0 - IN SOR III, CALIFORNIA WILL CONTINUE EFFORTS UNDER THE MEDICATION ASSISTED TREATMENT (MAT) EXPANSION PROJECT TO IMPLEMENT AND EXPAND EVIDENCE-BASED TREATMENT FOR OPIOID USE DISORDER (OUD). PRIORITY POPULATIONS INCLUDE BLACK, TRIBAL/URBAN INDIAN, HISPANIC/LATINX, AND LGBTQI+ COMMUNITIES, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE IN CRIMINAL JUSTICE SETTINGS, AND YOUTH. OVER THE LIFETIME OF THE PROJECT, CALIFORNIA WILL DIRECTLY SERVE ABOUT 50,000 CLIENTS (25,000 EACH YEAR) AND IMPACT 300,000 INDIVIDUALS (150,000 EACH YEAR) THROUGH PREVENTION AND EDUCATION. OVERDOSE DEATH RATES IN THE STATE OF CALIFORNIA HAVE INCREASED RAPIDLY IN THE WAKE OF THE COVID-19 PANDEMIC (KIANG ET AL. 2022). AS OF THE END OF 2020, THE RATE OF ALL DRUG-RELATED OVERDOSE DEATHS ROSE TO 21.6 DEATHS PER 100,000 RESIDENTS, A 44.3 PERCENT INCREASE OVER THE PRIOR YEAR (CDPH 2022). WHILE OPIOIDS WERE INVOLVED IN THE GREATEST PROPORTION OF DRUG-RELATED OVERDOSES (61.9 PERCENT), PSYCHOSTIMULANTS WERE INVOLVED IN NEARLY HALF (49.5 PERCENT). THIS MAY BE DRIVEN, IN PART, BY THE INCREASING PRESENCE OF SYNTHETIC OPIOIDS, LIKE FENTANYL, IN STIMULANTS AND OTHER DRUGS (SHOVER ET AL. 2020). THERE IS AN URGENT AND GROWING NEED TO ADDRESS THE HEALTH AND SAFETY OF CALIFORNIA RESIDENTS WHO USE ALL DRUG TYPES, ESPECIALLY FENTANYL. SOR III PROJECTS AND ACTIVITIES WILL BE IMPLEMENTED ACROSS THE STATE WITH AN EMPHASIS ON AREAS WITH THE HIGHEST RATE AND VOLUME OF OVERDOSE DEATHS. ACTIVITIES WILL FOCUS ON WHERE INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) ARE ROUTINELY PRESENT, SUCH AS PRIMARY CARE, HOSPITALS, SUD TREATMENT PROVIDERS, AND JUSTICE INVOLVED SETTINGS. INCREASING ACCESS TO AND USE OF SERVICES ACROSS THE CONTINUUM OF CARE – FROM PREVENTION THROUGH TREATMENT AND RECOVERY – WILL BE A PRIORITY. HOWEVER, SEVERAL BARRIERS REMAIN TO REALIZING THIS VISION, INCLUDING ACCESS TO MAT. THIS IS A CONCERN IN RURAL AREAS OF THE STATE, BUT MANY URBAN AREAS STILL LACK CAPACITY TO TREAT ALL INDIVIDUALS WITH AN OUD. STIGMA ALSO CONTINUES TO POSE BARRIERS TO REFERRALS AND ENGAGEMENT IN TREATMENT FOR INDIVIDUALS WITH OUD. EFFECTIVE EDUCATION FOR THE JUSTICE-INVOLVED SYSTEM, COURTS, CHILD WELFARE, HEALTH SYSTEM, BEHAVIORAL HEALTH WORKFORCE, AND SUD PROVIDERS CONTINUES TO BE AN EFFECTIVE METHOD TO COMBAT STIGMA AND ENGAGE CLIENTS INTO SERVICES. CALIFORNIA HAS THE FOLLOWING OBJECTIVES UNDER SOR III: 1) EXPAND ACCESS TO MAT THROUGH STRATEGIC ACCESS POINTS; 2) ADDRESS HEALTH INEQUITIES BY PROVIDING OUD TREATMENT TO SPECIFIC POPULATIONS (BLACK, TRIBAL/URBAN INDIAN, HISPANIC/LATINX, AND LGBTQI+ COMMUNITIES, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE IN CRIMINAL JUSTICE SETTINGS, AND YOUTH); 3) EXPAND OVERDOSE PREVENTION ACTIVITIES TO PREVENT OPIOID, FENTANYL, AND METHAMPHETAMINE MISUSE AND OVERDOSE DEATHS; AND 4) EXPAND ACCESS TO EVIDENCE-BASED HARM REDUCTION APPROACHES, INCLUDING OVERDOSE EDUCATION, ACCESS TO NALOXONE, COUNSELING, AND REFERRAL TO TREATMENT FOR OUD AND SUD. CALIFORNIA’S SOR III PROJECTS WILL USE EVIDENCE-BASED PRACTICES, INCLUDING FDA-APPROVED MEDICATIONS, COUNSELING, AND PEER RECOVERY SUPPORTS. DHCS WILL WORK WITH COUNTY GOVERNMENTS, HEALTH PROVIDERS, COMMUNITY ORGANIZATIONS, FOUNDATIONS, AND OTHER KEY PARTNERS AS PART OF A COLLABORATIVE EFFORT. THE GRANT WILL CONTINUE TO FOCUS ON REDUCING STIGMA, IMPROVING COORDINATION OF FUNDING STREAMS, CREATING PROJECT SUSTAINABILITY, AND INCREASING AWARENESS OF THE EFFECTIVENESS AND AVAILABILITY OF TREATMENT FOR SUD. NOTE: ALL REFERENCES CAN BE FOUND IN ATTACHMENT 8 – NEEDS ASSESSMENT.$217.9M
- 2026-04-22CALIFORNIA 988 SUICIDE AND CRISIS LIFELINE - CALIFORNIA'S PROJECT, THE CALIFORNIA 988 SUICIDE AND CRISIS LIFELINE, SERVES ALL CALIFORNIANS BY PROVIDING IMMEDIATE, ONE-ON-ONE SUPPORT WITH TRAINED CRISIS COUNSELORS TO THOSE IN CRISIS. CALIFORNIA'S PRIORITY FOR THIS GRANT IS TO ENHANCE THE 988 PROGRAMS IN CALIFORNIA BY EXPANDING THE WORKFORCE AND MAXIMIZING CALL, CHAT, AND TEXT RESPONSE, THEREBY INCREASING ACCESS TO THE CRISIS CARE SYSTEM IN THE STATE OF CALIFORNIA AND IMPROVING OUTCOMES FOR HIGH-RISK POPULATIONS. AS THE NATION'S MOST POPULOUS STATE, CALIFORNIA EXPERIENCES THE HIGHEST VOLUME OF 988 CALLS IN THE COUNTRY. CALIFORNIA EXPERIENCED AN INITIAL, RAPID 28 PERCENT INCREASE IN TOTAL 988 CONTACTS RECEIVED WHEN 988 WENT LIVE ON JULY 16, 2022, RISING FROM 23,950 NATIONAL SUICIDE PREVENTION LIFELINE CONTACTS IN JUNE 2022 TO 30,681 988 CONTACTS IN AUGUST 2022, THE FIRST FULL MONTH AFTER 988 IMPLEMENTATION. THE STATE IS CURRENTLY ON TRACK TO EXCEED 339,000 TOTAL CONTACTS RECEIVED FROM JULY 2022 THROUGH JUNE 2023, STATE FISCAL YEAR (SFY) 2022-23. COMBINING A LINEAR REGRESSION ANALYSIS BASED ON CONTACT TRENDS AND VIBRANT EMOTIONAL HEALTH'S VOLUME PROJECTION ESTIMATES, THE CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES (DHCS) PROJECTS THE ANNUAL TOTAL CONTACTS RECEIVED IN CALIFORNIA WILL INCREASE TO 378,603 IN SFY 2023-24, 423,557 IN SFY 2024-25, AND 468,511 IN SFY 2025-26. BETWEEN JULY 1, 2022, AND APRIL 30, 2023, CALIFORNIA REPORTED STATE ANSWER RATES RANGING FROM 87 PERCENT TO 90 PERCENT WITH AN AVERAGE ANSWER RATE OF 88 PERCENT. THE ANSWER SPEED RANGED FROM 32 SECONDS TO 40 SECONDS WITH AN AVERAGE ANSWER SPEED OF 36 SECONDS. ONLY FIVE 988 CRISIS CENTERS IN CALIFORNIA OFFER 988 CHAT AND TEXT. CURRENTLY, NO 988 CRISIS CENTERS IN CALIFORNIA HAVE THE WORKFORCE AND/OR FUNDING CAPACITY TO OPERATE 24/7 FOR CHAT AND TEXT OR OFFER FOLLOW UP SERVICES. DHCS HAS THE FOLLOWING GOALS FOR THIS GRANT: 1) RECRUIT, HIRE, AND TRAIN BEHAVIORAL HEALTH WORKFORCE TO STAFF CALIFORNIA'S 988 CRISIS CENTERS TO INCREASE THE CAPACITY TO RESPOND, INTERVENE, AND PROVIDE FOLLOW-UP TO INDIVIDUALS EXPERIENCING A BEHAVIORAL HEALTH CRISIS; 2) ENHANCE COORDINATION AMONG 988 CRISIS CENTERS, 911, AND MOBILE CRISIS SERVICES ACROSS CALIFORNIA; AND 3) DEVELOP AND IMPLEMENT A COMPREHENSIVE 988 COMMUNICATION STRATEGY, INFORMED BY ENHANCED STATEWIDE DATA COLLECTION. THE FOLLOWING OBJECTIVES ARE DERIVED FROM THE AFOREMENTIONED GOALS: 1) EXPAND WORKFORCE, INCLUDING THE UTILIZATION OF CREDENTIALED PEERS, TO ENHANCE OPERATING CAPACITY TO ACHIEVE AT LEAST A 90 PERCENT ANSWER RATE; 2) DEVELOP A SUSTAINABILITY PLAN FOR MAINTAINING KEY PERFORMANCE INDICATORS (KPIS); 3) DELIVER TRAININGS RELEVANT TO HIGH-RISK POPULATIONS AND REFERRAL OPTIONS; 4) DEVELOP AND SUBMIT A REPORT TO SAMHSA DETAILING MOBILE CRISIS SERVICE OPTIONS; 5) DEVELOP AND SUBMIT A REPORT TO SAMHSA ON CURRENT 988 AND 911 STRUCTURES AND COLLABORATIONS ACROSS THE STATE; 6) DEVELOP A PLAN TO EFFECTIVELY COMMUNICATION 988 SERVICES TO TRIBAL POPULATIONS; 7) DEVELOP A STATEWIDE 988 COMMUNICATION PLAN; AND 8) ENHANCE DEMOGRAPHIC DATA COLLECTION. IF AWARDED THIS GRANT, CALIFORNIA'S 988 NETWORK WILL EXPAND ACCESS AND INCREASE CRISIS SUPPORT SERVICES FOR CALIFORNIANS. DHCS WILL WORK WITH COUNTY GOVERNMENTS, PROVIDERS, COMMUNITY ORGANIZATIONS, FOUNDATIONS, AND OTHER KEY PARTNERS AS PART OF A COLLABORATIVE EFFORT TO IMPROVE LOCAL 988 CAPACITY WITHIN CALIFORNIA. THE GRANT WILL AID IN REINFORCING THE 988 NETWORK'S PRESENCE IN ALL 58 COUNTIES BY FUNDING EFFORTS TO SUPPORT COORDINATION OF BEHAVIORAL HEALTH SERVICES, CREATING PROJECT SUSTAINABILITY, AND INCREASING AWARENESS OF THE BEHAVIORAL HEALTH CRISIS RESOURCES IN CALIFORNIA.$61.1M
Sources
- USAspending.gov — all awards for this UEI →
- SAM.gov entity registration →
- Award record ingested from usaspending. Source identifier ASST_NON_2505CA5ADM_075.
The Buildout does not edit federal records. Any inaccuracy reflects the upstream source; it will update here when corrected there.