How much is obligated under the Medical Assistance Program?

USAspending.gov assistance awards indexed on SpendingVault show $2,726,881,251,405.17 in obligations for CFDA 93.778. That sum is an obligation total, not a Treasury outlay total and not a CMS expenditure report. The same extract lists 694 awards, 82 recipients, and 56 states.

Why does CFDA 93.778 have only 694 awards?

The indexed award count is 694. Medical Assistance dollars often sit on a relatively small number of large assistance actions, which is why $2,726,881,251,405.17 can coexist with a low record count. The 694 figure is a file statistic, not a count of clinics, claims, or enrollees. 82 organizational recipients are stored on those rows.

Does the Medicaid CFDA total include money already paid?

Not as a cash-paid sum. USAspending reports obligations—commitments to pay—rather than outlays. The $2,726,881,251,405.17 figure can include amounts that will disburse later. The 694-award count is a record tally, not a count of checks issued to providers or states. Cite CFDA 93.778 with the obligation total from USAspending.gov assistance awards, not an outlay series.

How many states appear on CFDA 93.778?

The extract codes 56 states for the Medical Assistance Program. That count is place-of-performance geography in USAspending.gov assistance files, not a caseload map. Those rows still sit under the $2,726,881,251,405.17 obligation total and the 82-recipient count. Cite CFDA 93.778 with the obligation total from USAspending.gov assistance awards, not an outlay series.

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Medical Assistance Program — CFDA 93.778 obligations

$2,726,881,251,405.17 in federal obligations are recorded for the Medical Assistance Program (CFDA 93.778) in USAspending.gov assistance awards indexed on SpendingVault. That figure is an obligation sum, not a Treasury outlay total and not a state Medicaid expenditure report. The same extract lists 694 awards, 82 recipients, and 56 states. The program hub holds those rows; this page explains the four facts without converting them into enrollment or claims paid.

Key figures

CFDA 93.778 shows $2,726,881,251,405.17 in USAspending obligations.
694 awards and 82 recipients sit under that total across 56 states.
The mean dollars per award is high because award volume is low relative to the sum.
Figures are obligations from USAspending.gov, not Treasury outlays or CMS-64 totals.

What $2.73 trillion on 694 awards means

Assistance listing 93.778 is titled MEDICAL ASSISTANCE PROGRAM in the USAspending.gov files this site indexes. The obligation total on that code is $2,726,881,251,405.17. An obligation is a recorded federal commitment on an award. It is not an outlay. Treating $2,726,881,251,405.17 as cash already paid to providers mixes two series. SpendingVault keeps the label as obligations.

694 awards sit under that dollar book—a small record count next to a very large sum. Dividing $2,726,881,251,405.17 by 694 produces a mean near $3.93 billion per award record. That quotient is derived from the two packet totals. It is not a typical clinic payment and not a per-enrollee cost. High-value state-level assistance actions can dominate a listing like 93.778, which is why dollars and award count must be read together.

The 82 recipients in the extract are organizational recipients stored on those award rows, not a count of Medicaid beneficiaries. 56 states appear in the place-of-performance coding. None of those three volume stats converts the $2,726,881,251,405.17 total into a caseload.

82 recipients and 56 states

CFDA 93.778 lists 82 recipients and 56 states against 694 awards. Recipient count is not unique patients. It is how many organizational recipients the assistance extract stores for this listing. A state agency can appear on multiple awards; 82 is not a headcount of governors or Medicaid directors. The 56-state span is a coded-jurisdiction count, not a claim that every county is represented in equal share.

Because 694 awards are few relative to the dollar total, a handful of large actions can move $2,726,881,251,405.17 without a matching jump in the 82-recipient count. The reverse is also true: extra modifications can lift award volume while dollars barely move. The Medical Assistance hub keeps dollars, awards, recipients, and states visible so one statistic is not inferred from another.

Obligations versus Medicaid expenditure tables

USAspending.gov publishes obligations on assistance awards. The $2,726,881,251,405.17 figure for CFDA 93.778 can include multi-year commitments that will disburse later. CMS-64 expenditure reports, actuarial estimates, and a single fiscal year’s Labor-HHS appropriation are different publications. This page does not translate the obligation total into those series.

If a number you expected is missing, the usual cause is a different reporting concept. Start from the obligation definition, then open the 93.778 program page. Do not stretch 694 awards or 82 recipients to cover every Medicaid dollar that touches a state budget.

How to cite CFDA 93.778

A complete citation is $2,726,881,251,405.17 in obligations for CFDA 93.778, covering 694 awards, 82 recipients, and 56 states, drawn from USAspending.gov assistance awards on SpendingVault. Name the series as obligations. If the question is concentration rather than dollars, lead with 694 awards and 82 recipients, then the dollar total.

Comparisons belong on the same obligation basis and the same listing code. Mixing an outlay table or a different CFDA into a Medical Assistance comparison breaks the series. The program hub and the all-programs index stay on that obligation definition. Nothing here is enrollment advice.

What the 93.778 tables omit

The Medical Assistance hub lists award-backed obligations from USAspending.gov. It is not a beneficiary roster, not a provider-claims file, and not a state-share table. Tax refunds, intra-governmental transfers, and series that never appear as assistance awards will not show up in the $2,726,881,251,405.17. That omission is definitional rather than a gap in the 694 award rows.

Place-of-performance on 56 states is a coding field. A national contractor or a single state agency coded to one cell can dominate geography while services occur elsewhere. Read the program page before any state split.

A worked reading of the 93.778 extract

Start from the four packet facts: $2,726,881,251,405.17, 694 awards, 82 recipients, and 56 states under CFDA 93.778. The mean near $3.93 billion is a quotient from a small award count, not a typical provider payment. If a later USAspending.gov file adds a few large state actions, dollars can jump while 82 recipients barely move. If modifications proliferate, 694 can rise while the dollar book stays close to $2,726,881,251,405.17.

Nothing in the extract splits Medical Assistance into federal share versus state share, or into fee-for-service versus managed care. Those cuts live in CMS publications. Treat CFDA 93.778 as an assistance-listing tag on USAspending.gov award files. Ranking this listing against other programs is valid only on the same obligation basis. Open the Medical Assistance program page, then the all-programs index, for that comparison.

Questions

How much is obligated under the Medical Assistance Program?: USAspending.gov assistance awards indexed on SpendingVault show $2,726,881,251,405.17 in obligations for CFDA 93.778. That sum is an obligation total, not a Treasury outlay total and not a CMS expenditure report. The same extract lists 694 awards, 82 recipients, and 56 states.
Why does CFDA 93.778 have only 694 awards?: The indexed award count is 694. Medical Assistance dollars often sit on a relatively small number of large assistance actions, which is why $2,726,881,251,405.17 can coexist with a low record count. The 694 figure is a file statistic, not a count of clinics, claims, or enrollees. 82 organizational recipients are stored on those rows.
Does the Medicaid CFDA total include money already paid?: Not as a cash-paid sum. USAspending reports obligations—commitments to pay—rather than outlays. The $2,726,881,251,405.17 figure can include amounts that will disburse later. The 694-award count is a record tally, not a count of checks issued to providers or states. Cite CFDA 93.778 with the obligation total from USAspending.gov assistance awards, not an outlay series.
How many states appear on CFDA 93.778?: The extract codes 56 states for the Medical Assistance Program. That count is place-of-performance geography in USAspending.gov assistance files, not a caseload map. Those rows still sit under the $2,726,881,251,405.17 obligation total and the 82-recipient count. Cite CFDA 93.778 with the obligation total from USAspending.gov assistance awards, not an outlay series.

CFDA/Assistance Listing numbers from USAspending assistance awards on SpendingVault.