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Medical Assistance Program (CFDA 93.778) federal funding in California

USAspending.gov records $663,081,626,513 in Medical Assistance Program obligations under CFDA 93.778 with place of performance in California, across 17 awards. The join names both sides: the federal Medicaid assistance listing and California as geography. Seventeen award records against $663.08 billion is an extreme concentration — about $39.00 billion per award on average ($663,081,626,513 ÷ 17). That geometry is typical of large formula assistance to a state, not 17 clinic invoices. Obligations are not outlays. The pair is not a claim that California’s legislature created the CFDA or that every Medi-Cal claim sits as its own award row.

Key figures

  • CFDA 93.778 shows $663,081,626,513 in California place-of-performance obligations on 17 awards.
  • Mean obligation is about $39.00 billion per award — a highly concentrated formula-assistance cell.
  • Award count is not a hospital or county headcount.
  • The join is not all HHS spending and not all California federal spending.
  • Figures are obligations from USAspending.gov, not outlays.

What a program–state join is

This page isolates CFDA 93.778 (Medical Assistance Program) and California (CA) place of performance. The $663,081,626,513 total is the USAspending program-by-state aggregate for that pair. California’s all-program hub lists other CFDA codes in the same state; the national 93.778 hub lists other states for the same listing. This cell is only the overlap.

Seventeen awards is not 17 hospitals and not 17 counties. Formula Medicaid assistance often appears as a small number of very large award records. The packet does not name the recipient (state agency, fiscal intermediary, or other). Treating 17 as a count of Medi-Cal managed-care plans would misread the grain of the table.

CFDA 93.778 without collapsing every HHS dollar

Catalog listing 93.778 is the Medical Assistance Program. Other HHS listings — Medicare, public health, research — use different CFDA numbers and different overlay paths. An HHS agency-state page for California, if present, uses awarding agency 075 rather than this program code. Mixing those tables with $663,081,626,513 would confuse filters.

The overlay /states/ca/programs/93.778/ is the table view of this exact pair. The national program page for CFDA 93.778 is the place to see the listing without a California constraint. This narrative restates 17 awards and the California dollar total only.

California as place of performance

California is state code CA. Place of performance for a Medicaid listing often follows the state that operates the program, but the USAspending field can also reflect a recipient address or a coding convention. Awards tagged to Nevada, Arizona, Oregon, or other states stay outside this $663,081,626,513 sum. The join does not model beneficiaries who move across those borders.

Statewide California federal spending is the parent geography. CFDA 93.778 is one program among many there. Social Security Retirement Insurance in California is a different CFDA and a different join. This page keeps 93.778 and CA only.

Reading $39.00 billion per award

Mean obligation of about $39.00 billion ($663,081,626,513 ÷ 17) is a concentration statistic, not a typical provider payment. A handful of large assistance awards to a state can produce this shape. The packet has no median, no fiscal-year split, and no FMAP percentage. Inventing those would go beyond the facts.

Net obligations can include amendments and downward adjustments. 17 remains an award-record count in the aggregate. It is not 17 years of data unless a year field is present — and this packet has none.

What the 93.778–California pair is not

Sharing a state with a Medicaid listing does not mean California campaign donations funded these awards, and it does not convert $663,081,626,513 into outlays. The page does not rank California’s uninsured rate. It reports one USAspending program–state cell.

Continue from Medical Assistance Program in California for the overlay, CFDA 93.778 for the national listing, California federal spending for all agencies, California programs for other CFDAs in the state, and All spending ties for other pairs.

How to read the California–93.778 numbers

California’s $663,081,626,513 Medical Assistance Program cell is the largest dollar figure in this slice. Largest does not make it California’s entire federal footprint. Other CFDAs and other awarding agencies still sit on other pages. Quote 93.778 with CA, or quote a different join, but do not treat this cell as the state total. Seventeen award records against hundreds of billions is the signature of formula assistance, not of a 17-hospital procurement. Medi-Cal as a brand may ride inside 93.778, but this packet never prints Medi-Cal. Keep the catalog number in the citation.

Nevada, Arizona, and Oregon border California. Beneficiaries who move do not drag 93.778 dollars across those codes automatically. Only CA-tagged 93.778 awards compose $663,081,626,513. County-level Medicaid maps are a different grain.

Questions

How much Medical Assistance Program funding is obligated in California?
USAspending records $663,081,626,513 in obligations for CFDA 93.778 (Medical Assistance Program) with California place of performance, covering 17 awards. That is an obligation aggregate for this pair, not an outlay figure and not the national 93.778 total.
Why are there only 17 awards for $663 billion?
Seventeen is the award-record count in the aggregate. Formula Medicaid assistance often concentrates dollars in a few large awards to a state. Mean obligation is about $39.00 billion. The count is not 17 hospitals.
Is this the same as all HHS spending in California?
No. This join is CFDA 93.778 only. Other HHS programs use other listings. Agency-state pages use awarding-agency codes rather than CFDA numbers. $663,081,626,513 is the Medical Assistance Program–California slice.
Does this include Medicare in California?
Medicare listings use different CFDA numbers. This page filters 93.778 (Medical Assistance Program). Anything coded to another CFDA, or to another state, is excluded.

USAspending.gov CFDA program aggregates by place of performance state. Obligations are not outlays.