Medical Assistance Program in North Dakota At-Large District (ND-00)

ND-00 × 93.778 is a Medicaid join, not a hospital census

This page is a join: Medical Assistance Program and North Dakota At-Large District (ND-00). $2,002,900,422 is the obligation sum on awards that carry both the CFDA 93.778 tag and congressional-district place of performance ND-00. It is not North Dakota’s statewide Medical Assistance Program book, not the nationwide program total, and not a state Medicaid appropriation or an FMAP scorecard. North Dakota At-Large District is the district parent. CFDA 93.778 is the program parent. Correlation is not causation.

4 is an award-action count. Modifications can add rows. Unique recipients are unpublished, and this page will not invent contractors. Dividing $2,002,900,422 by 4 yields about $500,725,105.50 per award, a ratio of two packet facts, not a typical enrollee-year or a typical claim. FEC contribution tables do not fund these USAspending obligations. At-large geography means the House district covers the state. The district’s all-program book is far larger than this Medicaid cell; do not treat 93.778 as the whole ND-00 total.

Medical Assistance as a catalog title, not an FMAP grade

The official catalog title is MEDICAL ASSISTANCE PROGRAM. SpendingVault does not grade North Dakota At-Large District (ND-00) on Medical Assistance Program, backlog, or policy. $2,002,900,422 is an obligation sum, not a verdict. CFDA 93.778 without the district filter is the national hub; this packet has no national total, so none is quoted. Medicare, CHIP, or SNAP remain outside $2,002,900,422.

CMS Medicaid Statistical Information System files and state Medicaid dashboards are other series. They are not the 4 awards on USAspending.gov. Mixing a census from those files with this join would invent a per-unit dollar figure the packet does not support. Rural-hospital and expansion-era folklore is ordinary speech, not a packet field. Medicare and CHIP are sibling overlays. This packet has no enrollee table.

North Dakota At-Large besides CFDA 93.778

North Dakota At-Large District (ND-00) is the geography side. Place of performance ND-00 is a coding field in the award file. It does not prove residency of beneficiaries, students, patients, or vendors. North Dakota federal spending is the statewide parent and includes other districts. Bismarck did not cause the total by appearing as a capital. Fargo folklore is not a clinic list. Because ND-00 is at-large, the House geography covers North Dakota. That still does not convert this cell into every CFDA coded to the state.

The district’s all-program obligation total is $102,289,409,487.25. $2,002,900,422 is the Medical Assistance Program slice of that book, about 2.0%. Remaining district dollars sit with other CFDAs on North Dakota At-Large District, not inside this join. Quoting $2,002,900,422 as North Dakota At-Large District (ND-00)’s entire federal book would drop every other catalog line.

Four awards, not four health plans

4 awards against $2,002,900,422 implies about $500,725,105.50 per award. That mean is not a unit price and not a typical enrollee-year or a typical claim. Large federal-to-state Medicaid assistance vehicles can dominate dollars while the row count stays at 4. 4 rows can include continuations and amendments. Treat the count as records in an aggregate, not as 4 finished projects or 4 people. All spending ties lists other district-by-program pairs on the same obligation metric.

Medicaid obligations versus FMAP draws already requested

An obligation is a recorded commitment. An outlay is a payment from the Treasury. $2,002,900,422 is the commitment figure. This packet has no outlay total and no fiscal-year split, so none is invented. Citing the figure as cash already spent in North Dakota At-Large District (ND-00) over-reads the field. Do not rank North Dakota At-Large District (ND-00) as a winner or loser versus other districts. Keep both sides in the citation: Medical Assistance Program (CFDA 93.778) and North Dakota At-Large District (ND-00).

Budget documents from Bismarck and North Dakota appropriations answer other questions. They are not the source of this cell. If a chart mixes General Fund activity with CFDA 93.778 in ND-00, the chart has left the federal award series. Fargo as speech, not a packet metro did not receive $2,002,900,422 as a named metro in this packet.

How to cite the 93.778 × ND-00 pair

Cite: Medical Assistance Program (CFDA 93.778) obligated $2,002,900,422 on 4 awards coded to North Dakota At-Large District (ND-00), per USAspending.gov. Keep both keys. Keep the word obligations. Open North Dakota At-Large District for the district rollup, CFDA 93.778 for the program rollup, North Dakota federal spending for North Dakota statewide spending, and All spending ties for other pairs. Later bulk files can move the dollars and the 4-award count; prefer those tables when the live overlay and this snapshot diverge. None of those links convert this cell into a state Medicaid appropriation or an FMAP scorecard, into outlays this packet omits, or into a contractor list.

Questions

How much Medical Assistance Program funding is obligated in North Dakota At-Large District (ND-00)?

USAspending.gov records $2,002,900,422 in CFDA 93.778 obligations with North Dakota At-Large District (ND-00) place of performance across 4 awards. That is a program × district join, not an outlay and not North Dakota’s full federal total.

Do 4 awards mean 4 local enrollees?

No. 4 is an award-action count and can include modifications. Unique recipients are unpublished. Average obligation is about $500,725,105.50 per award, a ratio of two packet facts, not a typical enrollee-year or a typical claim.

Is this North Dakota At-Large District (ND-00)’s entire federal spending total?

No. $2,002,900,422 is only the Medical Assistance Program slice tagged to North Dakota At-Large District (ND-00), about 2.0% of the district’s $102,289,409,487.25 all-program total. North Dakota federal spending is the statewide parent. Other CFDAs on North Dakota At-Large District sit outside this join.

Where are the live ND-00 and CFDA 93.778 tables?

North Dakota At-Large District is the district parent. CFDA 93.778 is the CFDA 93.778 hub. North Dakota federal spending is the North Dakota parent. All spending ties lists other pairs. Prefer those tables after later ingests; this page quotes 93.778 × ND-00 at $2,002,900,422.