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Medical Assistance Program federal funding in Pennsylvania

The Medical Assistance Program (CFDA 93.778) shows $126,545,165,618 in USAspending.gov obligations coded to Pennsylvania, on only 20 awards. This page is a catalog-program × state join, not a Medicaid enrollment census and not a conversion of obligations into Treasury outlays. Twenty rows can still carry a nine-figure-plus book when the award file stores large federal-to-state vehicles. USAspending.gov is the source; SpendingVault indexes the pair.

Key figures

  • CFDA 93.778 × Pennsylvania records $126,545,165,618 in USAspending obligations.
  • Only 20 awards sit under that sum; the mean is about $6.33 billion per record, not a typical claim.
  • The join is not a Medicaid ranking and not proof Pennsylvania caused the spending.
  • Cite obligations from USAspending.gov, not outlays.

Twenty awards, one Medicaid catalog line, one Commonwealth tag

CFDA 93.778 is Medical Assistance Program—the catalog number used for this Medicaid assistance reporting line. Pennsylvania (PA) is the place-of-performance state. Their intersection is $126,545,165,618 and 20 records. A 93.778 award tagged to Ohio is not here. A Pennsylvania Medicare hospital-insurance or SMI row is a different CFDA. This page does not add those Medicare cells to the Medicaid total.

Twenty awards against $126,545,165,618 yields a mean of about $6,327,258,281 per record. That mean is arithmetic on packet facts, not a typical beneficiary’s annual coverage and not a typical provider claim. Federal Medicaid funding is often booked as a small number of large assistance actions to a state agency. This packet does not name the recipients of the 20 rows.

Harrisburg did not “win” $126,545,165,618 by appearing as a geography code, and HHS did not “choose Pennsylvania” in a sense this extract can prove. Correlation of 93.778 with PA is not causation. The overlay Medical Assistance Program in Pennsylvania is the live table.

What Medical Assistance means on USAspending.gov

The official catalog title is MEDICAL ASSISTANCE PROGRAM. SpendingVault does not grade Pennsylvania’s Medicaid expansion status, its managed-care model, or its benefit package. $126,545,165,618 is an obligation sum, not a policy verdict. CFDA 93.778 is the national program hub without the Pennsylvania filter. This packet has no national Medicaid total, so none is quoted.

CMS MSIS/T-MSIS enrollment files, CMS-64 expenditure reports, and Commonwealth Department of Human Services dashboards are other series. They are not the 20 USAspending.gov awards. Mixing an enrollment count from those files with this join would invent a per-enrollee dollar figure the packet does not support.

Pennsylvania’s statewide book besides 93.778

Pennsylvania federal spending covers every CFDA coded to the state. Pennsylvania programs is the catalog directory. $126,545,165,618 is one cell. Quoting it as the Commonwealth’s entire federal health book would drop Medicare catalog numbers and every other HHS line.

Place-of-performance Pennsylvania on a Medicaid vehicle is often a state agency address. It is not a map of where beneficiaries live or where clinics operate. This packet has no county, no ZIP, and no managed-care-region split of the $126,545,165,618.

Obligation versus FMAP cash

An obligation is a recorded commitment. An outlay is a payment. $126,545,165,618 is the commitment figure. Federal Medical Assistance Percentage draws, weekly funding requests, and CMS-64 lines are payment-side stories. This page does not convert the 20 awards into those cash flows.

The Commonwealth budget and DHS appropriations acts answer other questions. They are not the source of this USAspending.gov cell. Keep the citation on CFDA aggregates by place of performance state.

How to cite the 93.778–Pennsylvania join

Cite: Medical Assistance Program (CFDA 93.778) obligated $126,545,165,618 on 20 awards coded to Pennsylvania, per USAspending.gov. Keep both keys. Keep “obligations.” Do not invent a fiscal year. All spending ties stores this pair with other program-by-state pages.

Later bulk files can move the dollars and the 20-award count. Prefer the overlay Medical Assistance Program in Pennsylvania when the live table and this snapshot diverge.

What 20 rows will not be asked to prove

This page will not treat 20 awards as 20 counties, 20 health plans, or 20 hospitals. It will not compute a per-capita Medicaid figure because the packet has no population. It will not rank Pennsylvania against Texas or Ohio on Medical Assistance. Peer totals are not in these facts.

Medicare SMI and hospital insurance remain outside $126,545,165,618. Pennsylvania federal spending, Pennsylvania programs, CFDA 93.778, and All spending ties are the parent hubs. None of them recasts this join as a grade of the Commonwealth’s Medicaid program.

A short award list can look like a data error until you remember how Medicaid is booked. Federal Medical Assistance is often stored as large assistance actions to a state, not as millions of claim lines. Twenty rows carrying $126,545,165,618 is consistent with that booking style. It is not, by itself, evidence of missing data, and it is not evidence of twenty separate “programs.” The packet does not say which booking style produced the 20 rows; it only reports the count.

The mean of about $6.33 billion per record will mislead anyone who treats it as a typical beneficiary year. There is no beneficiary count here. There is no claim count. There is $126,545,165,618 and 20 awards for CFDA 93.778 with Pennsylvania place-of-performance. That is the entire numeric claim.

If a later ingest changes either number, the overlay Medical Assistance Program in Pennsylvania is the correction. Pennsylvania federal spending, Pennsylvania programs, CFDA 93.778, and All spending ties stay the parent map. None of those pages turns the join into a grade of the Commonwealth’s Medicaid program or into an outlay.

Questions

How much Medical Assistance is obligated in Pennsylvania?
USAspending.gov records $126,545,165,618 in CFDA 93.778 obligations across 20 awards coded to Pennsylvania. That is a program × state join, not an outlay and not the Commonwealth’s full federal total.
Can 20 awards hold $126.5 billion?
Award count is a row count. $126,545,165,618 ÷ 20 is about $6.33 billion per record as a mean. Large federal-to-state Medicaid vehicles can dominate dollars. This packet does not list recipients.
Is this Pennsylvania’s Medicaid enrollment?
No. The $126,545,165,618 and 20 awards are USAspending.gov obligation records for CFDA 93.778 with a Pennsylvania geography tag. Enrollment lives in other CMS and state publications.
Where is the live overlay?
Medical Assistance Program in Pennsylvania is the overlay. See Pennsylvania federal spending, Pennsylvania programs, CFDA 93.778, and All spending ties. Later ingests override this snapshot.

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