Medical Assistance Program in South Dakota At-Large District (SD-00)

SD-00 × 93.778 is a Medicaid join, not a tribal-health ledger

This page is a join: Medical Assistance Program and South Dakota At-Large District (SD-00). $1,991,010,979.66 is the obligation sum on awards that carry both the CFDA 93.778 tag and congressional-district place of performance SD-00. It is not South Dakota’s statewide Medical Assistance Program book, not the nationwide program total, and not a state Medicaid appropriation or an FMAP scorecard. South Dakota At-Large District is the district parent. CFDA 93.778 is the program parent. Correlation is not causation.

6 is an award-action count. Modifications can add rows. Unique recipients are unpublished, and this page will not invent contractors. Dividing $1,991,010,979.66 by 6 yields about $331,835,163.28 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 covers the state. IHS-adjacent folklore is not a packet field and does not split this cell.

Medical Assistance as a USAspending title

The official catalog title is MEDICAL ASSISTANCE PROGRAM. SpendingVault does not grade South Dakota At-Large District (SD-00) on Medical Assistance Program, backlog, or policy. $1,991,010,979.66 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 $1,991,010,979.66.

CMS Medicaid Statistical Information System files and state Medicaid dashboards are other series. They are not the 6 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. IHS-adjacent clinic and rural-hospital folklore is ordinary speech, not a packet field. This extract has no FMAP percentage. Medicare is a sibling overlay.

South Dakota At-Large besides CFDA 93.778

South Dakota At-Large District (SD-00) is the geography side. Place of performance SD-00 is a coding field in the award file. It does not prove residency of beneficiaries, students, patients, or vendors. South Dakota federal spending is the statewide parent and includes other districts. Pierre did not earn the sum by sitting on a capital tag. Sioux Falls folklore is not a clinic census. Because SD-00 is at-large, the House geography covers South Dakota. That still does not convert this cell into every CFDA coded to the state.

The district’s all-program obligation total is $20,304,783,123.44. $1,991,010,979.66 is the Medical Assistance Program slice of that book, about 9.8%. Remaining district dollars sit with other CFDAs on South Dakota At-Large District, not inside this join. Quoting $1,991,010,979.66 as South Dakota At-Large District (SD-00)’s entire federal book would drop every other catalog line.

Six awards, not six hospitals

6 awards against $1,991,010,979.66 implies about $331,835,163.28 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 6. 6 rows can include continuations and amendments. Treat the count as records in an aggregate, not as 6 finished projects or 6 people. All spending ties lists other district-by-program pairs on the same obligation metric.

Medicaid obligations versus draws already posted

An obligation is a recorded commitment. An outlay is a payment from the Treasury. $1,991,010,979.66 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 South Dakota At-Large District (SD-00) over-reads the field. Do not rank South Dakota At-Large District (SD-00) as a winner or loser versus other districts. Keep both sides in the citation: Medical Assistance Program (CFDA 93.778) and South Dakota At-Large District (SD-00).

Budget documents from Pierre and South 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 SD-00, the chart has left the federal award series. Sioux Falls as speech, not a packet metro did not receive $1,991,010,979.66 as a named metro in this packet.

How to cite the 93.778 × SD-00 pair

Cite: Medical Assistance Program (CFDA 93.778) obligated $1,991,010,979.66 on 6 awards coded to South Dakota At-Large District (SD-00), per USAspending.gov. Keep both keys. Keep the word obligations. Open South Dakota At-Large District for the district rollup, CFDA 93.778 for the program rollup, South Dakota federal spending for South Dakota statewide spending, and All spending ties for other pairs. Later bulk files can move the dollars and the 6-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 South Dakota At-Large District (SD-00)?

USAspending.gov records $1,991,010,979.66 in CFDA 93.778 obligations with South Dakota At-Large District (SD-00) place of performance across 6 awards. That is a program × district join, not an outlay and not South Dakota’s full federal total.

Do 6 awards mean 6 local enrollees?

No. 6 is an award-action count and can include modifications. Unique recipients are unpublished. Average obligation is about $331,835,163.28 per award, a ratio of two packet facts, not a typical enrollee-year or a typical claim.

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

No. $1,991,010,979.66 is only the Medical Assistance Program slice tagged to South Dakota At-Large District (SD-00), about 9.8% of the district’s $20,304,783,123.44 all-program total. South Dakota federal spending is the statewide parent. Other CFDAs on South Dakota At-Large District sit outside this join.

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

South Dakota At-Large District is the district parent. CFDA 93.778 is the CFDA 93.778 hub. South Dakota federal spending is the South Dakota parent. All spending ties lists other pairs. Prefer those tables after later ingests; this page quotes 93.778 × SD-00 at $1,991,010,979.66.