All HHS Recipient Summary Report: Top Recipients for FY 2026
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| 2026 | HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF | SACRAMENTO | CA | USA | 118,955,039,334 |
| 2026 | HEALTH, NEW YORK DEPARTMENT OF | ALBANY | NY | USA | 64,773,398,696 |
| 2026 | HEALTH AND HUMAN SERVICES COMMISSION, TEXAS | AUSTIN | TX | USA | 38,846,293,866 |
| 2026 | HUMAN SERVICES, PENNSYLVANIA DEPARTMENT OF | HARRISBURG | PA | USA | 33,090,497,515 |
| 2026 | JOB AND FAMILY SERVICES, OHIO DEPARTMENT OF | COLUMBUS | OH | USA | 29,167,471,341 |
| 2026 | HEALTH CARE ADMINISTRATION, FLORIDA AGENCY FOR | TALLAHASSEE | FL | USA | 28,033,445,121 |
| 2026 | HEALTH AND HUMAN SERVICES, NORTH CAROLINA DEPARTMENT OF | RALEIGH | NC | USA | 27,874,215,079 |
| 2026 | ILLINOIS DEPT OF HEALTHCARE AND FAMILY SERVICES | SPRINGFIELD | IL | USA | 25,163,177,472 |
| 2026 | HEALTH AND HUMAN SERVICES, MICHIGAN DEPARTMENT OF | LANSING | MI | USA | 22,388,383,124 |
| 2026 | SOCIAL AND HEALTH SERVICES, WASHINGTON STATE DEPARTMENT OF | OLYMPIA | WA | USA | 20,152,046,642 |
| 2026 | HEALTH CARE COST CONTAINMENT SYSTEM, ARIZONA | PHOENIX | AZ | USA | 19,183,465,771 |
| 2026 | HUMAN SERVICES, NEW JERSEY DEPARTMENT OF | TRENTON | NJ | USA | 18,757,301,424 |
| 2026 | HEALTH AND FAMILY SERVICES, KENTUCKY CABINET FOR | FRANKFORT | KY | USA | 18,367,972,038 |
| 2026 | COMMONWEALTH OF MASSACHUSETTS | BOSTON | MA | USA | 16,449,653,644 |
| 2026 | MEDICAL ASSISTANCE SERVICES, VIRGINIA DEPARTMENT OF | RICHMOND | VA | USA | 16,436,011,771 |
| 2026 | HUMAN SERVICES, OREGON DEPARTMENT OF | SALEM | OR | USA | 16,235,601,527 |
| 2026 | SOCIAL SERVICES, MISSOURI DEPARTMENT OF | JEFFERSON CITY | MO | USA | 14,864,837,517 |
| 2026 | COMMUNITY HEALTH, GEORGIA DEPT OF | ATLANTA | GA | USA | 14,731,334,184 |
| 2026 | HEALTH AND HOSPITALS, LOUISIANA DEPARTMENT OF | BATON ROUGE | LA | USA | 14,706,850,620 |
| 2026 | HUMAN SERVICES, MINNESOTA DEPARTMENT OF | SAINT PAUL | MN | USA | 14,247,037,910 |
| 2026 | INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION | INDIANAPOLIS | IN | USA | 13,861,471,959 |
| 2026 | HEALTH, MARYLAND DEPARTMENT OF | BALTIMORE | MD | USA | 12,719,402,390 |
| 2026 | FINANCE AND ADMINISTRATION, TENNESSEE DEPARTMENT OF | NASHVILLE | TN | USA | 12,005,992,942 |
| 2026 | HEALTH CARE POLICY AND FINANCING, COLORADO DEPARTMENT OF | DENVER | CO | USA | 11,711,275,843 |
| 2026 | HUMAN SERVICES, NEW MEXICO DEPARTMENT OF | SANTA FE | NM | USA | 9,362,361,434 |
| 2026 | HEALTH SERVICES, WISCONSIN DEPARTMENT OF | MADISON | WI | USA | 8,918,517,128 |
| 2026 | OKLAHOMA HEALTH CARE AUTHORITY | OKLAHOMA CITY | OK | USA | 8,641,029,480 |
| 2026 | NYS DEPARTMENT OF HEALTH | ALBANY | NY | USA | 8,387,220,480 |
| 2026 | HEALTH AND HUMAN SERVICES, SOUTH CAROLINA DEPARTMENT OF | COLUMBIA | SC | USA | 8,162,717,226 |
| 2026 | HUMAN SERVICES, ARKANSAS DEPARTMENT OF | LITTLE ROCK | AR | USA | 7,184,944,685 |
| 2026 | DEPARTMENT OF SOCIAL SERVICES CALIFORNIA | SACRAMENTO | CA | USA | 7,076,692,719 |
| 2026 | SOCIAL SERVICES, CONNECTICUT DEPARTMENT OF | HARTFORD | CT | USA | 7,071,105,396 |
| 2026 | ALABAMA MEDICAID AGENCY | MONTGOMERY | AL | USA | 6,513,277,462 |
| 2026 | MEDICAID, STATE OF MISSISSIPPI, DIVISION OF | JACKSON | MS | USA | 6,467,985,974 |
| 2026 | NEVADA HEALTH AUTHORITY | CARSON CITY | NV | USA | 6,413,388,896 |
| 2026 | HUMAN SERVICES, IOWA DEPARTMENT OF | DES MOINES | IA | USA | 6,411,611,434 |
| 2026 | HEALTH AND HUMAN RESOURCES, WEST VIRGINIA DEPARTMENT OF | CHARLESTON | WV | USA | 5,677,248,025 |
| 2026 | HEALTH AND ENVIRONMENT, KANSAS DEPARTMENT OF | TOPEKA | KS | USA | 4,820,419,411 |
| 2026 | HEALTH AND HUMAN SERVICES, MAINE DEPARTMENT OF | AUGUSTA | ME | USA | 4,333,746,549 |
| 2026 | PUERTO RICO DEPARTMENT OF HEALTH | SAN JUAN | PR | USA | 3,796,615,774 |
| 2026 | MELISA BYRD | WASHINGTON | DC | USA | 3,539,323,241 |
| 2026 | DEPARTMENT OF HEALTH UTAH | SALT LAKE CITY | UT | USA | 3,355,720,417 |
| 2026 | HEALTH AND HUMAN SERVICES, NEBRASKA DEPARTMENT OF | LINCOLN | NE | USA | 3,343,348,913 |
| 2026 | NEW YORK STATE OFFICE OF TEMPORARY & DISABILITY ASSISTANCE | ALBANY | NY | USA | 3,339,239,584 |
| 2026 | HEALTH AND WELFARE, IDAHO DEPARTMENT OF | BOISE | ID | USA | 3,143,327,088 |
| 2026 | ADMINISTRATION, RHODE ISLAND DEPARTMENT OF | PROVIDENCE | RI | USA | 3,128,214,519 |
| 2026 | HEALTH AND SOCIAL SERVICES, ALASKA DEPARTMENT OF | JUNEAU | AK | USA | 2,892,221,756 |
| 2026 | HEALTH AND SOCIAL SERVICES, DELAWARE DEPT OF | NEW CASTLE | DE | USA | 2,626,393,101 |
| 2026 | HUMAN SERVICES, HAWAII DEPARTMENT OF | HONOLULU | HI | USA | 2,444,123,836 |
| 2026 | PA DEPARTMENT OF HUMAN SERVICES | HARRISBURG | PA | USA | 2,239,095,305 |
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