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VA Department of Medical Assistance Service: federal contracts and grants

VA Department of Medical Assistance Service, based in Richmond, VA, received $16.8 billion in federal award obligations in fiscal year 2026, ranking 18th among all recipients. That is down 2% from FY 2025 ($17.2 billion).

This recipient is a state or local government entity. Much of its federal money is pass-through funding, such as Medicaid, that it then pays out to providers and residents.

$16.8B
Award obligations, FY 2026
$114.8B
FY 2017–2026 total
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Unique Entity ID (UEI)

Parent organization: Virginia Commonwealth of

Business types reported: government, national government, regional and state government

Federal awards by fiscal year

Award obligations to VA Department of Medical Assistance Service by fiscal year
Show the numbers
Fiscal yearAmount
FY 2026$16.8 billion
FY 2025$17.2 billion
FY 2024$14.8 billion
FY 2023$14.6 billion
FY 2022$12.4 billion
FY 2021$11.1 billion
FY 2020$9.8 billion
FY 2019$7.6 billion
FY 2018$5.5 billion
FY 2017$5.1 billion

Which agencies pay VA Department of Medical Assistance Service

FY 2026 award obligations by awarding agency.

#AgencyAmountRelative size
1Department of Health and Human Services$16.8 billion

A large award total is not evidence of wrongdoing. Obligations are legal commitments to pay, which can be adjusted, de-obligated or never fully spent. See methodology.

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Other top recipients

Source: USAspending.gov API v2 (U.S. Department of the Treasury, Bureau of the Fiscal Service). USAspending recipient profile
Source data last updated November 4, 2026 · Imported November 6, 2026 · Dollar figures are nominal and rounded. How these numbers are calculated · Report a problem