Well Told Grants

Federal grant programs / Department of Health and Human Services

Refugee and Entrant Assistance State/Replacement Designee Administered Programs (93.566)

Also known as Refugee Cash and Medical Assistance and Refugee Support Services Program

Refugee and Entrant Assistance State/Replacement Designee Administered Programs (Assistance Listing 93.566) is run by the Administration for Children and Families, part of the Department of Health and Human Services. It awarded $11 billion in 798 grants from fiscal 2021 to 2025, about $14.3 million per award on average. No funding opportunity is open on Grants.gov right now.

The typical award was $4.1 million. Half of the 798 awards fell between $1.4 million and $13.8 million, and they ranged from $4,237 to $600 million.

Key findings

What the program funds

Cash and Medical Assistance (CMA) program provides funding for short-term cash and medical assistance to refugees and other eligible individuals of the refugee resettlement program. CMA also provides funding for foster care and youth services for unaccompanied refugee minors. Separately, Refugee Support Services (RSS) provides statutorily required services that help individuals find employment and achieve economic self-sufficiency.

From the federal Assistance Listing. Read the full listing on SAM.gov.

Open opportunities

No opportunity under this program is open or forecast on Grants.gov right now. Programs often post once a year, so the funding history below shows what to expect.

Rules from the program listing

Who can apply

State agencies and Replacement Designees (RDs) are eligible to receive these funds. ORR issued PL 25-04 on March 14, 2025, Changes to ORR Support Services Recipients Beginning in FY 2026. It requires that the Refugee Support Services (RSS) grant be directly issued only to states. As a result, ORR will no longer issue RSS to RDs; however, some services may continue to be provided by RDs through the end of the grant period during the transition.

What the money can and cannot pay for

See ORR Policy Letters for allowable costs and activities.

Matching requirements

This program has no statutory formula. Matching requirements are not applicable to this assistance listing. MOE requirements are not applicable to this assistance listing.

Deadlines

Contact the headquarters or regional location, as appropriate for application deadlines

Award range and average, in the agency's words

In FY 2024, the Refugee Cash and Medical Assistance cost reimbursement program awards ranged from $58,000 to $438,000,000 with an average award of $22,000,000. The Refugee Support Services program awards ranged from $75,000 to $270,000,000 with an average award of $14,000,000. In FY 2025, the Refugee Cash and Medical Assistance cost reimbursement program awards ranged from $10,000 to $379,000,000. The Refugee Support Services program awards ranged from $75,000 to $117,000,000. In FY 2026 ORR expects to issue the Refugee Cash and Medical cost reimbursement program awards ranged from $10,000 to $92,000,000. The Refugee Support Services program awards ranged from $75,000 to $90,000,000.

Quoted from the program's federal Assistance Listing. The notice of funding opportunity is the official source for each competition's rules.

Funding history and past recipients

From fiscal 2021 to 2025, Refugee and Entrant Assistance State/Replacement Designee Administered Programs (93.566) awarded$11 billion across 798 grant awards, an average of $14.3 million per award.

Top states: Texas ($2.1 billion), Florida ($1.7 billion), California ($961 million), Virginia ($947 million), New York ($754 million), Maryland ($494 million), Washington ($425 million), Illinois ($336 million), Massachusetts ($277 million), Pennsylvania ($270 million).

Who usually wins

State and local governments received 57% of the money, nonprofits 38% and businesses 0.9%.

Recipient typeAwardsAmountShare
State and local governments407$6.5 billion57%
Nonprofits346$4.3 billion38%
Other32$418 million3.7%
Businesses10$106 million0.9%
Small businesses1$8.3 millionless than 0.1%
Colleges and universities2$407,0080%

By state

Each state below has its own page for this program, with its recipients and yearly totals.

Grants by recipient's state, fiscal 2021 to 2025
StateAwardsAmount
Texas55$2.1 billion
Florida16$1.7 billion
California53$961 million
Virginia32$947 million
New York50$754 million
Maryland39$494 million
Washington11$425 million
Illinois16$336 million
Massachusetts12$277 million
Pennsylvania17$270 million
Kentucky10$261 million
Michigan19$240 million
New Jersey19$229 million
Arizona18$218 million
Ohio15$203 million
Colorado10$179 million
Georgia19$153 million
District of Columbia26$132 million
Nevada11$119 million
Minnesota10$112 million
North Carolina9$108 million
Indiana10$97.7 million
Nebraska10$92.7 million
Missouri11$91.0 million
Oregon13$86.1 million
Tennessee10$81.1 million
Utah12$78.2 million
Connecticut19$72.1 million
Kansas12$71.2 million
Oklahoma11$59.8 million
Wisconsin11$59.5 million
Idaho20$49.6 million
Iowa11$49.5 million
South Carolina10$34.4 million
New Mexico11$31.2 million
Louisiana15$29.6 million
North Dakota11$26.4 million
Maine10$22.6 million
Alaska10$21.3 million
Rhode Island10$20.9 million
New Hampshire10$19.0 million
Vermont10$14.8 million
South Dakota15$12.7 million
Montana10$9.4 million
Arkansas11$9.2 million
Delaware10$8.4 million
Mississippi9$5.5 million
West Virginia10$1.4 million
Hawaii10$1.3 million
Alabama9$1.1 million

Award amounts are federal obligations reported to USAspending.gov for fiscal 2021 to 2025; see how our data works.