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Refugee Cash and Medical Assistance Program and Refugee Support Services Program
93.566
The Refugee Cash and Medical Assistance (CMA) Program reimburses States and Replacement Designees for the cost of cash and medical assistance provided to refugees, certain Amerasians from Vietnam, Cuban and Haitian entrants, asylees, victims of a severe form of trafficking, Iraqi and Afghan Special Immigrants, certain Afghan Humanitarian Parolees, and certain Ukrainian Humanitarian Parolees during the first 12 months after their date of arrival or date of eligibility. Specifically, CMA covers the Refugee Cash Assistance (RCA), Refugee Medical Assistance (RMA), and Medical Screening programs, and recipient administrative costs. CMA also includes the Unaccompanied Refugee Minors (URM) program, and reimbursement is provided for care of enrolled URMs and recipient administrative costs. The Refugee Support Services (RSS) Program provides formula funding for employment and other social services for the same population for 5 years after their date of arrival or date of eligibility. The RSS Program also supports “set-aside” funding to support specific populations or initiatives such as the Refugee School Impact Program which supports the academic integration of refugee youth from birth to age 18; the Services for Older Refugee Program which supports the integration of refugees aged 60 and above; the Youth Mentoring Program which supports the educational and vocational advancement of refugee young adults; and the Refugee Health Promotion Program which builds the capacity of communities to address the mental health and physical health needs of refugee populations. In FY 2022, in response to new priorities, Congress appropriated specific funding to support certain arrivals from Afghanistan and Ukraine. The Afghanistan Supplemental Appropriation, 2022 and the Additional Afghanistan Supplemental Appropriations Act, 2022 (ASA) supports services for certain Afghan arrivals; and the Additional Ukraine Supplemental Appropriations Act, 2022 (AUSAA) supports services for certain Ukrainian arrivals. See ORR Policy Letters 22-01, 22-02, 22-10, and 22-13 for additional information on Afghan and Ukrainian arrivals eligible for these services.
This chart shows obligations for the program by fiscal year. All data for this chart was provided by the
administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.
For more information on each of these data sources, please see the
About the data page.
In FY2016, CMA grants awarded to 50 states. There will be 50 Social Services grants to states and Wilson/Fish . In FY 2016, 53 CMA grants were awarded to states and state replacement designees. There were 50 Social Services grants to states and Wilson Fish.
In FY 2017, 61 CMA grants were issued to States, State Replacement Designees, and Wilson Fish agencies. During FY 2017 four states withdrew from providing refugee resettlement services: Kansas, New Jersey, Texas, and Maine. Funding is issued to State Replacement Designee agencies providing services in these states. There will be 55 Social Services grants to States, State Replacement Designees and Wilson Fish agencies.
60 Refugee Cash and Medical Assistance and 59 Refugee Support Services grants were issued to States, Replacement Designees and Wilson Fish agencies.
56 Refugee Cash and Medical Assistance and 55 Refugee Support Services grants were issued to States, Replacement Designees and Wilson Fish agencies.
62 Refugee Cash and Medical Assistance and 57 Refugee Support Services grants were issued to States and Replacement Designees.
63 Refugee Cash and Medical Assistance and 55 Refugee Support Services awards were issued to States and Replacement Designees
59 Refugee Cash and Medical Assistance and 54 Refugee Support Services awards were issued to States and Replacement Designees
Single Audit Applies (2 CFR Part 200 Subpart F):
For additional information on single audit requirements for this program, review the current Compliance Supplement.
OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.
