State Medicaid Operations Survey: Fourth Annual Survey of Medicaid Directors

This survey offers a window into the nation’s Medicaid programs at the 50th anniversary of the program. The survey results demonstrate the variety and coherence among the 56 Medicaid programs, and exemplify the changing job of “Medicaid Director” in the 50 states, the District of Colombia, and the 5 territories. The survey provides unique insight into how Medicaid Directors are managing increasingly sophisticated programs and driving system reform amid funding and staff constraints, and how they navigate the myriad stakeholders to build consensus and drive improvement.