Fifty American states have 50 different Medicaid programs. While no two state Medicaid programs are alike, the people who run those programs often share common concerns, problems, and priorities.

- budgets
- Affordable Care Act implementation
- relationships with others in their state government, federal agencies, and regulators
- program integrity
- innovations like bundled payments, accountable care organizations, demonstration projects, delivery system reform and improvements, and challenges in the area of long-term services and supports
Find out how the country’s 50 Medicaid directors view the challenges they face in the coming year in State Medicaid Operations Survey: Third Annual Survey of Medicaid Directors, which you can find here.

