About NAMD

The National Association of Medicaid Directors (NAMD) is a bipartisan, professional, nonprofit organization of representatives of state Medicaid agencies (including the District of Columbia and the territories). NAMD is committed to providing a focused, coordinated voice for the Medicaid program in national policy discussion and to effectively meet the needs of its member states now and in the future.

On January 31, 2011, NAMD hired Matt Salo as Executive Director. Shortly after his appointment he sent a letter to all State Medicaid Directors outlining the background, vision, and next steps of the organization as he sees them. The entire letter can be read by clicking here.


NAMD's mission is to represent and serve state Medicaid directors. Key roles include:

A. Representing the non-partisan views of state Medicaid programs in the federal policy process
B. Serving as a focal point of communication between the states and the federal government
C. Providing an information network among the states on issues pertinent to the Medicaid program
D. Leveraging and promoting expertise across states to improve state Medicaid programs, policies and operations


NAMD, formerly National Association of State Medicaid Directors (NASMD), was an affiliate of the American Public Human Services Association (APHSA) beginning in 1979. With subsequent program expansions, culminating with passage of major health care reform legislation in 2010 that established universal coverage as national policy, Medicaid has become the largest public assistance program in every state, the country's foremost program operating as a joint federal-state partnership, and will soon be the source of health insurance coverage for approximately one-sixth of the nation's residents. Federal reforms in 2010 also created explicit links between Medicaid and private health insurance markets. With these fundamental changes, the demands placed on Governors and Medicaid program directors have both grown and shifted in focus. NAMD was created to fulfill the need for a new and independent organization representing state Medicaid Directors and the programs they operate.


NAMD is comprised of the officials who administer the Medicaid program in the states, the District of Columbia, and the territories. Generally these officials are the state Medicaid director and his or her senior staff. For the purpose of carrying out association business, each entity is limited to one voting member.

The NAMD Board is comprised of 12 members; a president, vice president, immediate past president, two representatives from each of 4 regions in the United States, and one representative from the U.S. Territories. The four regions are: West (Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, Oregon, Utah, Washington, and Wyoming); Midwest (Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin); South (Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, South Carolina, Tennessee, and Texas); and East (Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, and West Virginia). The officers are elected by a national vote of the membership, and the regional representatives are elected by the state members of the appropriate region. The Board provides ongoing leadership for NAMD by overseeing association administrative matters, representing NAMD in meetings with the Centers for Medicare & Medicaid Services (CMS), serving as a liaison between NAMD and the various federal agencies and workgroups, and providing overall policy guidance. The president, vice president, and all other Board members are elected in even-numbered years for terms of two years.


A. Annual state-only and open conferences
B. Letters and comments to CMS
C. Facilitated surveys and list-serves for members and their staff
D. Public website and members-only website
E. Medicaid policy working groups
F. Liaison with partner organizations and other Medicaid stakeholders


Medicaid programs serve many different populations, a number of which are eligible to receive other public benefits such as food stamps, child care, and case assistance. Most Medicaid programs originated as units within human service agencies, and NAMD itself began as an affiliate of the APHSA. Federal reforms adopted in 2010 create close links between Medicaid and federally-subsidized health insurance exchanges serving individuals and families at all income levels, greatly expanding the size and diversity of the populations and organizations with direct or indirect ties to state Medicaid programs. NAMD seeks to develop and to participate in partnerships and relationships with peer organizations and associations to strengthen coordination, service delivery, and efficiency.


NAMD Members are the agencies responsible for the administration of the Medicaid program in each state, United States territory and the District of Columbia (collectively, the "States"). According to the bylaws of the organization, each Member shall select one (1) individual to represent the Member in all matters (the "Member Representative"). A Member Representative is the individual responsible for administering the Medicaid program in their state (whether known as Secretary, Commissioner, Director, or Executive Director, Deputy Secretary, etc.).

© 2012 National Association of Medicaid Directors
444 North Capitol Street, Suite 524
Washington, D.C. 20001