Medicaid Work Requirements: Considerations for States

Friday, August 17th
8:30am – 10:00am

In January 2018, the Centers for Medicare & Medicaid Services issued a new policy allowing states to impose work and community engagement requirements on certain Medicaid enrollees. Several states have already received federal approval to implement these policies and others are exploring this option. During this session, a national expert shares recent research on the demographics of the population affected by this requirement and highlights policy considerations. Officials pursuing work requirements in their states also share their experiences and early insights.


Joe Flores, Office of Governor Ralph S. Northam, Office of Governor Ralph S. Northam

Joe was appointed Deputy Secretary of Finance for Governor Ralph S. Northam in January 2018 where he provides guidance to the Governor and Secretary of Finance on fiscal policy issues. He helped lead Governor Northam’s Medicaid expansion efforts that included strategic planning, policy design, fiscal analysis, stakeholder engagement, legislative negotiations, and communications. He also assisted the Secretary of Finance with enactment of the 2018-20 biennial budget. Joe previously served as Deputy Secretary of Health and Human Resources under Governor Terence R. McAuliffe and spent two decades as a non-partisan analyst with legislatures in Texas, Minnesota, and Virginia.


Thomas Betlach, Director, AHCCCS

Since 2009, Mr. Betlach has served as Director of the Arizona Health Care Cost Containment System (AHCCCS), Arizona’s single state Medicaid agency. Mr. Betlach reports to the Governor on the AHCCCS program, which currently provides health care coverage to 1.9 million Arizonans at an annual cost of $12 billion.
Through his leadership, Arizona: launched the first integrated health plan for persons with serious mental illness; leads the nation in duals alignment; is streamlining justice system transitions to health care; remains one of the lowest cost long term care programs nationally; has maintained high levels of home and community based placement for persons with long term care needs; created an integrated specialty plan for children with special health care needs; and modernized operational processes and systems, including enhancing data analytics in Medicaid.


Patricia Boozang, Senior Managing Director, Manatt Health

Skilled at managing complex projects involving a mix of public agencies and private stakeholders, Patricia Boozang advises clients on the implementation of coverage, delivery system and payment reforms across government and private health insurance programs. Patricia advises states on Medicaid expansion design, implementation and sustainability, and has particular experience in alternative expansion models through 1115 waivers. For Arkansas, she helped develop and implement the state’s groundbreaking private option initiative and its successor program, Arkansas Works. Patricia also guides states and marketplaces on policy matters, including eligibility and enrollment, benefit design, delivery system improvements, and technology development. Prior to joining Manatt in 2000, Patricia was a vice president and leadership team member of Physician Weblink, a national healthcare technology and physician management company.


Catherine Kelley, Senior Health Policy Advisor, Office of Governor Asa Hutchinson, Arkansas

Catherine Kelley serves as Senior Health Policy Advisor to Arkansas Governor Asa Hutchinson. In this capacity, she is responsible for working with the Arkansas Department of Human Services and the Arkansas Department of Health to manage Medicaid and other public programs and to guide state policy-making on health and human services issues.

Prior to moving to Little Rock and joining the Governor’s Office, Catherine worked for several years as a health policy and government affairs professional in the Washington, DC area. As a Health Policy Analyst in Dentons’ Public Policy and Regulation practice, Catherine supported clients across the health care sector facing policy challenges at the federal and state levels, with a focus on Medicaid and health insurance exchanges. In her role as Policy Analyst and Director of State and Federal Coordination for UnitedHealth Group Government Affairs, Catherine conducted research and analysis on issues impacting Medicaid, Medicare, and private insurance markets, including payment reform and health information technology. Catherine started her health policy career as a Research Assistant at Georgetown Health Policy Institute, where she worked on adolescent mental health and substance abuse programs.

Catherine holds a Bachelor of Arts in Government and English and a Master of Public Policy from Georgetown University.