Thomas Betlach




As Arizona Medicaid director, Tom Betlach reports to the Governor and is responsible for the health coverage of over 1.3 million Arizonans at an annual cost of $9.3 billion. The agency administers multiple sources of governmental and private funds and is responsible for regulatory oversight and compliance of Medicaid managed care health plans and health care providers to assure quality of care, fiscal accountability and cost containment.

Mr. Betlach has more than 18 years of experience in Arizona State government, including five years as director of the Governor’s Office of Strategic Planning and Budgeting (OSPB) under Governor Jane Hull. He also served for nearly eight years as deputy director of the Arizona Health Care Cost Containment System (AHCCCS), where he was responsible for overseeing the financial operations for the agency, the financial regulatory oversight of the contracted health plans, program rate setting, information technology, member services and program integrity functions.

Mr. Betlach earned his bachelor’s degree in political science from the University of Wisconsin and his master's degree in public administration with an emphasis in finance and budgeting from the University of Arizona.

Leadership Project

Evaluated and promoted Special Needs Plans as the vehicle for delivering integrated care for individuals dually eligible for Medicare and Medicaid.. This included identifying opportunities to align care for dual eligible beneficiaries with existing managed care plan contracts if warranted.