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The Arizona Health Care Cost Containment System (written as AHCCCS and pronounced 'access') is Arizona's
Medicaid program. AHCCCS oversees contracted health plans in the delivery of health
care to individuals and families who qualify for Medicaid and other medical assistance
AHCCCS Organizational Chart [PDF,
As Director, Mr. Betlach reports to the Governor and is responsible for the health coverage
of 1.3 million Arizonans at an annual cost of $8.5 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 over 20 years of experience in Arizona State government, including five years
of service as director of the Governor's Office of Strategic Planning and Budgeting (OSPB) under
Gov. Jane Hull and nearly eight years of service as the AHCCCS deputy director, 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 (MPA) with an emphasis in finance and
budgeting from the University of Arizona.
Announcement of Tom Betlach's Appointment as AHCCCS Director - 11/3/09 [PDF, 140KB]