Along with Medicaid, state public health agencies are an integral part of the health care safety net, playing a key role in addressing medical and social needs to promote population health and advance health equity. As both public health and Medicaid prioritize efforts to advance health equity, partnerships between the two agencies can maximize collaborative opportunities and use of federal revenue to strengthen safety net services.

This report, drawing from interviews with public health and Medicaid agency staff in Arkansas, Massachusetts, North Carolina, and Oregon, outlines recommendations to foster robust partnerships between public health and Medicaid agencies. The report was developed in partnership by the Association of State and Territorial Health Officials (ASTHO) and the Center for Health Care Strategies (CHCS).


To better understand how Medicaid and public health agencies collaborate to improve the health and well-being of people in the U.S., ASTHO and CHCS developed the following profiles highlighting efforts in the four states:

These products were supported by funds made available from the Centers for Disease Control and Prevention, OT21-2103, National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities. The contents are solely that of CHCS and ASTHO and do not necessarily represent the official views of the U.S. Department of Health and Human Services/Centers for Disease Control and Prevention.