Center for Medicaid & CHIP Services

Dan is the Director of Medicaid and CHIP and Deputy Administrator at CMS, with extensive experience in health care technology, reform, and care delivery models, advancing cross-sector coordination, data interoperability, and analytical insights. Previously, Dan was the CEO and Co-Founder of Unite Us, the nation’s largest outcome focused technology infrastructure that connects health care, government, and community-based services to coordinate care in real-time for millions of Americans. Dan is also a Military Officer of the Air Force Reserves, serving for over 17 years and completed multiple combat deployments as a pilot in Afghanistan and Iraq, for which he earned multiple air medals and bronze campaign stars. Dan continues to serve as a Major, with assignments at Defense innovation Unit (DIU) as a Joint Strategic Liaison Officer and as an Admissions Liaison Officer. 

Dan earned a Master of Business Administration from Columbia Business School and a BA in Political Science from Yale University, and began his career in consulting and finance as well as entrepreneurial work with Scout Ventures, a venture capital firm in New York City.

Dan resides in Washington, DC, and Philadelphia with his wife and two children. 

Dr. Caprice Knapp is the Principal Deputy of the Center for Medicaid and CHIP Services (CMCS), where she serves as the Center’s senior policy and operational executive overseeing the Medicaid and Children’s Health Insurance Program (CHIP), which provides coverage for nearly 80 million Americans.

A former member of the Congressional Budget Office’s Panel of Health Advisers, Knapp is a health economist with more than 20 years’ experience working on Medicaid and the Children’s Health Insurance Program (CHIP), in the private sector, state and federal policymaking, and academics.

In the private sector, she was the federal policy director for Molina Healthcare, Inc. as well as a Managing Director at Health Management Associates. In the academic realm, she was an associate professor in the Department of Health Outcomes and Policy at the University of Florida, conducting external quality review activities for Texas and Florida Medicaid and CHIP programs as well as maternal and child health research. At The Pennsylvania State University, she led the university’s Global Health efforts while teaching in the Department of Health Policy and Administration. In the policymaking arena, she worked in the Governor’s Office of State Planning and Budgeting in Colorado and the U.S. House of Representatives’ Energy and Commerce Committee as a Robert Wood Johnson Health Policy fellow. She was the North Dakota Medicaid director from 2019 to 2022.

Caprice’s career has been focused on vulnerable populations, delivery system reform, and global health. Examples of her funded research topics include an assessment of Florida’s Children’s Health Insurance Program Reauthorization Grant; an evaluation of fertility-preservation decision making for adolescent girls with cancer; outcomes of concurrent models of pediatric palliative care; and an assessment of the quality, patient experiences, and costs of health and dental plans for children in Florida. Her global health projects also focus on maternal and child health and have been conducted in Africa, Asia, Europe, and South America.
At the University of Florida, Caprice earned her doctorate in economics and completed postdoctoral training in health services research. She has authored more than 80 peer-reviewed publications, 60 government reports, and two books.

Anne Marie Costello is the Deputy Director for the Center for Medicaid & CHIP Services (CMCS) within the Centers for Medicare & Medicaid Services (CMS) at the U.S. Department of Health and Human Services (HHS). Previously, Anne Marie was Director of the Children and Adults Health Programs Group (CAHPG) in CMCS. There, she directed CMS’s work on eligibility, enrollment, quality of care measurement, and quality improvement initiatives for children and adults served by Medicaid, the Children’s health Insurance program (CHIP), and the Basic Health Program (BHP), leading the development of national policy for low-income children and adults enrolled in Medicaid, CHIP, and BHP. She led the implementation of quality improvement initiatives on maternal and child health, children’s oral health and prevention, and special initiatives related to the Agency’s response to the Zika virus and the Flint water crisis.

Anne Marie is a nationally recognized expert on health policy and has extensive experience implementing Medicaid, CHIP, and BHP policies and operations at the federal and state levels. Before joining CMS, she held a number of leadership positions in state and local government and in the nonprofit sector. Anne Marie also served as the Director of the Bureau of Compliance at the New York State Department of Health. She was responsible for oversight of Medicaid policy implementation in New York City and implementation of statewide outreach and enrollment initiatives.

Anne Marie holds a Master of Public Health degree from Hunter College.

Sara Vitolo serves as Deputy Director of the Center for Medicaid and CHIP Services (CMCS) within the Centers for Medicare & Medicaid Services (CMS) at the U.S. Department of Health and Human Services (HHS).

Since joining CMCS in March 2022, Sara has led work across CMCS to strengthen the Medicaid and CHIP programs. In addition to promoting excellence in all aspects of CMCS and Medicaid operations, Sara guides the center to achieve its proactive policy priorities related to Medicaid managed care, data and systems, and program integrity. Prior to CMCS, Sara was Deputy Director of the Medicare-Medicaid Coordination Office (MMCO) at CMS, working to improve coordination between the Federal Government and states and enhance outcomes for individuals dually eligible for Medicare and Medicaid. Before joining MMCO in 2015, Sara worked at the White House Office of Management and Budget in the Medicare Branch of the Health Division, and at CMS on Medicare payment and rate-setting policy. 

Prior to federal service, Sara helped strengthen global health programs at IntraHealth International and taught science at an elementary school in Boston as an AmeriCorps member. Sara received a B.S. in biology from Stonehill College and an M.S.P.H. in health policy from the University of North Carolina at Chapel Hill. 

• Serves as CMS's focal point for assistance with formulation, coordination, integration, and implementation of all national program policies and operations relating to Medicaid, the Children's Health Insurance Program (CHIP), and the Basic Health Program (BHP).
• In partnership with States, assists State agencies in successfully carrying out their responsibilities for effective program administration and beneficiary protection, and, as necessary, supports States in correcting problems and improving the quality of their operations.
• Identifies and proposes modifications to Medicaid, CHIP, and BHP program measures, regulations, laws, and policies to reflect changes or trends in the health care industry, program objectives, and the needs of Medicaid, CHIP, and BHP beneficiaries. Collaborates with the Office of Legislation on the development and advancement of new legislative initiatives and improvements.
• Serves as CMS's lead for management, oversight, budget, and performance issues relating to Medicaid, CHIP, BHP, and the related interactions with States and the stakeholder community.
• Coordinates with the Center for Program Integrity on the identification of program vulnerabilities and implementation of strategies to eliminate fraud, waste, and abuse.  Leads and supports all CMS interactions and collaboration relating to Medicaid, CHIP, and BHP with States and local governments, territories, Indian Tribes, and tribal healthcare providers, key stakeholders (e.g., consumer and policy organizations and the health care provider community) and other Federal government entities.  Facilities communication and disseminates policy and operational guidance and materials to all stakeholders and works to understand and consider their perspectives, support their efforts, and to develop best practices for beneficiaries across the country and throughout the health care system.
• Develops and implements a comprehensive strategic plan, objectives, and measures to carry out CMS's Medicaid, CHIP, and BHP mission and goals and positions the organization to meet future challenges with Medicaid, CHIP, and BHP.