Center for Medicaid & CHIP Services

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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. 

Jessica Lee, MD, MSHP is the Chief Medical Officer for Center for Medicaid and CHIP Services, where she leads the center's clinical strategy. Dr. Lee was previously the medical officer in the Division of Quality and Health Outcomes at CMCS, where she led initiatives in quality measures and quality improvement.

Dr. Lee has deep expertise in clinical medicine and quality, and a background in health policy at the health system, state, and federal levels. She has served as a senior health policy analyst at the Government Accountability Office, focusing on payment policy, and has conducted grant-funded research focused on the intersection of health care delivery systems and population health.

Dr. Lee continues to care for patients as a practicing pulmonologist at the University of Pennsylvania and ICU physician at the Corporal Michael J. Crescenz VA Medical Center in Philadelphia. She earned her A.B. with honors from Harvard College and her M.D. from the University of Colorado School of Medicine. She completed internal medicine residency at Brigham & Women’s Hospital and pulmonary and critical care fellowship at the University of Pennsylvania.

• 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.