National Association of Medicaid Directors
Public records show a registered, tax-exempt organization in good standing.
What it says it does
The mission of NAMD is to help millions of people served by Medicaid by representing, elevating, and supporting state and territorial Medicaid and CHIPleaders in connecting eligible people to coverage, promoting access to care, providing high value services, and controlling program costs for sustainability. NAMD elevates thought leadership on policy opportunities and operations of the Medicaid and CHIP programs, amplifies the diverse perspectives of Medicaid and CHIP directors, and optimizes federal-state/territory partnerships to help millions live their healthiest lives.
- Income
- $5.5 million
- Spending
- $5.0 million
- Spent on programs
- 74%
- Reserves
- 11 months of spending
- Largest source of income
- fees for its services, 89%
- Employees
- 18
- Volunteers
- 18
- Highest pay
- $334,162, executive director
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Good: 83 out of 100. Higher than 61% of charities in its peer group (health care, $1m to $10m).
Reserves
28 of 35Spendable reserves would cover 11.0 months of spending.
Debt
10 of 20It owes 36% of what it owns.
Living within its means
15 of 15Income exceeded spending by 10% of income.
Income trend
15 of 15Income rose 10% on the year before.
Spending floor
15 of 1574% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 67% of charities in its peer group (health care, $1m to $10m).
Independent board
25 of 2514 of 14 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (2)
- $3.1 million spent. Conferences and Medicaid and Public Health Collaboration: NAMD hosted its Annual Membership Meeting in Chicago in June 2025 and its signature Fall Conference in Washington, D.C. in November 2024. NAMD conducted planning, agenda development, and follow-up activities related to these convenings. The Annual Membership Meeting is a gathering of NAMD members, senior agency staff from states and territories, and federal partners, with attendance of nearly 200 in 2025. The Fall Conference convenes over 1,500 national, state, and industry leaders, with 1,510 attendees in 2024 representing all 56 states and territories. Both conferences included board meetings and discussions related to organizational business. NAMD advanced efforts to operationalize Medicaid and public health partnerships by increasing literacy among Medicaid Directors and other health care payment officials on federal and state/territory public health priorities. NAMD fostered cross-sector connections and identified opportunities to align strategies and optimize Health Resources and Services Administration (HRSA), public health, and Medicaid funding for sustainable impact. Engaging all 56 states and territories through convenings, technical sessions, and interest groups, NAMD promoted workforce solutions with a focus on integrating non-traditional providers, or workforce extenders, as billable providers while addressing behavioral health and maternal health needs. In collaboration with HRSA and other national associations representing state and territory officials, NAMD co-led webinars, policy forums, and the National Committee for Sustainable Medicaid and Public Health Partnerships to coordinate approaches and amplify impact. NAMD also produced publications highlighting HRSA initiatives and state and territory innovations. These resources, including blogs, newsletters, thought pieces, and webinars, promoted best practices and reinforced cross-agency learning.
- $586,634 spent. Member Service and Technical Assistance:NAMD regularly engages with over 500 Medicaid Directors and senior agency staff through our robust set of member services. Our programming aims to facilitate collaborative problem-solving across Medicaid agencies, support timely sharing of information, and identify emerging issues. NAMD also liaises with the Center for Medicaid & CHIP Services (CMCS), Congress, and other federal entities to ensure that Medicaid Directors are represented in federal policy discussions. To facilitate cross-agency problem-solving, NAMD convenes monthly "Affinity Groups" for Medicaid Chief Financial Officers, Chief Information Officers, communications leaders, and eligibility policy leaders. These Affinity Groups support role-based learning on a wide variety of topics. NAMD also convenes interdisciplinary state/territory-only and state/territory-federal workgroups focused on specific policy issues, such as implementation of new federal policies. To support timely information sharing, NAMD holds a weekly Medicaid Director call and a weekly "Federal Update" call, distributes a weekly newsletter, and manages a "Rapid Response" listserv. NAMD also publishes public-facing and state/territory-only issue briefs, analyses, and comment letters. Finally, NAMD offers specific programming for Medicaid Directors who are in their first year of service and for Medicaid Director alumni. This programming aims to support leadership development throughout a Medicaid Director's career.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated September 10, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending June 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since February 2011.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.