As Hilltop’s chief of staff, Alice Middleton provides leadership on programmatic strategy, direction, and delivery of client engagements for research, policy analysis, and data analytics on Medicaid, health care financing, and delivery system reform. She oversees Hilltop’s work with the Maryland Department of Health, Hilltop’s long-time partner.

Alice came to Hilltop from the Centers for Medicare and Medicaid Services (CMS), where she was Deputy Director of its Division of Eligibility and Enrollment and was responsible for establishing national Medicaid and Children’s Health Insurance Program (CHIP) eligibility and enrollment policies for low-income children and adults. Prior to that, she held various director-level positions at the Maryland Department of Health, such as Deputy Director of the Office of Medicaid Planning and the Director of Eligibility Policy and Special Projects in the Office of Eligibility Services. She served as the Department’s liaison to the Maryland Health Benefit Exchange during the launch of the Maryland Health Connection, the state’s insurance marketplace.

Alice holds a JD from the University of Maryland School of Law. She was admitted to the Maryland Bar in 2005. She also has a BS from Towson University, where she graduated summa cum laude.

Authored by Alice Middleton


1115 Waivers Can Help Expand Access to Substance Use Disorder Treatment, but Coordination and System Capacity Remain a Challenge

Learn how two early-adopter states used Section 1115 Medicaid waivers to improve access to substance use disorder services. The project is part of the Robert Wood Johnson Foundation’s Research in Transforming Health and Health Care Systems program, which is managed by AcademyHealth.