Carol Steckel


Commissioner (2003-2010)


Ms. Steckel held the position of commissioner of the Alabama Medicaid Agency from 2003 to 2010. Prior to her appointment as commissioner, she served as director and chief executive officer of Survey Associates, LLC, Birmingham, Alabama. In this capacity, she worked with senior housing market investors regarding regulatory and quality issues within the long-term care market.

Additionally, Ms. Steckel has held a variety of posts with various entities, including senior vice president of Northport Health Services, Inc., Tuscaloosa, Alabama; program chief of staff, March of Dimes Birth Defects Foundation, White Plains, New York; commissioner, Alabama Medicaid Agency (November 1988 through July 1992); deputy director, Office of Prepaid Health Care, Health Care Financing Administration (now the Centers for Medicare and Medicaid Services), Washington, D.C.; consultant and director, Data and Policy Development, Alabama Hospital Association, Montgomery, Alabama; and assistant to the special assistant on health policy to the President, the White House, Washington, D.C.

Ms. Steckel was the chair of the Executive Committee of the National Association of State Medicaid Directors. Her community activities included memberships on the Dean’s Advisory Committee, University of Alabama at Birmingham School of Public Health, and the Norton Board of Advisors for Birmingham-Southern College.

Ms. Steckel has a master’s degree in public health from the University of Alabama at Birmingham and a bachelor’s degree in sociology from Birmingham-Southern College.

Leadership Project

Goal: Create a coordinated system of care for long-term services and supports that shifts beneficiaries away from institutions toward home- and community-based services.

Carol Steckel is using the opportunity presented by a legislatively mandated Long Term Care Rebalancing Advisory Committee to develop and pilot new programs for Medicaid beneficiaries receiving long-term services and supports (LTSS). In crafting a final report to the legislature, Ms. Steckel and her team engaged LTSS stakeholders in discussions about alternative systems of care, including the Program of All-Inclusive Care for the Elderly (PACE) and primary care case management for individuals who meet nursing facility level of care requirements. Based on committee recommendations, she is developing a PACE pilot in Mobile and a community transitions waiver designed to move willing beneficiaries in nursing homes back into the community. She is also determining how to capitalize on the various LTSS provisions included in federal health reform, and is connecting her LTSS work with broader efforts to move away from fee-for-service throughout Alabama’s Medicaid program.


Related Resources

Carol Steckel Appointed Medicaid Director for North Carolina Department of Health and Human Services