Stephen Fitton


Medicaid Director


Stephen Fitton is director of Michigan’s Medicaid program, overseeing management of programs providing care for nearly 1.9 million state citizens with a budget in excess of $12 billion and a full-time staff of 400. He has held the position since January 2009.

Mr. Fitton has extensive experience in Medicaid and state government, having served for over 40 years for the state of Michigan. Prior to becoming Michigan’s Medicaid director, from 2003-2008 he was director of the state’s Bureau of Medicaid Policy and Actuarial Services. In this role, he oversaw Medicaid policy and critical rate-setting and financial analysis functions and played a lead role in developing federal waivers, including Michigan First, Governor Granholm’s initial plan to expand health care coverage in Michigan.

From 1997-2003, he was director of the Actuarial Division for the Michigan Department of Community Health, overseeing all actuarial and rate-setting functions for Medicaid and other health purchasing programs, such as Children’s Special Health Care Services and the State Medical Program. Between 1977-1997, he held positions of progressively increasing responsibility for Michigan’s Division of Children’s Special Health Care Services, eventually becoming acting division director and focusing particularly on quality and consumer participation.

He has completed graduate coursework in public administration and research and evaluation and has a bachelor’s degree from Michigan State University, where he graduated with high honors.

Leadership Project

Expand coverage and access to engaged consumers, emphasizing healthy and responsible choices.