Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
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State Policy·MT·September 22, 2026

Montana DPHHS Director Charlie Brereton to Leave Oct. 30, Harrington Named Successor

Charlie Brereton will step down as director of Montana's Department of Public Health and Human Services on October 30 after four years, moving to the private sector. Dr. Doug Harrington, the department's state medical officer, will replace him. The transition occurs as DPHHS oversees a $233 million federal Rural Health Transformation Program grant, implements new Medicaid and SNAP work requirements set to begin this fall, and manages a $7 billion biennial budget covering Medicaid, behavioral health, and other health and human services programs. Brereton led the agency through Medicaid unwinding, behavioral health investments, and rural hospital stabilization efforts.

Why it matters

Montana's Medicaid agency leadership change during active implementation of federal work requirements and a multi-year rural hospital transformation grant creates potential administrative continuity risk for state plan operations and waiver activity.

Managed Care · Behavioral Health · Finance

Read the full article at montanafreepress.org

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