Prior to her work with the Federal Centers for Medicare and Medicaid Services (CMS), Terry Pratt began her federal career with the Social Security Administration in 1978, and since that time has been devoted to working with programs that serve our nation’s most vulnerable populations. She started working at CMS (formerly the Health Care Financing Administration) in 1989 and has extensive experience with long term policy and program areas such as hospice, home and community based care, managed care, mental health, 1115 demonstrations, the Program of All-inclusive Care for the Elderly (PACE), self direction and Medicaid State plan Amendments.