Skip to main content
RSS

Medicaid and Rural Health Resources

Selected recent or important resources focusing on Medicaid and Rural Health.

Medicaid Payment Policy for Federally Qualified Health Centers
Describes the role of Federally Qualified Health Centers (FQHCs) in Medicaid, and highlights current policy issues related to Medicaid FQHC payment. Also discusses the Medicaid FQHC prospective payment system (PPS), alternative payment methodologies, how FQHCs participate in managed care networks, and states' desire for increased flexibility in setting FQHC payment rates.
Date: 12/2017
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
Distribution of Disproportionate Share Hospital Payments to Rural and Critical Access Hospitals
Information concerning potential effects of Medicaid Disproportionate Share Hospital (DSH) payment on rural hospitals in 47 states. Features statistics on hospital Medicaid DSH payments by census region, with breakdowns by urban, rural, and Critical Access Hospitals.
Author(s): Erin M. Mobley, Fred Ullrich, Keith J. Mueller
Date: 11/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Comparing the Affordable Care Act’s Financial Impact on Safety-Net Hospitals in States That Expanded Medicaid and Those That Did Not
Examines how Medicaid expansion affected the financial health of safety-net hospitals, and compares hospitals in expansion states with hospitals in non-expansion states. Findings are based on data from Medicare's fiscal year 2012-2015 hospital cost reports, and explain changes in operating margins, Medicaid inpatient days, Medicaid revenues and costs, and uncompensated care costs.
Author(s): Allen Dobson, Joan DaVanzo, Randy Haught, Phap-Hoa Luu
Date: 11/2017
Type: Document
Sponsoring organization: Commonwealth Fund
view details
Examining Oral Health Care Utilization and Expenditures for Low-Income Adults
Explores oral health utilization and Medicaid expenditures across the nation. Presents a state-by-state map of Medicaid coverage for adult dental services. Breaks down data by age, race, and rural-urban areas, among other factors.
Author(s): Stacey Chazin, June Glover
Date: 11/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
view details
Medicaid Payment and Delivery System Reform: Early Insights from 10 Medicaid Expansion States
Examines the evolution of payment and delivery system reform in ten states that expanded Medicaid coverage through the Affordable Care Act (ACA). States were chosen to provide diversity in size, location, urban/rural mix, and population demographics. Findings are based on a review of states' managed care policies and contracting documents, supplemented by interviews with senior Medicaid officials.
Author(s): Sara Rosenbaum, Sara Schmucker, Sara Rothenberg, Rachel Gunsalus, J. Zoë Beckerman
Date: 10/2017
Type: Document
Sponsoring organization: Commonwealth Fund
view details
Financing Project ECHO: Options for State Medicaid Programs
Outlines how four states - California, Colorado, New Mexico, and Oregon - are using Medicaid funds to support Project ECHO and enhance services for rural and other at-risk populations. Also shares design considerations for specific delivery system environments, and ways to ensure long-term program sustainability.
Author(s): Greg Howe, Allison Hamblin, Lauren Moran
Date: 09/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
view details
Medicaid Financing Models for Project ECHO
Explains the different Medicaid financing mechanisms available for supporting current and potential Project ECHO strategies. Options are listed in table format and organized into three categories: managed care, care management programs, and value-based payment strategies and integrated care programs.
Date: 09/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
view details
Emergency Preparedness Final Rule Interpretive Guidelines and Survey Procedures
Interpretive guidelines clarifying several provisions of the emergency preparedness final rule for Medicare- and Medicaid-participating providers, which affects Rural Health Clinics (RHCs), Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), and other rural facilities.
Date: 06/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Medicaid Expansion: Behavioral Health Treatment Use in Selected States in 2014
Report to Congress describing the population of Medicaid expansion enrollees with behavioral health diagnoses in 2014, and the use of behavioral health treatment among the enrolled population. Results are based on the experience of four states: Iowa, New York, Washington, and West Virginia. Includes a discussion on urban/rural geographic distribution of enrollees and the barriers to accessing treatment for enrollees living in rural areas.
Date: 06/2017
Type: Document
Sponsoring organization: Government Accountability Office
view details
State Data on Adult Health Coverage in Small Towns and Rural Areas
State-specific downloadable Excel files showing adults' Medicaid coverage and uninsured rates at the county level for the time periods 2008/2009 and 2014/2015. Accompanying maps show which rural counties in each state were above or below the national averages in 2014/2015.
Date: 06/2017
Type: Website
Sponsoring organization: Georgetown University Health Policy Institute
view details
State Data on Child Health Coverage in Small Towns and Rural Areas
State-specific downloadable Excel files showing children's Medicaid coverage and uninsured rates at the county level for the time periods 2008/2009 and 2014/2015. Accompanying maps show which rural counties in each state were above or below the national averages in 2014/2015.
Date: 06/2017
Type: Website
Sponsoring organization: Georgetown University Health Policy Institute
view details
Factors Affecting States’ Ability to Respond to Federal Medicaid Cuts and Caps: Which States Are Most At Risk?
Examines 30 key factors that contribute to state-by-state differences in Medicaid per enrollee spending, and uses the factors to rank and identify which states are at greatest risk if federal Medicaid cuts or caps are enacted. Presents findings across five main areas: Medicaid policy, demographics, health status, available tax revenue and state budget choices, and healthcare markets.
Author(s): Robin Rudowitz, Allison Valentine, Petry Ubri, Julia Zur
Date: 06/2017
Type: Document
Sponsoring organization: Kaiser Family Foundation
view details
Medicaid in Small Towns and Rural America: A Lifeline for Children, Families, and Communities
Uses data from the U.S. Census Bureau's American Community Survey (ACS) to explore the changing levels of Medicaid coverage and uninsured rates at the county level by age, and examine the role of Medicaid in the 46 states containing small-town and rural populations. Includes numerous charts, maps, and graphs to help illustrate the relationship between Medicaid growth and uninsured rates in rural areas, focusing on the time period from 2008-2009 to 2014-2015.
Additional links: Interactive Map: The Percent of Adults in Small Towns and Rural Areas Covered by Medicaid, 2014/15, Interactive Map: The Percent of Children in Small Towns and Rural Areas Covered by Medicaid, 2014/15, State Data on Adult Health Coverage in Small Towns and Rural Areas, State Data on Child Health Coverage in Small Towns and Rural Areas
Author(s): Jack Hoadley, Karina Wagnerman, Joan Alker, Mark Holmes
Date: 06/2017
Type: Document
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
view details
Changes in Insurance Coverage in Rural Areas under the ACA: A Focus on Medicaid Expansion States
Two-page fact sheet showing the change in the uninsured rate in rural areas of states that participated in the Affordable Care Act (ACA) Medicaid expansion. Includes a graph showing percentage change by state from 2013 to 2015 and identifying which political party held the governorship, and a table that converts each states' percentage to actual number of people.
Date: 05/2017
Type: Document
Sponsoring organization: Kaiser Family Foundation
view details
The Role of Medicaid in Rural America
Uses data from the 2013-2015 American Community Survey to examine the role of Medicaid in rural areas, and discuss how potential expansions or cuts could affect rural healthcare. Highlights the importance of Medicaid for many rural residents who are often faced with limited access to insurance and providers, longer travel times, and greater health needs when compared to their urban counterparts. Includes several charts and graphs to illustrate important statistics and demographic comparisons.
Author(s): Julia Foutz, Samantha Artiga, Rachel Garfield
Date: 04/2017
Type: Document
Sponsoring organization: Kaiser Family Foundation
view details
Disruptive Innovation in Medicaid Non-Emergency Transportation
Discusses the current state of Medicaid's non-emergency medical transportation (NEMT) benefit, focusing on challenges, potential improvements, and state-level reforms. Includes an overview and table of NEMT service models by state, and touches on the structural inefficiencies faced by rural communities.
Author(s): Adam Ganuza, Rachel Davis
Date: 02/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
view details
Data Book: Beneficiaries Dually Eligible for Medicare and Medicaid
Provides an overview of dual-eligible beneficiaries who receive benefits from both Medicare and Medicaid. Uses data from calendar year 2012 to examine beneficiary demographics, utilization and spending patterns, eligibility pathways, annual program growth rates, and more. Chart on page 35 includes a breakdown of beneficiaries based on urban or rural residence.
Date: 01/2017
Type: Document
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, Medicare Payment Advisory Commission
view details
Changing Rural and Urban Enrollment in State Medicaid Programs
Examines changes in Medicaid enrollment from 2012 to 2015 in both expansion and non-expansion states, and compares findings by state based on metropolitan, micropolitan, and rural (noncore) location.
Author(s): Abigail R. Barker, Kelsey Huntzberry, Timothy D. McBride, Keith J. Mueller
Date: 01/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost-Sharing Policies as of January 2017: Findings from a 50-State Survey
Provides a detailed overview of state policies related to Medicaid and CHIP (Children's Health Insurance Program). Covers policies related to eligibility, enrollment, renewal, and cost-sharing, which have undergone significant changes as a result of the Affordable Care Act (ACA). May serve as a baseline against which future policy changes could be measured.
Author(s): Tricia Brooks, Karina Wagnerman, Samantha Artiga, Elizabeth Cornachione, Petry Ubri
Date: 01/2017
Type: Document
Sponsoring organization: Kaiser Family Foundation
view details
Hurricane Response: CMS Waivers and Exceptions for Facilities
Outlines the Centers for Medicare and Medicaid Services' response to Hurricanes Nate, Maria, Irma, and Harvey. The actions are focused on maintaining access to care for affected Medicare and Medicaid beneficiaries. Includes information about administrative actions and waivers for Critical Access Hospitals, Medicare-dependent small rural hospitals, low-volume providers, and other participating facilities.
Date: 2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Three in Ten Rural and Urban Medicaid Recipients May Be Affected by Potential Work Requirements
Identifies work-related activities for rural and urban Medicaid recipients age 19-64, exploring how many Medicaid recipients would potentially be impacted by a work requirement.
Author(s): Andrew Schaefer, Jessica A. Carson
Date: 2017
Type: Document
Sponsoring organization: Carsey School of Public Policy
view details
Findings from the Field: Medicaid Delivery Systems and Access to Care in Four States in Year Three of the ACA
Explores the experiences of four states that participated in Medicaid expansion as part of the Patient Protection and Affordable Care Act (ACA): Colorado, Connecticut, Kentucky, and Washington. Examines what each state is doing to transition from outreach and enrollment activities to improving delivery systems and access to care. Contains rural-specific content and information on how the states are dealing with the expanded Medicaid population.
Date: 09/2016
Type: Document
Sponsoring organization: Kaiser Family Foundation
view details
Update on Medicaid Expansion via 1115 Waivers
A discussion on the current status and trends of Medicaid expansion waivers and premium assistance activity among the states, and the implications for Federally Qualified Health Centers (FQHCs), and to some extent Rural Health Clinics (RHCs). Includes more detailed information on approved provisions occurring in Arizona, Arkansas, Indiana, Iowa, Michigan, Montana, and New Hampshire.
Date: 06/2016
Type: Document
Sponsoring organization: National Association of Community Health Centers
view details
Medicaid Payment and Delivery System Reform: Challenges and Opportunities for Rural Health Systems (Policy Brief)
Proposes recommendations that support integrated and comprehensive primary care delivery, and rural participation in Medicaid value-based payment and delivery system reforms.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 06/2016
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
Medicaid Payment and Delivery System Reform: Challenges and Opportunities for Rural Health Systems
An analysis of the impact of the Affordable Care Act (ACA) on rural Medicaid programs across the U.S. Examines their acceptance of alternate payment models and their applications of delivery system reform. Provides policy recommendations supporting integrated and comprehensive primary care delivery, and rural participation in value-based payment and delivery system reforms.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 06/2016
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
Report to Congress on Medicaid Disproportionate Share Hospital Payments
First annual report on Medicaid Disproportionate Share Hospital (DSH) payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Discusses Medicaid policy, current and future DSH allotments, and data needs. Table B-3 projects FY2018 DSH payments under different scenarios, with data for urban and rural hospitals and for Critical Access Hospitals.
Date: 02/2016
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
The Basics: Medicaid Financing
Provides an overview of Medicaid, the Federal Medical Assistance Percentage (FMAP) formula, matching funds, and Disproportionate Share Hospital (DSH) Payments.
Date: 01/2016
Type: Document
Sponsoring organization: National Health Policy Forum
view details
Rural Medicare Advantage Plan Payment in 2015
Examines how changes to the Medicare Advantage (MA) payment policy formula, which were implemented as part of the Affordable Care Act (ACA), are impacting MA plans and beneficiaries in rural and urban areas.
Author(s): Leah Kemper, Abigail Barker, Timothy McBride, Keith Mueller
Date: 12/2015
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
What Do the Medicare and Medicaid Programs Mean to Rural Health?
On the 50th anniversary of the Medicare and Medicaid programs, five rural health experts share their insights on the impact of these programs in rural America.
Author(s): Alan Morgan, Wayne Myers, Thomas Hoyer, Thomas Ricketts, Keith Mueller
Location: Rural Monitor
Date: 07/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Characteristics of Children in Medicaid Managed Care and Medicaid Fee-for-service, 2003-2005
Examines how children enrolled in Medicaid fee-for-service programs compare to those in comprehensive managed care programs. Includes information on sociodemographic, health, and geographic characteristics. Table 5 provides figures by type of Medicaid program for urban and rural enrollees.
Author(s): Patricia C. Lloyd, Alan E. Simon, Jennifer D. Parker
Date: 06/2015
Type: Document
Sponsoring organization: National Center for Health Statistics
view details
Beneficiaries with Medigap Coverage
Reports on demographics of Medicare beneficiaries with Medigap coverage, including statistics specific to those beneficiaries living in rural areas, highlighting the importance of the Medigap program for rural areas.
Date: 04/2015
Type: Document
Sponsoring organization: AHIP Center for Policy and Research
view details
Acceptance of New Patients With Public and Private Insurance by Office-based Physicians: United States, 2013
Provides data on office-based physicians accepting new patients with Medicaid, Medicare, and private insurance. See Figure 2 for comparison of metropolitan to non-metropolitan acceptance rates by patient payment source. Also includes state-level data.
Author(s): Esther Hing, Sandra L. Decker, Eric Jamoom
Date: 03/2015
Type: Document
Sponsoring organization: National Center for Health Statistics
view details
Investing in Population Health
Profile of a pilot project underway in rural New Mexico focused on population health for Medicaid recipients. Offers communities three levels of patient services and payment. Uses community health workers to address the social determinants of health.
Date: 2015
Type: Document
Sponsoring organization: Rural Health Value
view details
The ACA and Beyond: Public Policy and Marketplace Changes Affecting the Future of Rural Health
Slides from a presentation by Keith Mueller of the Rural Policy Research Institute discussing the changing landscape of rural healthcare. Highlights how changes initiated by the Affordable Care Act (ACA), particularly in the areas of insurance coverage, quality requirements, and payment and system reform, have led to paradigm shifts in rural healthcare service delivery.
Author(s): Keith Mueller
Date: 11/2014
Type: Presentation Slides
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Characteristics, Utilization Patterns, and Expenditures of Rural Dual Eligible Medicare Beneficiaries
Study analyzes the rural-urban differences regarding dual eligible beneficiaries and their race, region of residence, patterns of utilizing health services and Medicare expenditures.
Author(s): Kevin J. Bennett, Ashley S. Robertson, Janice C. Probst
Date: 11/2014
Type: Document
Sponsoring organization: South Carolina Rural Health Research Center
view details
Examining the Potential of Information Technology to Improve Public Insurance Application Processes: Enrollee Assessments from a Concurrent Mixed Method Analysis
Reports on Medicaid and Children's Health Insurance Program (CHIP) beneficiaries' readiness to use technology as part of the application process. Also discusses enrollees' preferences for technology versus face-to-face interaction for different aspects of the application process. Compares responses for rural, small metropolitan, and major metropolitan area enrollees.
Author(s): Abhay Nath Mishra, Patricia Ketsche, James Marton, Angela Snyder, Susan McLaren
Location: JAMIA, 21(6), 1045-52
Date: 11/2014
Type: Document
view details
Characteristics of Medicaid and Uninsured Hospitalizations, 2012
Provides data on hospital stays in 2012 where the payer was Medicaid or the patient was uninsured. Table 2 provides data on rural versus urban hospitals and Table 3 provides data for patients who were residents of rural areas.
Author(s): Lorena Lopez-Gonzalez, Gary T. Pickens, Raynard Washington, Audrey J. Weiss
Date: 10/2014
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
view details
Rural Children Increasingly Rely on Medicaid and State Child Health Insurance Programs for Health Insurance
Focuses on rural-urban differences in coverage and type of health insurance for children. Discusses the Children's Health Insurance Program (CHIP) and includes statistics such as percentage and characteristics of insured and uninsured children, with breakdowns by state, urban or rural location, and Congressional district.
Author(s): William P. O’Hare
Date: 09/2014
Type: Document
Sponsoring organization: First Focus
view details
Community Health Centers: A 2012 Profile and Spotlight on Implications of State Medicaid Expansion Decisions
Offers information on community health centers, which provide access to care for patients in rural and medically underserved areas. Provides a comparison of health centers in Medicaid expansion and non-expansion states, and the percentage of those health centers in rural versus urban locations.
Author(s): Peter Shin, Jessica Sharac, Sara Rosenbaum, Julia Paradise
Date: 09/2014
Type: Document
Sponsoring organization: Kaiser Family Foundation
view details
How Does Medicaid Expansion Affect Insurance Coverage of Rural Populations?
Examines how states’ decisions on Medicaid expansion are impacting rural areas in the United States. Uses population estimates, current status of state expansion, and state-level insurance estimates to answer two primary questions: how is Medicaid expansion affecting rural populations, and how would it differ if every state were to expand Medicaid?
Author(s): Kristie Thompson, Brystana Kaufman, Mark Holmes
Date: 07/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
The Affordable Care Act and Insurance Coverage in Rural Areas
Examines differences in urban and rural populations and health insurance coverage patterns and assesses how ACA coverage reforms will affect rural and metropolitan areas in different ways.
Author(s): Vann Newkirk, Anthony Damico
Date: 05/2014
Type: Document
Sponsoring organization: Kaiser Family Foundation
view details
State Profiles of Medicaid and SCHIP in Rural and Urban Areas
Provides national and state-level data comparing Medicaid enrollment and expenditures in rural and urban counties.
Date: 04/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
The Patient Protection and Affordable Care Act of 2010: Impacts on Rural People, Places, and Providers: A Second Look
Addresses the impact of the Patient Protection and Affordable Care Act on rural communities including the issues of health insurance coverage, Medicare and Medicaid payment, quality and delivery system reform, public health, healthcare workforce, and long-term care.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, A. Clinton MacKinney, et al.
Date: 04/2014
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
Rural Implications of Medicaid Expansion under the Affordable Care Act
Report discusses how ACA Medicaid expansion will meet the distinctive needs of rural residents. Using 2007-2011 Medical Expenditure Panel Survey (MEPS) data and data from state Medicaid policies and primary care providers, this report examines rural-urban differences in patient populations, reviews previous public health insurance programs affecting rural populations, and considers the availability of healthcare access in rural areas.
Author(s): Erika Ziller, Jennifer Lenardson, Andrew Coburn
Date: 02/2014
Type: Document
Sponsoring organization: State Health Access Reform Evaluation
view details
Medicaid Expansion as a Rural Issue: Rural and Urban States and the Expansion Decision
Examines the differences between rural and urban states regarding the decision of whether or not they would expand the Medicaid program as provided for in the Affordable Care Act.
Author(s): Jon M. Bailey
Date: 12/2013
Type: Document
Sponsoring organization: Center for Rural Affairs
view details
Geography and the Medicaid Mental Health Care Infrastructure: Implications for Health Care Reform
Examines the availability of outpatient mental health facilities that accept Medicaid across U.S. counties and whether specific types of communities such as minorities, people living in poverty, and residents of rural areas may be less likely to access these facilities.
Author(s): Janet R. Cummings, Hefei Wen, Michelle Ko, Benjamin G. Druss
Location: JAMA Psychiatry, 70(10), 1084-1090
Date: 10/2013
Type: Document
view details
Examination of the Relative Importance of Hospital Employment in Non-Metropolitan Counties Using Location Quotients
Examines the intensity of hospital employment in rural counties relative to the nation as a whole using location quotients and to draw conclusions regarding how potential changes in Medicare and Medicaid might affect rural populations.
Author(s): J.L. Smith
Location: Rural and Remote Health, 13, 2497
Date: 07/2013
Type: Document
view details
The Medicaid Program at a Glance
An overview of the Medicaid program, the populations that it serves, the services that it covers, and the expanded role it will play under the Affordable Care Act.
Date: 03/2013
Type: Document
Sponsoring organization: Kaiser Family Foundation
view details
Medicaid Handbook: Interface with Behavioral Health Services
Provides a basic understanding of the Medicaid program, specifically emphasizing the interplay between Medicaid principles and the provision of behavioral health services in both rural and urban settings.
Date: 2013
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
view details
Medicare and Medicaid Programs; Electronic Health Record Incentive Program—Stage 2 (Final Rule)
Specifies the Stage 2 criteria that eligible professionals (EPs), eligible hospitals, and Critical Access Hospitals (CAHs) must meet in order to qualify for Medicare and/or Medicaid electronic health record (EHR) incentive payments.
Location: Federal Register, 77(171), 53968-54162
Date: 09/2012
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
The Current and Future Role and Impact of Medicaid in Rural Health
Describes the current Medicaid program and its importance by filling a gap and providing insurance coverage and provider payments for rural people, providers, and communities. Discusses rural implications of program expansion, including whether and how states choose to implement changes.
Author(s): Keith J. Mueller, Andrew F. Coburn, Jennifer P. Lundblad, et al.
Date: 09/2012
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
Medicaid Reform: A Rural Perspective
Policy brief providing an overview of rural issues related to Medicaid reform. Identifies key principles related to rural America that should be considered for any state or federal Medicaid reform effort.
Date: 09/2012
Type: Document
Sponsoring organization: National Rural Health Association
view details
Medicaid and Rural America
Explains the different Medicaid programs and their importance to rural citizens. Describes Medicaid expansion under the Affordable Care Act.
Author(s): Jon Bailey
Date: 02/2012
Type: Document
Sponsoring organization: Center for Rural Affairs
view details
A Costly Dental Destination: Hospital Care Means States Pay Dearly
Discusses dental-related hospital visits which are fueled by the difficulty that disadvantaged people have getting regular preventive care from dentists and other types of providers. Discusses access to preventive care, Medicaid-enrolled children who do not receive dental care—not even a routine exam, a shortage of dentists in many areas of the U.S., and the fact that many dentists do not accept Medicaid-enrolled children.
Date: 02/2012
Type: Document
Sponsoring organization: Pew Charitable Trusts
view details
Modernizing Rural Health Care: Coverage, Quality and Innovation
Examines health needs of rural populations, and how well the health care system addresses them. Presents new data on rural care quality; on the views of people living in rural areas; rural networks; rural telemedicine; and what their physicians see as the major challenges to overcome. This is the sixth in a series of working papers by UnitedHealth Group focusing on health reform topics.
Date: 07/2011
Type: Document
Sponsoring organization: UnitedHealth Center for Health Reform and Modernization
view details
Ensuring Access to Care in Medicaid Under Health Reform
Examines the key issues raised in a December 2010 roundtable discussion of federal and state officials and experts convened by the Kaiser Commission on Medicaid and the Uninsured to examine important issues related to ensuring access to care in Medicaid under the Patient Protection and Affordable Care Act (ACA).
Date: 05/2011
Type: Document
Sponsoring organization: Kaiser Commission on Medicaid and the Uninsured
view details
The Patient Protection and Affordable Care Act of 2010: Impacts on Rural People, Places, and Providers: A First Look
Summarizes six issue areas of the Affordable Care Act (ACA) and discusses implications for access to services and improving the health status of rural residents. These issue areas are: health insurance coverage; Medicare and Medicaid payment; quality, financing, and delivery system reform; public health; healthcare workforce; and long-term care.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, A. Clinton MacKinney, Timothy D. McBride, Keith J. Mueller
Date: 09/2010
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
Systems of Care: Environmental Scan of Medicaid-Funded Long-Term Supports and Services
Part of the Medicaid Continuum of Care series, developed to help state and federal policymakers identify strategies for addressing clinical and long-term supports and services needs of Medicaid beneficiaries. Provides an overview of the current status of the publicly funded long-term care delivery system. Discusses rural vs. urban infrastructure.
Author(s): Gretchen Engquist, Cyndy Johnson, William Courtland Johnson
Date: 05/2010
Type: Document
Sponsoring organization: Center for Health Care Strategies
view details
Medicaid-Funded Long-Term Supports and Services: Snapshots of Innovation
Identifies high-quality and cost-effective strategies for urban and rural areas when addressing the full range of clinical and long-term supports and services needs of Medicaid beneficiaries. Mentions reimbursement issues for Telehealth services in rural areas.
Author(s): Gretchen Engquist, Cyndy Johnson, William Courtland Johnson
Date: 05/2010
Type: Document
Sponsoring organization: Center for Health Care Strategies
view details
Medicaid-Funded Long-Term Care: Toward More Home-and Community-Based Options
Outlines initial federal policy suggestions for reforming the nation’s Medicaid-funded LTSS system.
Author(s): Gretchen Engquist, Cyndy Johnson, Alice Lind, Lindsay Palmer Barnette,
Date: 05/2010
Type: Document
Sponsoring organization: Center for Health Care Strategies
view details
Medicaid and Its Importance to Rural Health
Presents an overview of the impact that Medicaid has on rural health. Covers the role of Medicaid in rural areas as a source of health insurance, as a revenue source for rural providers, and as a contributor to the community by supporting its health care system and local economy.
Author(s): Keith J. Mueller, Andrew F. Coburn, A. Clinton MacKinney, et al.
Date: 05/2006
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
CMS: Rural Health
Provides information about the Centers for Medicare and Medicaid Services' (CMS) rural health initiatives, including the CMS Rural Health Council. Also provides links to rural-specific resources, publications, and reports.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Medicaid and American Indians and Alaska Natives
Provides an overview of the relationship between Medicaid coverage and American Indian and Alaska Native (AI/AN) populations. Analyzes the impacts of Medicaid expansion under the Affordable Care Act for AI/AN populations. Appendix shows state-specific changes in health coverage for AI/AN populations between 2013 and 2015.
Type: Document
Sponsoring organization: Kaiser Family Foundation
view details
Health Care Innovation Awards (HCIA)
Overview of a CMS demonstration to test a wide range of innovative projects to deliver better health, improved care, and lower costs via Medicare, Medicaid and the Children’s Health Insurance Program (CHIP), particularly for beneficiaries with the highest healthcare needs. Includes projects that serve rural populations.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
CMS Data Navigator
Interactive tool for identifying Centers for Medicare and Medicaid Services (CMS) data and information resources. Sources can be narrowed by the geographic level available, including state, county, hospital referral region, and more. Sources can also be viewed by CMS program, topic, setting of care, and resource type. Includes publicly available and restricted use data files.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Integrating Physical and Behavioral Health Care in Medicaid Toolkit
Examines resources to integrate care for Medicaid beneficiaries with physical and co-occurring mental illness and/or substance abuse conditions. Includes policy-related materials, hands-on tools, and templates, as well as resources to help guide state efforts in implementing integrated approaches.
Type: Website
Sponsoring organization: Center for Health Care Strategies
view details
State Health Facts: Status of State Action on the Medicaid Expansion Decision
Presents a state-by-state summary of the latest legislative activity regarding Medicaid Expansion.
Type: Website
Sponsoring organization: Kaiser Family Foundation
view details
Economic Impact: Tools and Templates
Access tools and templates for studying the economic impact, in rural areas, of FQHCs, Critical Access Hospitals, different health care providers, the social service sector, Medicaid, medical schools, and telemedicine.
Type: Website
Sponsoring organization: National Center for Rural Health Works
view details
CMS Regional Office Rural Health Coordinators
Contains a list of CMS regional rural health coordinators who provide technical, policy, and operational assistance on rural health issues.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Integrated Care Resource Center
Helps States learn about best practices for delivering coordinated health care to Medicaid’s high-need, high-cost beneficiaries. The resource center is a joint technical assistance project of the Centers for Medicare & Medicaid Services (CMS) Medicare-Medicaid Coordination Office and the Center for Medicaid, CHIP, and Survey & Certification (CMCS).
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
PubMed Search: Medicaid and Rural Health
Searches PubMed's collection of journal article citations on the topic of Medicaid and rural health.
Type: Literature Search
Sponsoring organization: National Library of Medicine
view details
EPSDT & Title V Collaboration to Improve Child Health
Early Periodic Screening, Diagnosis, and Treatment (EPSDT) is the child health component of Medicaid, which finances pediatric services. Describes how EPSDT works with public health, families, managed care organizations, pediatricians, and other health providers.
Type: Website
Sponsoring organization: Health Resources and Services Administration
view details
CMS Regional Offices
Provides contact information for the CMS Regional Representatives serving 10 regions across the United States.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
State Health Facts: Medicaid Benefits
Presents state-by-state information on Medicaid benefits, searchable by state, benefit, and type of health care provider. Lists coverage for various services including dental, mental, and public health, Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and long-term care services.
Type: Database
Sponsoring organization: Kaiser Family Foundation
view details
Children's Health Insurance Program (CHIP)
Provides health and dental coverage to eligible children, through both Medicaid and CHIP programs. Program is administered by states, according to federal requirements, and funded jointly by states and the federal government.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
State Health Facts
Contains state-level data on demographics, health status, healthcare costs and access, healthcare providers, and more. Individual state profiles and 50-state comparisons.
Type: Database
Sponsoring organization: Kaiser Family Foundation
view details
Medicare & Medicaid Research Review (MMRR)
Peer-reviewed, online journal published from 2011 through 2014. Reported data and research on Medicare, Medicaid, and the Children's Health Insurance programs. Examined and evaluated health care coverage, quality and access to care for beneficiaries, and payment for health services.
Type: Journal/Newsletter
Sponsoring organization: Centers for Medicare and Medicaid Services
view details

Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 12/11/2017