Rural Health Research Gateway

Medicaid and S-CHIP

Completed Projects

Access to Health Care for Young Rural Medicaid Beneficiaries
Research center: North Carolina Rural Health Research and Policy Analysis Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Dental health, Health services, Medicaid and S-CHIP
This study examined access to health care among rural children ages 0-17 who are enrolled in some type of Medicaid managed care program, and will compare this access across types of programs and, within program type, to that of urban beneficiaries.

Analytic Capacity to Respond to Changes in Medicare and Medicaid, Data Assistance to Policy Staff at the Federal Office of Rural Health Policy, and Production of Short Policy Briefs
Research center: North Carolina Rural Health Research and Policy Analysis Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Health policy, Legislation and regulation, Medicaid and S-CHIP, Medicare
This project will produce short policy briefs on a variety of topics related to proposed and enacted changes in Medicare and Medicaid, as requested by policy staff at the federal Office of Rural Health Policy.

Assessing the Impact of Transfer of Pharmacy Services for Dual Eligible Beneficiaries to Medicare Part D
Research center: North Carolina Rural Health Research and Policy Analysis Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Medicaid and S-CHIP, Medicare Part D, Pharmacy and prescription drugs
This project will focus on the implementation of the new Part D benefit for those dually eligible for Medicare and Medicaid. The study will examine the impact on rural dual eligibles and their local pharmacies of the transfer to Part D coverage. The project is a joint undertaking with the RUPRI Center, taking advantage of unique data sets held at each center, the analytical and programming resources of both centers, and the ability to conduct qualitative analysis in multiple states efficiently.

Chronic Disease Management in Rural Areas: Examination of Medicare and Medicaid Managed Care Programs
Research center: Southwest Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Chronic diseases and conditions, Medicaid and S-CHIP, Medicare
The goal of this project was to advance knowledge of the use of DM to address chronic conditions among rural populations, analyzing information from participating health plans and providers about special challenges and effective strategies in DM initiatives targeting rural populations.

Demand for Medical Services among Previously Uninsured Children: The Role of Rurality
Research center: South Carolina Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Health insurance and the uninsured, Medicaid and S-CHIP

Impact of Medicaid Managed Care, Race/Ethnicity, and Rural/Urban Residence on Avoidable Maternity Complications: A Five-State Multi-level Analysis
Research center: South Carolina Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Maternal and child health, Medicaid and S-CHIP, Minority health, Women
This project will examine differences in access to care for pregnant women enrolled in Medicaid Managed Care (MMC) and Medicaid fee-for-service, and examine differences in the impact of MMC on access among rural and minority persons.

Impact of The Medicaid Budget Crisis on Rural Communities: A 50-State Survey
Research center: North Carolina Rural Health Research and Policy Analysis Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Health policy, Medicaid and S-CHIP
The impact of the Medicaid budgetary crisis on rural communities across the US will be assessed through a 50-state survey of state Medicaid agencies, state Offices of Rural Health and state rural health associations.

Locally Managed Behavioral Health Organizations: How Do They Affect The Capacity of Medicaid Managed Behavioral Health Programs to Serve Rural Populations?
Research center: Maine Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Medicaid and S-CHIP, Mental health, Networking and collaboration

Medicaid Budget Cuts and Long-Term Care Supplement
Research center: Southwest Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, Disabilities, Health policy, Long term care, Medicaid and S-CHIP
Data on each state will be collected identifying all the changes made to their Medicaid program in the area of long-term care or related services to the frail elderly and disabled, and a policy paper addressing the impact of Medicaid cuts on long term care services, particularly among the elderly in rural areas, will be produced.

Medicaid Budget Cuts: Effects on Rural Nursing Homes and Rural Elderly and Disabled
Research center: Southwest Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, Disabilities, Long term care, Medicaid and S-CHIP
This project will investigate whether nursing home quality and access to nursing home care have eroded in rural areas as a result of changes in Medicare payments or reductions in Medicaid nursing home payments from 2000-2003.

Medicaid Managed Care in Rural Areas: Innovative Case Management Strategies
Research center: North Carolina Rural Health Research and Policy Analysis Center
Funder: Office of Rural Health Policy (ORHP)
Topic: Medicaid and S-CHIP

Medicaid Managed Care in Rural Areas: The Minnesota County-Based Purchasing Program
Research center: Minnesota Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topic: Medicaid and S-CHIP

National Study of Rural Medicaid Disease Management
Research center: ORHP-funded Individual Grantees
Funder: Office of Rural Health Policy (ORHP)
Topics: Chronic diseases and conditions, Medicaid and S-CHIP
This project will identify those states with Medicaid disease management (DM) programs that serve clients in rural areas; analyze the characteristics of the rural DM programs, and identify benefits, challenges and issues for Medicaid programs providing DM services in rural areas.

State Child Health Insurance Program (S-CHIP) and Access to Medical Transportation Program Services
Research center: Southwest Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Medicaid and S-CHIP
This project created a typology of S-CHIP models and the interface between each and the existing Medical Transportation Program (MTP) available to Medicaid recipients in select states. In addition, the project compared rural and non-rural variances in patterns of utilization of MTP service in S-CHIP programs, identified the strengths and weaknesses of the various approaches utilized by the different state MTP models, and compared the performance of the various state models in assuring access to covered medical services and identified barriers to S-CHIP services.

State Facts about Medicaid: Rural Specific Data
Research center: North Carolina Rural Health Research and Policy Analysis Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Medicaid and S-CHIP, Rural statistics and demographics
This project will develop state-specific fact sheets which will include information on the groups covered (and income eligibility), structure of the state’s SCHIP program, services covered, delivery system, some provider payment information for certain safety net providers, and percentage of the state’s rural and urban population that are enrolled in Medicaid. Additional information comparing urban and rural areas of the state will be provided, when available. The rural and urban comparisons will include total numbers of Medicaid recipients, Medicaid expenditures, and enrollment in different types of managed care plans.

Tracking the Implementation of Medicaid Managed Care in Rural Areas
Research center: North Carolina Rural Health Research and Policy Analysis Center
Funder: Office of Rural Health Policy (ORHP)
Topic: Medicaid and S-CHIP

Urban and Rural Differences in Utilization Patterns, Risk Factors and Expenditures of the Dually Eligible Elderly and Non-Elderly Persons with Disabilities
Research center: Maine Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Aging, Disabilities, Medicaid and S-CHIP, Medicare


Related Topics

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