Rates of Telemental Health Use among Rural Medicaid Enrollees: Associations with Telehealth Policy and Mental Health Access
This study will use data from the 2011 Medicaid Analytic Extract (MAX) - a 20% random sample, stratified by state. Dependent variables will include type of telemental health service, telemental health user status, and number of telemental health claims per 100 target population members per year. Primary explanatory variables will include telehealth policies (e.g., provision of facility fee; restrictions on provision of services by out-of-state providers) and rurality. Covariates in multivariate models will include beneficiary characteristics such as age, gender, race, and severity of mental health diagnosis, as well as effects of state. Analyses will determine whether the relationships between telehealth policies and use rates differed depending on whether beneficiaries lived in rural versus urban areas.