How are Rural Health Clinics Serving Pediatric and Obstetrical Medicaid Populations?
This mixed methods study will examine the extent to which independent and provider-based services are serving pediatric and obstetrical patients covered by state Medicaid Programs. Using Medicaid Claims and brief qualitative interviews with 9 to 12 Rural Health Clinics (RHCs) that specifically provide pediatric or obstetrical patient services, we will address the following research questions:
- To what extent are RHCs providing pediatric and obstetrical services to patients enrolled in state Medicaid programs? Are there variations across states?
- What diagnoses are most common for Medicaid pediatric and obstetrical patients using RHCs?
- Are there differences in the extent to which provider-based and independent RHCs serve Medicaid pediatric and obstetrical services? Are there differences across the rural continuum and/or census regions? Are there differences in the extent to which RHCs serve pediatric and obstetrical services in Medicaid expansion vs. non-expansion states?
- What are the Medicaid rates and reimbursement and coverage policies for pediatric and obstetrical services provided by RHCs?
- What are the challenges and operational considerations encountered by RHCs providing pediatric and obstetrical services?