Natalia Oster, MPH, PhD
WWAMI Rural Health Research Center
Phone: 206.898.4389
Email: nvoster@uw.edu
Department of Family Medicine
University of Washington
1959 NE Pacific Street
Box 354982
Seattle, WA 98195
- Current Projects - (1)
- Publications - (7)
Current Projects - (1)
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Marriage and Family Therapist and Mental Health Counselor Training Programs
This study will examine the national geographic distribution of marriage and family therapists and mental health counselors training programs, characterize variation in state training requirements, and assess the extent to which programs incorporate rural-specific curricula or clinical rotations.
Research center: WWAMI Rural Health Research Center
Topics: Healthcare access, Medicare, Mental and behavioral health, Workforce
Publications - (7)
2026
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Expanding and Sustaining Rural Clinical Education: Perspectives From Health Professions Education Leaders
Policy Brief
WWAMI Rural Health Research Center
Date: 06/2026
This qualitative study explores strategies to sustain and expand rural clinical education, drawing on interviews with 21 rural clinical education leaders from organizations that support health professions education in rural and underserved communities. -
Marriage and Family Therapist and Mental Health Counselor Workforces in Rural America Under New Medicare Reimbursement Policy
Policy Brief
WWAMI Rural Health Research Center
Date: 06/2026
Medicare began allowing marriage and family therapists (MFTs) and mental health counselors (MHCs) to independently bill for services in January 2024. This study examines changes in the MFT and MHC workforces across rural and urban counties before and after this policy change. -
Access to and Provision of Child and Youth Behavioral Health Services in the Rural and Urban U.S.
Report
WWAMI Rural Health Research Center
Date: 05/2026
This report brings together findings from nine briefs and reports on youth behavioral health in the rural U.S., describing the prevalence of behavioral health conditions among youth, the youth behavioral health workforce, the behavioral health licensure and reimbursement policy landscape, and the provision of youth behavioral health services. -
How Do Changes in Medicare Reimbursement for Mental Health Services Impact Access for Rural Older Adults?
Journal Article
WWAMI Rural Health Research Center
Date: 05/2026
In January 2024, new reimbursement policies took effect, allowing marriage and family therapists and mental health counselors to independently bill Medicare for diagnostic and mental health treatment services. This study sought to understand the impact of these policies.
2025
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Interstate Occupational Licensure Arrangements to Expand Access to Behavioral Health Services
Policy Brief
WWAMI Rural Health Research Center
Date: 07/2025
To increase the availability of behavioral health care, some states are utilizing streamlined licensure pathways for clinicians who wish to practice across state lines. This policy brief describes state-based provisions to expand behavioral health services through interstate licensure arrangements for various behavioral health professions. -
Federal and State Reimbursement for Youth Behavioral Health Services
Report
WWAMI Rural Health Research Center
Date: 04/2025
Medicaid is an important source of health care coverage for children and youth in rural areas. This policy brief details the state and federal policies that impact access to behavioral health care services for youth in rural areas, including Medicaid reimbursement policies in all 50 states and the District of Columbia.
2024
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Palliative Care Challenges and Solutions in Rural U.S. Communities
Policy Brief
WWAMI Rural Health Research Center
Date: 09/2024
This study describes palliative care in rural communities.