This mixed methods study examined 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, researchers addressed the following research questions:

1. To what extent are RHCs providing pediatric and obstetrical services to patients enrolled in state Medicaid programs? Are there variations across states?
2. What diagnoses are most common for Medicaid pediatric and obstetrical patients using RHCs?
3. 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?
4. What are the Medicaid rates and reimbursement and coverage policies for pediatric and obstetrical services provided by RHCs?
5. What are the challenges and operational considerations encountered by RHCs providing pediatric and obstetrical services?

Publications

• Identifying Rural Health Clinics Within the Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files
  Policy Brief
  Maine Rural Health Research Center
  Date: 03/2024
  This brief describes a methodology for identifying Rural Health Clinic encounters within the Medicaid claims data using Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files.
• Pediatric and Pregnancy-related Visits at Rural Health Clinics in 2018 Among Medicaid/CHIP Enrollees in 20 States
  Policy Brief
  Maine Rural Health Research Center
  Date: 09/2024
  This policy brief reports on the percentage of Medicaid-enrolled children and reproductive age women with pregnancy-related service use who visited a Rural Health Clinic in 2018 in 20 states.