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Other Center Medicaid Publications

States’ Use of Cost-Based Reimbursement for Medicaid Services at Critical Access Hospitals (2010)

Characteristics of Rural & Urban Children Who Qualify For Medicaid or CHIP But Are Not Enrolled (2009)

Medicaid & CHIP Participation Among Rural & Urban Children (2009)

Premium Assistance Programs for Low Income Families: How Well Does it Work in Rural Areas? (2006)

Rural and Urban Parents Report on Access to Health Care for their Children with Medicaid Managed Care (2005)

The Impact of Medicaid Cuts
on Rural Communities

The Impact of The Medicaid Budgetary Crisis on Rural Communities (2003)

Tracking Medicaid Managed Care in Rural Communities: A 50-State Follow Up (2002)*

The Effect of Medicaid Managed Care on Rural Public Health Departments (1999)

Medicaid Managed Care in Rural Areas: A Ten-State Follow-Up Study (1999)*

Medicaid Managed Care Programs in Rural Areas: A Fifty State Overview (1998)*

The Experience and Consequences of Medicaid Managed Care for Rural Populations (1997)

Reprints of the following journal article are available upon request:

Slifkin RT, Silberman P, Reif S
. The Effect of Medicaid Managed Care on Rural Public Health Departments. Journal of Rural Health. Summer 2001;17(3):187-196.
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Medicaid and the Children's Health Insurance Program (CHIP) are important programs for rural communities. Nationally, Medicaid provides health insurance to a larger share of the population in rural areas than in urban areas. These programs are also critical sources of income for rural health care providers and contribute to economic development in rural communities. While there are many resources on Medicaid and CHIP that provide important information to policymakers, advocates, researchers, and others, state-specific information on characteristics of Medicaid and CHIP in rural areas is hard to find. The State Profiles of Medicaid and CHIP in Rural and Urban Areas on this web site were developed to address this information gap.

The State Profiles summarize data from a range of sources on Medicaid and CHIP with an emphasis on program characteristics relevant to rural areas. To obtain information on enrollment and expenditures in rural areas, individual state web sites were searched for administrative data by county. Where available, data are presented aggregated by metropolitan and nonmetropolitan counties and links to county-level data are provided. The Background Information and National Summary Tables document, below, contains select data for each state aggregated by subject into national tables. A complete description of the more detailed information contained in each State Profile can be found in the User’s Guide.

Full Report (223 pages, 1.3 MB)

Background Information and National Summary Tables

User's Guide

Other Medicaid Resources

Individual State Profiles



*Copyrighted and published by Project HOPE/Health Affairs as:
• Silberman S, Poley S, James K, Slifkin R. Tracking Medicaid ManagedCare In Rural Communities: A Fifty-State Follow-Up. Health Affairs, 21(4): 255-263, July/August 2002.
• Felt-Lisk S, Silberman P, Hoag S, Slifkin R. Medicaid Managed Care In Rural Areas: A Ten-State Follow-Up Study. Health Affairs, 18(2): 238-245, March/April 1999.
• Slifkin RT, Hoag SD, Silberman P, Felt-Lisk S, Popkin B. Medicaid Managed Care Programs In Rural Areas: A Fifty-State Overview. Health Affairs, 17(6): 217-227, November/December 1998.

The published articles are archived and available online at

Last updated: August 31, 2009

State Medicaid Guide Website © North Carolina Rural Health Research & Policy Analysis Center, 2007.

North Carolina Rural Health Research & Policy Analysis Center | University of North Carolina at Chapel Hill
725 Martin Luther King Jr. Blvd, Campus Box 7590 | Chapel HIll, NC 27516 | (919) 966-5541 | (919) 966-5764 fax