January 13, 2026

Uneven Access: How Rurality and State Policies Shaped Telehealth Provision to Medicaid Enrollees, 2020-2021

In rural areas, providers and Medicaid enrollees may face additional barriers in providing or accessing telehealth, even within states that have adopted supportive telehealth policies. This is particularly the case during a public health emergency such as COVID-19.

This article offers one of the earliest estimates of telehealth provision to pregnant Medicaid enrollees during COVID-19, and discusses the importance of stable financing and regulatory frameworks to ensure continued access to telehealth for this population, especially in regions facing potential provider shortages and declining enrollment.

Don’t have access to the full text? Email Mandar Bodas, (mvbodas@gwu.edu), to request a pdf version.

 

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