Arkansas has a higher percentage — 65% — of children in rural areas enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) than any other state, according to an analysis by the Georgetown University Center for Children and Families.
The center has developed a series of interactive maps showing rates of Medicaid coverage for non-elderly adults and children by county, based on data from the U.S. Census Bureau’s American Community Survey. Nationally, data compiled by the center show that Medicaid/CHIP) coverage rates as of 2020-21 were higher in rural areas compared to urban areas for both children and non-elderly adults. Regionally, Southern and Southwestern states have the highest Medicaid/CHIP coverage rates for both children and non-elderly adults.
Key Arkansas Findings From the Analysis
- In urban counties (population of 50,000 or more):
- Half of all children (50%) are covered by Medicaid/CHIP.
- Fewer than 1 in 5 non-elderly adults (17%) are covered by Medicaid.
- In rural counties (population under 50,000):
- Sixty-five percent of children — more than in any other state — are covered by Medicaid/CHIP.
- Nearly a quarter (24%) of non-elderly adults are covered by Medicaid.
- Urban-versus-rural comparison:
- Children’s Medicaid/CHIP coverage ranges from a low of 40% in Benton and Saline counties to a high of 74% in Jackson County — the greatest disparity of any state.
Jackson County is in the top 20 rural counties nationally for Medicaid/CHIP coverage of children. The county in Arkansas with the second-highest Medicaid/CHIP coverage rate for children is Woodruff with 72%. Medicaid/CHIP covers 70% percent of children in Chicot, Crittenden, Phillips, and Stone counties.
