Table 1.

Items within each barrier domain

PATIENT-LEVEL FACTORS	PROVIDER-LEVEL FACTORS	SYSTEM-LEVEL FACTORS
Family/work barriers Family or work responsibilities Availability of childcare	Provider-related barriers Providers do not speak language Providers do not understand culture Providers do not understand religious beliefs Providers are not trustworthy Provider office is not welcoming Perceived discrimination Unfair treatment due to gender Unfair treatment due to ability to pay Unfair treatment due to being enrolled in MCHP Unfair treatment due to race/ethnicity/nationality	Coverage barriers Not sure if dropped from MHCP program Do not know what health plan covers Do not know where to go for questions Financial barriers Worry pay more than expect Worry pay more than can afford Worry insurance won’t cover care Worry medication will cost too much Access barriers Cannot get appointment Do not know where to go Transportation problems Cannot see preferred provider Inconvenient office hours