[영문]Objectives. This study examines whether Alabama’s Medicaid family planningdemonstration program reaches a different segment of the population than thehealth department-based Title X family planning program, whether service userates differ across clients using care within and outside of the Title X providersystem, and whether additional risk assessment and care coordination servicesprovided by health department personnel increase the likelihood that familyplanning clients return for follow-up visits over time.Methods. Administrative data from four years of operation of the programwere used to examine characteristics of the clientele, differences in servicesused across provider types included in the program, and the impact of riskassessments and care coordination on return visit rates.Results. The number of family planning service users increased dramaticallyover the four-year period, but were more similar demographically to Title Xclients than to Medicaid maternity clients. Growth was greatest among clientsof non-Title X providers. Newly covered services, including risk assessmentsand care coordination, were available mostly to Title X clients, and theseservices were associated with a greater likelihood that clients returned for carein subsequent years.Conclusion. Expanded provider networks can increase the number of lowincome women using family planning services while risk assessment andcare coordination can improve the effectiveness of these services. However,enhanced services may not be equally available across provider systems.Additional outreach efforts are needed to reach women eligible for publiclysupported family planning services who are not currently using these services.