Rural Health
Resources by Topic: Access
Marriage and Family Therapist and Mental Health Counselor Workforces in Rural America Under New Medicare Reimbursement Policy
Describes how Medicare reimbursement expanded to cover marriage and family therapists (MFTs) and mental health counselors (MHCs) in January 2024. Examines the change in Medicare-enrolled MFTs and MHCs between the third quarter (Q3) of 2023 and fourth quarter (Q4) of 2024. Presents findings from semi-structured interviews with rural health system and mental health organization leaders regarding practice arrangements, the perceived impacts of MFT and MHC reimbursement, barriers to serving rural Medicare beneficiaries, and considerations for future policies.
Author(s): Janessa M. Graves, Natalia V. Oster, Lisa A. Garberson, Davis G. Patterson, C. Holly A. Andrilla
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
view details
Describes how Medicare reimbursement expanded to cover marriage and family therapists (MFTs) and mental health counselors (MHCs) in January 2024. Examines the change in Medicare-enrolled MFTs and MHCs between the third quarter (Q3) of 2023 and fourth quarter (Q4) of 2024. Presents findings from semi-structured interviews with rural health system and mental health organization leaders regarding practice arrangements, the perceived impacts of MFT and MHC reimbursement, barriers to serving rural Medicare beneficiaries, and considerations for future policies.
Author(s): Janessa M. Graves, Natalia V. Oster, Lisa A. Garberson, Davis G. Patterson, C. Holly A. Andrilla
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
view details
Medicaid Home- and Community-Based Services Rebalancing Is Concentrated in Large Urban Areas
Compares rural and urban utilization of home and community-based services among Medicaid long-term services and supports users, using 2022 Transformed Medicaid Statistical Information System data sourced through an ATI Advisory LTSS user dashboard. Analyzes rural-urban disparities in access by level of rurality and by state.
Author(s): Emmaline Keesee, Laura M. Keohane
Citation: The Journal of the Post-Acute and Long-Term Care Medical Association, 27(6), 106208
Date: 06/2026
view details
Compares rural and urban utilization of home and community-based services among Medicaid long-term services and supports users, using 2022 Transformed Medicaid Statistical Information System data sourced through an ATI Advisory LTSS user dashboard. Analyzes rural-urban disparities in access by level of rurality and by state.
Author(s): Emmaline Keesee, Laura M. Keohane
Citation: The Journal of the Post-Acute and Long-Term Care Medical Association, 27(6), 106208
Date: 06/2026
view details
Impact and Opportunities for Certified Community Behavioral Health Clinics in Rural Communities
Examines ways in which Certified Community Behavioral Health Clinics (CCBHCs) are improving access to and quality of care in rural areas. Highlights opportunities and strategies for CCBHCs to fill service gaps in rural areas and to meet or exceed program requirements.
Author(s): Renee Boak
Date: 06/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
view details
Examines ways in which Certified Community Behavioral Health Clinics (CCBHCs) are improving access to and quality of care in rural areas. Highlights opportunities and strategies for CCBHCs to fill service gaps in rural areas and to meet or exceed program requirements.
Author(s): Renee Boak
Date: 06/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
view details
Pursuing Cultural Competence in Rural Mental Health
Offers best practices for mental health practitioners treating patients in rural communities, particularly through telehealth. Discusses rural culture and stereotypes, patient and provider trust, access to resources, broadband access, and provider burnout.
Author(s): Ashley Abramson
Citation: Monitor on Psychology, 57(4), 74
Date: 06/2026
view details
Offers best practices for mental health practitioners treating patients in rural communities, particularly through telehealth. Discusses rural culture and stereotypes, patient and provider trust, access to resources, broadband access, and provider burnout.
Author(s): Ashley Abramson
Citation: Monitor on Psychology, 57(4), 74
Date: 06/2026
view details
Rural‐Urban and Racial‐Ethnic Differences in Tele‐Behavioral Health Access for Medicaid Beneficiaries
Examines how rural versus urban and racial and ethnic tele-behavioral health access varied before and during the early COVID-19 pandemic in New Mexico, using March 2019-March 2021 Medicaid claims data. Includes data comparisons of telehealth and in-person visits by demographic group, type of behavioral health service received, and level of broadband connectivity.
Author(s): Margaret Greenwood-Ericksen, Mohammed Quazi, Chloe Slator, et al.
Citation: Journal of Rural Health, 42(2), e70155
Date: 05/2026
view details
Examines how rural versus urban and racial and ethnic tele-behavioral health access varied before and during the early COVID-19 pandemic in New Mexico, using March 2019-March 2021 Medicaid claims data. Includes data comparisons of telehealth and in-person visits by demographic group, type of behavioral health service received, and level of broadband connectivity.
Author(s): Margaret Greenwood-Ericksen, Mohammed Quazi, Chloe Slator, et al.
Citation: Journal of Rural Health, 42(2), e70155
Date: 05/2026
view details
Increasing Colorectal Cancer Screening among Alaska Native Peoples Living in Remote Areas of Alaska: A Multitarget Stool DNA Cluster Randomized Controlled Trial
Presents a study evaluating the efficacy of different colorectal cancer screening (CRC) outreach approaches to address high CRC rates among Alaska Native communities in remote areas of Alaska. Compares the outcomes of high-intensity outreach and medium-intensity outreach on patients' likelihood of participating in a CRC screening either by multi-target stool DNA (mt-sDNA) or colonoscopy.
Author(s): Diana Redwood, Christie Flanagan, Lauren Jeffries, et al.
Citation: BMC Primary Care, 27(1), 303
Date: 05/2026
view details
Presents a study evaluating the efficacy of different colorectal cancer screening (CRC) outreach approaches to address high CRC rates among Alaska Native communities in remote areas of Alaska. Compares the outcomes of high-intensity outreach and medium-intensity outreach on patients' likelihood of participating in a CRC screening either by multi-target stool DNA (mt-sDNA) or colonoscopy.
Author(s): Diana Redwood, Christie Flanagan, Lauren Jeffries, et al.
Citation: BMC Primary Care, 27(1), 303
Date: 05/2026
view details
A Pilot Evaluation of a Telemedicine Pharmacist-Physician Management Model to Increase Access to Medication for Alcohol and Opioid Use Disorders for Rural Veterans
Explores the efficacy of a pilot project connecting rural veterans with alcohol and opioid use disorder to evidence-based treatment via a telehealth-based pharmacist-physician management model (PPMM). Program was administered by six Veterans Health Administration (VHA) primary care community-based outpatient clinics (CBOCs). Breaks down data by participant age, sex, substances used, and mental health disorders, among other measures.
Author(s): Amy J. Kennedy, Madeline C. Frost, Carol A. Malte, et al.
Citation: Journal of Rural Health, 42(2), e70158
Date: 05/2026
view details
Explores the efficacy of a pilot project connecting rural veterans with alcohol and opioid use disorder to evidence-based treatment via a telehealth-based pharmacist-physician management model (PPMM). Program was administered by six Veterans Health Administration (VHA) primary care community-based outpatient clinics (CBOCs). Breaks down data by participant age, sex, substances used, and mental health disorders, among other measures.
Author(s): Amy J. Kennedy, Madeline C. Frost, Carol A. Malte, et al.
Citation: Journal of Rural Health, 42(2), e70158
Date: 05/2026
view details
"If I Have Any Problems, I Just Want to See My [Primary Care] Doctor": Perspectives on a Proposed Collaborative RUral PALliative Care Intervention (RuPal)
Explores perspectives on a proposed palliative care intervention among 26 heart failure patients, caregivers, and primary care providers in rural Maine. Discusses perspectives on trust in primary care versus specialist-delivered palliative care and facilitators of effective palliative care collaborations.
Author(s): Eric C. Anderson, Susan DeSanto-Madeya, Nicole Hudak, et al.
Citation: BMC Palliative Care, 25, 199
Date: 05/2026
view details
Explores perspectives on a proposed palliative care intervention among 26 heart failure patients, caregivers, and primary care providers in rural Maine. Discusses perspectives on trust in primary care versus specialist-delivered palliative care and facilitators of effective palliative care collaborations.
Author(s): Eric C. Anderson, Susan DeSanto-Madeya, Nicole Hudak, et al.
Citation: BMC Palliative Care, 25, 199
Date: 05/2026
view details
From Conversation to Completion: Identifying Conversation Elements to Support Effective Shared Decision-Making for Lung Cancer Screening in Rural Primary Care
Evaluates how aspects of the shared decision-making (SDM) process influence lung cancer screening behaviors and attitudes among rural adults via a survey of 173 rural Appalachian West Virginians. Discusses information sources, provider conversation elements, topics discussed, practical considerations, and more.
Author(s): Dannell Boatman, Bethany Barone Gibbs, Lesley Cottrell, et al.
Citation: BMC Primary Care, 27, 255
Date: 05/2026
view details
Evaluates how aspects of the shared decision-making (SDM) process influence lung cancer screening behaviors and attitudes among rural adults via a survey of 173 rural Appalachian West Virginians. Discusses information sources, provider conversation elements, topics discussed, practical considerations, and more.
Author(s): Dannell Boatman, Bethany Barone Gibbs, Lesley Cottrell, et al.
Citation: BMC Primary Care, 27, 255
Date: 05/2026
view details
Nurse-Led Mobile Clinics to Improve Rural Health Access and Disaster Preparedness: A Mixed-Methods Evaluation of a Texas Program
Examines the impact of nurse-led mobile clinics on healthcare access, continuity of care, and disaster preparedness in rural Texas. Provides a program evaluation of the mobile clinic model using mixed methods and describes mobile clinic structure, interprofessional education (IPE), disaster preparedness and response, rural health access, sustainability, and policy implications.
Author(s): Nicole Peters Kroll, Sharon L. Dormire, Kelly L. Wilson
Citation: International Journal of Environmental Research and Public Health, 23(6), 702
Date: 05/2026
view details
Examines the impact of nurse-led mobile clinics on healthcare access, continuity of care, and disaster preparedness in rural Texas. Provides a program evaluation of the mobile clinic model using mixed methods and describes mobile clinic structure, interprofessional education (IPE), disaster preparedness and response, rural health access, sustainability, and policy implications.
Author(s): Nicole Peters Kroll, Sharon L. Dormire, Kelly L. Wilson
Citation: International Journal of Environmental Research and Public Health, 23(6), 702
Date: 05/2026
view details