Rural Health
Resources by Topic: Care coordination
Maternal Opioid Misuse (MOM) Model
Overview of a CMS initiative focused on the care of pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD) through state-driven transformation of the delivery system. Supports coordination of clinical care and integration of other services critical for health, well-being, and recovery.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Overview of a CMS initiative focused on the care of pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD) through state-driven transformation of the delivery system. Supports coordination of clinical care and integration of other services critical for health, well-being, and recovery.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Care Coordination Canvas Guide
A framework and resources for developing effective care coordination programs. Includes worksheets, guides, and case studies describing different care coordination approaches: care coach, clinical, community health worker, and school-based. Based on a survey of rural health networks engaged in implementing care coordination initiatives.
Type: Website
Sponsoring organizations: National Rural Health Resource Center, Rural Health Innovations
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A framework and resources for developing effective care coordination programs. Includes worksheets, guides, and case studies describing different care coordination approaches: care coach, clinical, community health worker, and school-based. Based on a survey of rural health networks engaged in implementing care coordination initiatives.
Type: Website
Sponsoring organizations: National Rural Health Resource Center, Rural Health Innovations
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Care Management Medicare Reimbursement Strategies for Rural Providers
Information for rural healthcare providers on Medicare billing codes for services to keep beneficiaries healthy and better coordinate services to support beneficiaries at home. Addresses Annual Wellness Visits, Chronic Care Management, Transitional Care Management, and Principal Care Management.
Type: Website
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, Rural Health Information Hub
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Information for rural healthcare providers on Medicare billing codes for services to keep beneficiaries healthy and better coordinate services to support beneficiaries at home. Addresses Annual Wellness Visits, Chronic Care Management, Transitional Care Management, and Principal Care Management.
Type: Website
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, Rural Health Information Hub
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Rural Care Coordination Toolkit
Provides supporting resources and best practices designed to help identify and implement a rural care coordination program. Consists of several modules each concentrating on different aspects of care coordination programs.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Provides supporting resources and best practices designed to help identify and implement a rural care coordination program. Consists of several modules each concentrating on different aspects of care coordination programs.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Co-Managed Care Toolkit
Designed to address knowledge and communication gaps existing between VA healthcare teams and non-VA teams in cases where veterans utilize both types of providers. Designed to help create a care network for rural veterans.
Type: Website
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Designed to address knowledge and communication gaps existing between VA healthcare teams and non-VA teams in cases where veterans utilize both types of providers. Designed to help create a care network for rural veterans.
Type: Website
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Integrated Care Resource Center
Helps states learn about best practices for delivering coordinated healthcare to high-need, high-cost Medicaid beneficiaries. The resource center is a joint technical assistance project of the Centers for Medicare & Medicaid Services (CMS) Medicare-Medicaid Coordination Office and the Center for Medicaid, CHIP, and Survey & Certification (CMCS).
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Helps states learn about best practices for delivering coordinated healthcare to high-need, high-cost Medicaid beneficiaries. The resource center is a joint technical assistance project of the Centers for Medicare & Medicaid Services (CMS) Medicare-Medicaid Coordination Office and the Center for Medicaid, CHIP, and Survey & Certification (CMCS).
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details