Rural Health
Resources by Topic: Home and community-based services
Personal Care Aides: Assessing Self-Care Needs And Worker Shortages In Rural Areas
Results of a study addressing the need for and supply of workers to provide personal care services in rural communities. Features statistics on characteristics of personal care aides employed during 2013-2017 with breakdowns by metropolitan and nonmetropolitan areas, and county-level maps showing percentages of adults with self-care disabilities and supply of personal care aides per 1,000 adults with self-care disabilities.
Author(s): Susan A. Chapman, Lillie Greiman, Timothy Bates et al.
Citation: Health Affairs, 41(10)
Date: 10/2022
Type: Document
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Results of a study addressing the need for and supply of workers to provide personal care services in rural communities. Features statistics on characteristics of personal care aides employed during 2013-2017 with breakdowns by metropolitan and nonmetropolitan areas, and county-level maps showing percentages of adults with self-care disabilities and supply of personal care aides per 1,000 adults with self-care disabilities.
Author(s): Susan A. Chapman, Lillie Greiman, Timothy Bates et al.
Citation: Health Affairs, 41(10)
Date: 10/2022
Type: Document
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North Dakota Supports Caregivers to Serve Rural Populations
Highlights a program for supporting caregivers in rural North Dakota. Details the efforts to expand support services to rural areas and discusses some of the challenges rural caretakers face.
Date: 05/2022
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Highlights a program for supporting caregivers in rural North Dakota. Details the efforts to expand support services to rural areas and discusses some of the challenges rural caretakers face.
Date: 05/2022
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Intersections of Personal Assistance Services for Rural Disabled People and Home Care Workers' Rights
Brief review exploring the intersection of disability rights and personal care labor, including discussion of advocacy and changing public opinion. Provides an overview of historical disability legislation and labor policy at the federal level, with discussion of institutionalization and home-based care. Identifies challenges faced by people with disabilities and care providers in rural areas.
Author(s): Rayna Sage, Krys Standley, Genna M. Mashinchi
Citation: Frontiers in Rehabilitation Sciences, 3, 876038
Date: 04/2022
Type: Document
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Brief review exploring the intersection of disability rights and personal care labor, including discussion of advocacy and changing public opinion. Provides an overview of historical disability legislation and labor policy at the federal level, with discussion of institutionalization and home-based care. Identifies challenges faced by people with disabilities and care providers in rural areas.
Author(s): Rayna Sage, Krys Standley, Genna M. Mashinchi
Citation: Frontiers in Rehabilitation Sciences, 3, 876038
Date: 04/2022
Type: Document
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Arizona State Plan on Aging 2023 – 2026
Offers a 4-year plan for Arizona's Division of Adult and Aging Services (DAAS) outlining priorities and objectives. Addresses rural and tribal issues throughout, discussing access to quality care, well-being and safety, strengthening the paraprofessional and professional workforce, and enhancing care delivery infrastructure. Includes summaries of needs assessment comments.
Date: 04/2022
Type: Document
Sponsoring organization: Arizona Department of Economic Security
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Offers a 4-year plan for Arizona's Division of Adult and Aging Services (DAAS) outlining priorities and objectives. Addresses rural and tribal issues throughout, discussing access to quality care, well-being and safety, strengthening the paraprofessional and professional workforce, and enhancing care delivery infrastructure. Includes summaries of needs assessment comments.
Date: 04/2022
Type: Document
Sponsoring organization: Arizona Department of Economic Security
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State Summaries of Lifespan Respite Grant Activities and Outcomes: Final Reports, FY2017 – FY2018 Grantees
Summaries of final reports from the fiscal year 2017 and 2018 Administration for Community Living (ACL) State Lifespan Respite Care program grantees. The State Lifespan Respite Care program aims to create coordinated systems of accessible, community-based respite care services for family caregivers of children and adults of all ages with special needs. Describes each of the project's outcomes, accomplishments, and partnerships. Highlights programs serving rural areas.
Date: 2022
Type: Document
Sponsoring organization: ARCH National Respite Network and Resource Center
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Summaries of final reports from the fiscal year 2017 and 2018 Administration for Community Living (ACL) State Lifespan Respite Care program grantees. The State Lifespan Respite Care program aims to create coordinated systems of accessible, community-based respite care services for family caregivers of children and adults of all ages with special needs. Describes each of the project's outcomes, accomplishments, and partnerships. Highlights programs serving rural areas.
Date: 2022
Type: Document
Sponsoring organization: ARCH National Respite Network and Resource Center
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Overview of Older Americans Act Title III Programs: 2018 Summary of Highlights
Provides an overview of the Older Americans Act, services provided under Title III of the Act, and program results for 2018. Includes data on service recipient characteristics by service type, age, race and ethnicity, rurality, and more.
Date: 11/2021
Type: Document
Sponsoring organization: Administration for Community Living
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Provides an overview of the Older Americans Act, services provided under Title III of the Act, and program results for 2018. Includes data on service recipient characteristics by service type, age, race and ethnicity, rurality, and more.
Date: 11/2021
Type: Document
Sponsoring organization: Administration for Community Living
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Improving Health in Rural Communities: FY 2021 Year in Review
Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2021. Focuses on 10 priority areas: COVID-19, Federally-facilitated and State Marketplaces; Medicare payment and policy; practitioner workforce; Medicaid and Children's Health Insurance Program (CHIP) enrollment, payment, and policy; long-term services and supports; maternal health; mental health and substance use disorders; models and demonstrations, and quality and equity.
Date: 11/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2021. Focuses on 10 priority areas: COVID-19, Federally-facilitated and State Marketplaces; Medicare payment and policy; practitioner workforce; Medicaid and Children's Health Insurance Program (CHIP) enrollment, payment, and policy; long-term services and supports; maternal health; mental health and substance use disorders; models and demonstrations, and quality and equity.
Date: 11/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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How States Use ARPA Funds to Support Telehealth, Technology and Data Infrastructure
Interactive map displaying how states used a one-time increase in the federal medical assistance program (FMAP) for Medicaid home and community-based services (HCBS) through March 31, 2022, to support telehealth service delivery, technology-based innovations, and data infrastructure building opportunities.
Date: 11/2021
Type: Website
Sponsoring organization: National Academy for State Health Policy
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Interactive map displaying how states used a one-time increase in the federal medical assistance program (FMAP) for Medicaid home and community-based services (HCBS) through March 31, 2022, to support telehealth service delivery, technology-based innovations, and data infrastructure building opportunities.
Date: 11/2021
Type: Website
Sponsoring organization: National Academy for State Health Policy
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Nevada State Plan for Aging, 2021-2024
Outlines Nevada's plan for serving older adults and people with disabilities. Discusses rural services and challenges throughout, including access, transportation, and community engagement.
Date: 06/2021
Type: Document
Sponsoring organization: Nevada Department of Health and Human Services
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Outlines Nevada's plan for serving older adults and people with disabilities. Discusses rural services and challenges throughout, including access, transportation, and community engagement.
Date: 06/2021
Type: Document
Sponsoring organization: Nevada Department of Health and Human Services
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Examining the Potential for Additional Rebalancing of Long-Term Services and Supports
Explores efforts to rebalance long-term services and supports (LTSS) for older adults and people with disabilities toward home and community-based settings. Profiles five states with lower levels of rebalancing compared to the national average: Louisiana, Mississippi, New Jersey, North Dakota, and West Virginia. Presents findings from interviews with federal and state officials, as well as other stakeholders involved with Medicaid LTSS systems and beneficiaries. Discusses how the COVID-19 public health emergency and flexibilities influenced LTSS services in these states. Offers future considerations for federal and state governments when addressing barriers to home and community-based services.
Date: 04/2021
Type: Document
Sponsoring organizations: Center for Health Care Strategies, Medicaid and CHIP Payment and Access Commission, RTI International
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Explores efforts to rebalance long-term services and supports (LTSS) for older adults and people with disabilities toward home and community-based settings. Profiles five states with lower levels of rebalancing compared to the national average: Louisiana, Mississippi, New Jersey, North Dakota, and West Virginia. Presents findings from interviews with federal and state officials, as well as other stakeholders involved with Medicaid LTSS systems and beneficiaries. Discusses how the COVID-19 public health emergency and flexibilities influenced LTSS services in these states. Offers future considerations for federal and state governments when addressing barriers to home and community-based services.
Date: 04/2021
Type: Document
Sponsoring organizations: Center for Health Care Strategies, Medicaid and CHIP Payment and Access Commission, RTI International
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