Rural Health
Resources by Topic: Home and community-based services
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
Sponsoring organization: Centers for Medicare & 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
Sponsoring organization: Centers for Medicare & 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
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
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
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
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
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
Sponsoring organizations: Center for Health Care Strategies, Medicaid and CHIP Payment and Access Commission, RTI International
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Looking at the Rural Homelessness Experience: Definitions, Data, and Solutions
Explains how homelessness impacts health. Features a Vermont organization's work using the evidence-based Housing First model to help people with mental health and substance use challenges and others who lack social supports and have housing needs.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 04/2021
Sponsoring organization: Rural Health Information Hub
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Explains how homelessness impacts health. Features a Vermont organization's work using the evidence-based Housing First model to help people with mental health and substance use challenges and others who lack social supports and have housing needs.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 04/2021
Sponsoring organization: Rural Health Information Hub
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Rural Promising Practice Issue Brief: Geriatric Scholars Training Program
Details a Veterans Administration training program model for providers practicing in Community Based Outpatient Clinics (CBOCs) or in home-based primary care serving elderly (65+) rural veterans. Features examples of promising results, implementation information, and adoption considerations.
Date: 02/2021
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Details a Veterans Administration training program model for providers practicing in Community Based Outpatient Clinics (CBOCs) or in home-based primary care serving elderly (65+) rural veterans. Features examples of promising results, implementation information, and adoption considerations.
Date: 02/2021
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Serving Rural Veterans with Disabilities: A National Survey of Centers for Independent Living
Describes results of a 2019 survey exploring how Centers for Independent Living (CILs) serve veterans in rural communities. Discusses CIL collaborations with the U.S. Department of Veterans Affairs, specific needs of rural veterans, and how CILs could better meet these needs.
Author(s): Jennifer Hale-Gallardo, Consuelo M. Kreider, Yuxin Ni, et al.
Citation: Journal of Community Health, 46(4), 740-751
Date: 2021
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Describes results of a 2019 survey exploring how Centers for Independent Living (CILs) serve veterans in rural communities. Discusses CIL collaborations with the U.S. Department of Veterans Affairs, specific needs of rural veterans, and how CILs could better meet these needs.
Author(s): Jennifer Hale-Gallardo, Consuelo M. Kreider, Yuxin Ni, et al.
Citation: Journal of Community Health, 46(4), 740-751
Date: 2021
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Collecting Early Childhood Obesity Measurements Through a Home Visiting Program: A Proof-of-Concept Study
Describes the development, implementation, and evaluation of a proof-of-concept protocol for collecting data on weight and length/height of children aged 6 months to 5 years through existing home visiting programs in rural and urban areas of South Carolina, Texas, Illinois, and Florida. Features a measurement checklist for parent educators and discusses implications for public health, such as obesity prevention.
Author(s): Julie M. Kapp, Brian Hall, Allison Kemner
Citation: Preventing Chronic Disease, 17
Date: 12/2020
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Describes the development, implementation, and evaluation of a proof-of-concept protocol for collecting data on weight and length/height of children aged 6 months to 5 years through existing home visiting programs in rural and urban areas of South Carolina, Texas, Illinois, and Florida. Features a measurement checklist for parent educators and discusses implications for public health, such as obesity prevention.
Author(s): Julie M. Kapp, Brian Hall, Allison Kemner
Citation: Preventing Chronic Disease, 17
Date: 12/2020
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Lakewood Engage Tackles Food Insecurity in Rural Minnesota
Features a community-based program in rural Minnesota that addresses food insecurity through multiple initiatives, including distribution of fresh produce through a food "prescription" program, home delivery of meals to post-acute care patients and those in COVID-19 quarantine, and a farmers market.
Author(s): Kathryn Rutz
Citation: Rural Monitor
Date: 12/2020
Sponsoring organization: Rural Health Information Hub
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Features a community-based program in rural Minnesota that addresses food insecurity through multiple initiatives, including distribution of fresh produce through a food "prescription" program, home delivery of meals to post-acute care patients and those in COVID-19 quarantine, and a farmers market.
Author(s): Kathryn Rutz
Citation: Rural Monitor
Date: 12/2020
Sponsoring organization: Rural Health Information Hub
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Differences in Characteristics of Adult Day Services Centers, by Level of Medical Service Provision
Presents results from the adult day services centers (ADSCs) component of the 2016 National Study of Long-Term Care Providers. Describes ADSCs by level of medical service provision, organizational characteristics, participant case-mix, and geographic characteristics. Figure 15 identifies the percentage of ADSCs according to metropolitan statistical area status and by level of medical services provided.
Author(s): Vincent Rome, Jessica Penn Lendon, Lauren Harris-Kojetin
Date: 10/2020
Sponsoring organization: National Center for Health Statistics
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Presents results from the adult day services centers (ADSCs) component of the 2016 National Study of Long-Term Care Providers. Describes ADSCs by level of medical service provision, organizational characteristics, participant case-mix, and geographic characteristics. Figure 15 identifies the percentage of ADSCs according to metropolitan statistical area status and by level of medical services provided.
Author(s): Vincent Rome, Jessica Penn Lendon, Lauren Harris-Kojetin
Date: 10/2020
Sponsoring organization: National Center for Health Statistics
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