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Rural Health
Resources by Topic: Legislation and regulations

Guidance for Rural Emergency Hospital Provisions, Conversion Process and Conditions of Participation
Provides guidance regarding the enrollment and conversion processes for facilities interested in participating in the Medicare and Medicaid programs as a Rural Emergency Hospital (REH). Covers eligibility, enrollment, conversion action plans, action plans, and attestation. Includes answers to frequently asked questions about the REH program and State Operations Manual Appendix O - Survey Protocol, Regulations and Interpretive Guidelines for Rural Emergency Hospitals.
Date: 01/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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State Policies for Expanding Medicaid Coverage of Community Health Worker (CHW) Services
Discusses state Medicaid coverage policies regarding Community Health Workers (CHWs) in place as of July 1, 2022, and planned for fiscal year 2023. Covers CHW coverage initiatives implemented or planned through Medicaid state plan amendments, Section 1115 demonstration authority, and as part of a Center for Medicare and Medicaid Innovation (CMMI) model.
Date: 01/2023
Type: Document
Sponsoring organization: KFF
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What Happens When COVID-19 Emergency Declarations End? Implications for Coverage, Costs, and Access
Identifies federal health-related COVID-19 public health emergency (PHE) declarations, the flexibilities each provides, and implications for ending them. Topics covered include COVID-19 testing, treatment, and vaccination; telehealth; Medicaid coverage and federal match rates; Medicaid, Medicare, and private insurance flexibilities; and more.
Date: 01/2023
Type: Document
Sponsoring organization: KFF
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State Telehealth Policy: Summary and Findings from the Fall 2022 Webinar Series
Offers a summary of presentations included in the Center for Connected Health Policy's (CCHP) Fall 2022 webinar series. Topics focus on telehealth policy after the public health emergency (PHE) environment and include licensure laws and legal considerations when providers practice across state lines, the use of telehealth by Medicare beneficiaries, and the expansion and effectiveness of telemedicine in primary care settings.
Date: 01/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Orientation to Rural Emergency Hospital Conversion and Technical Assistance
Recording of a January 18, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of the REH designation, policy and regulatory requirements, and REH Technical Assistance Center (TAC) services. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Additional links: Presentation Slides
Date: 01/2023
Type: Document
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Medicare Benefit Policy Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services
Current regulations, as of January 2023, regarding Medicare payment policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 01/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Mississippi State Department of Health 2023 Annual Report
Offers overview of public health indicators for residents of the state of Mississippi including mortality, teen birth rates, various health conditions, and vaccination. Discusses regulation and legislative changes, pharmaceutical programs, lab services, public health outreach, rural health workforce shortages, and administrative updates.
Date: 2023
Type: Document
Sponsoring organization: Mississippi State Department of Health
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2023 Physician Fee Schedule Update
Webinar recording discusses the Centers for Medicare & Medicaid Services (CMS) Calendar Year (CY) 2023 Physician Fee Schedule and highlights how the policy changes around behavioral health and telehealth services may affect rural communities. Features presentations from representatives of the Health Resources and Services Administration (HRSA) and the CMS Center for Medicare, Hospital and Ambulatory Policy Group, Division of Ambulatory Services.
Additional links: Audio Recording, Webinar Slides, Webinar Transcript
Date: 12/2022
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Virginia Community Services Boards Behavioral Health Services: 2022
Report on activities of Virginia's Community Services Boards (CSBs), the state's primary mechanism for providing publicly funded behavioral health services in local communities. Includes a section on CSBs' role in providing services to rural areas. Features statistics on numbers of substance use disorder and mental health consumers, with breakdowns by urban and rural CSBs.
Date: 12/2022
Type: Document
Sponsoring organization: Joint Legislative Audit and Review Commission
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Public Law 117–328: Consolidated Appropriations Act, 2023
Text of the Consolidated Appropriations Act, 2023, Public Law 117-328 (December 29, 2022). Section 4113 extends certain COVID-19 telehealth flexibilities, including the ability of Rural Health Clinics and Federally Qualified Health Centers to serve as distant site providers, through December 31, 2024. Section 4137 authorizes the extension of a 1% add-on payment for home health services provided in high-utilization rural counties through 2023.
Date: 12/2022
Type: Document
Sponsoring organization: U.S. Congress
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