Rural Health
Resources by Topic: Legislation and regulations
Medicaid and CHIP in the U.S. Virgin Islands
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the U.S. Virgin Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and U.S. Virgin Islands spending.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the U.S. Virgin Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and U.S. Virgin Islands spending.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in the Commonwealth of the Northern Mariana Islands
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the Northern Mariana Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Northern Mariana Islands spending.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the Northern Mariana Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Northern Mariana Islands spending.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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MBQIP Fundamentals Guide for State Flex Programs
Provides information about the history and status of the Medicare Beneficiary Quality Improvement Project (MBQIP). Developed for the benefit of Flex Program personnel and subcontractors and includes resources to support their work, including data report release timelines, MBQIP acronyms, and MBQIP measure change summaries.
Date: 02/2021
Sponsoring organization: Stratis Health
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Provides information about the history and status of the Medicare Beneficiary Quality Improvement Project (MBQIP). Developed for the benefit of Flex Program personnel and subcontractors and includes resources to support their work, including data report release timelines, MBQIP acronyms, and MBQIP measure change summaries.
Date: 02/2021
Sponsoring organization: Stratis Health
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New HIPAA Privacy Rule: What RHCs Need To Know
Recording of a January 27, 2021, webinar providing information about proposed and existing Health Insurance Portability and Accountability Act of 1996 (HIPAA) compliance rules affecting Rural Health Clinics (RHCs). Covers individual right of access to protected health information (PHI), fees for health records, patient identification verification, third party disclosures, and clarification of healthcare operations including care coordination and case management. Discusses proposed PHI changes regarding substance use disorders and serious mental illness, and changes in notice of privacy practices (NPP) requirements. Includes a fee calculator for medical record requests. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: HIPAA Record Fee Calculator, Presentation Slides, Q&A, Transcript
Date: 01/2021
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a January 27, 2021, webinar providing information about proposed and existing Health Insurance Portability and Accountability Act of 1996 (HIPAA) compliance rules affecting Rural Health Clinics (RHCs). Covers individual right of access to protected health information (PHI), fees for health records, patient identification verification, third party disclosures, and clarification of healthcare operations including care coordination and case management. Discusses proposed PHI changes regarding substance use disorders and serious mental illness, and changes in notice of privacy practices (NPP) requirements. Includes a fee calculator for medical record requests. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: HIPAA Record Fee Calculator, Presentation Slides, Q&A, Transcript
Date: 01/2021
Sponsoring organization: National Association of Rural Health Clinics
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Congress Establishes New Medicare Provider Category and Reimbursement for Rural Emergency Hospitals
Provides an overview of the Rural Emergency Hospital (REH) provider designation established in the Consolidated Appropriations Act, 2021. Discusses provider eligibility criteria, REH requirements and permitted services, and Medicare reimbursement. Highlights key questions that need to be addressed by the Centers for Medicare & Medicaid Services.
Author(s): Emily J. Cook, Sandra M. DiVarco, Caroline Reigart
Citation: National Law Review, XI(5)
Date: 01/2021
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Provides an overview of the Rural Emergency Hospital (REH) provider designation established in the Consolidated Appropriations Act, 2021. Discusses provider eligibility criteria, REH requirements and permitted services, and Medicare reimbursement. Highlights key questions that need to be addressed by the Centers for Medicare & Medicaid Services.
Author(s): Emily J. Cook, Sandra M. DiVarco, Caroline Reigart
Citation: National Law Review, XI(5)
Date: 01/2021
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Mandated Report on Non-Emergency Medical Transportation Further Findings
Provides an overview of the non-emergency medical transportation (NEMT) Medicaid benefit. Presents findings from an analysis of administrative data on NEMT utilization and spending, including utilization by urban and rural status. Includes findings from a series of focus groups with NEMT benefit enrollees on the value of the program, challenges, and ideas for improvement.
Author(s): Kacey Buderi, Aaron Pervin
Date: 01/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of the non-emergency medical transportation (NEMT) Medicaid benefit. Presents findings from an analysis of administrative data on NEMT utilization and spending, including utilization by urban and rural status. Includes findings from a series of focus groups with NEMT benefit enrollees on the value of the program, challenges, and ideas for improvement.
Author(s): Kacey Buderi, Aaron Pervin
Date: 01/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Eliminating Regulatory Barriers to Affordable Housing: Federal, State, Local, and Tribal Opportunities
Discusses housing supply and affordability challenges and offers recommendations for federal, state, local, and tribal governments to reduce regulatory barriers and address these challenges. Describes rural/urban differences in housing market challenges. Covers the impact of the COVID-19 pandemic on housing in the U.S.
Date: 01/2021
Sponsoring organization: U.S. Department of Housing and Urban Development
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Discusses housing supply and affordability challenges and offers recommendations for federal, state, local, and tribal governments to reduce regulatory barriers and address these challenges. Describes rural/urban differences in housing market challenges. Covers the impact of the COVID-19 pandemic on housing in the U.S.
Date: 01/2021
Sponsoring organization: U.S. Department of Housing and Urban Development
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Opportunities in Medicaid and CHIP to Address Social Determinants of Health (SDOH)
Describes services and supports that can be covered by Medicaid and Children's Health Insurance Programs (CHIP) to address social determinants of health (SDOH). Discusses federal authorities and other opportunities that states can utilize to address SDOH through Medicaid and CHIP, including through Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC). Appendix B highlights examples of services and supports and the corresponding federal authorities that could be used to cover each.
Date: 01/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Describes services and supports that can be covered by Medicaid and Children's Health Insurance Programs (CHIP) to address social determinants of health (SDOH). Discusses federal authorities and other opportunities that states can utilize to address SDOH through Medicaid and CHIP, including through Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC). Appendix B highlights examples of services and supports and the corresponding federal authorities that could be used to cover each.
Date: 01/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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National Health Service Corps Report to Congress for the Year 2020
Details program accomplishments of the National Health Service Corps (NHSC), provides updates on Health Professional Shortage Area designations, explains recruitment efforts for NHSC Scholarship and Loan Repayment Programs, provides estimates on number of patients seen by NHSC clinicians, and details short- and long-term retention rates. Features state-by-state data with breakdowns by urban and rural locations.
Date: 2021
Sponsoring organization: U.S. Department of Health and Human Services
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Details program accomplishments of the National Health Service Corps (NHSC), provides updates on Health Professional Shortage Area designations, explains recruitment efforts for NHSC Scholarship and Loan Repayment Programs, provides estimates on number of patients seen by NHSC clinicians, and details short- and long-term retention rates. Features state-by-state data with breakdowns by urban and rural locations.
Date: 2021
Sponsoring organization: U.S. Department of Health and Human Services
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Models for Population Health Improvement by Health Care Systems and Partners: Tensions and Promise on the Path Upstream: Proceedings of a Workshop
Proceedings from a public workshop held on September 19, 2019, exploring higher levels of action to improve health, such as changing laws, policies, and regulations, to improve the community conditions for health. Describes efforts of health systems and their partners to move beyond what takes place in clinical settings and to identify and respond to the needs of patients and communities. Notes that some approaches may work differently in rural and urban areas.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 2021
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Proceedings from a public workshop held on September 19, 2019, exploring higher levels of action to improve health, such as changing laws, policies, and regulations, to improve the community conditions for health. Describes efforts of health systems and their partners to move beyond what takes place in clinical settings and to identify and respond to the needs of patients and communities. Notes that some approaches may work differently in rural and urban areas.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 2021
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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