Rural Health
Resources by Topic: Medicaid
Housing Affordability, Adequacy, and Access to the Internet in Homes of Medicaid Enrollees
Examines the housing adequacy, affordability, and internet access among Medicaid enrollees in 2019. Describes the impact of housing conditions on health, with a focus on the COVID-19 pandemic. Discusses policy options for Medicaid programs to address housing challenges. Presents data by Medicaid enrollee demographic characteristics, including race/ethnicity, age, sex, and metro/non-metro status.
Author(s): Bradley Corallo
Date: 09/2021
Type: Document
Sponsoring organization: KFF
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Examines the housing adequacy, affordability, and internet access among Medicaid enrollees in 2019. Describes the impact of housing conditions on health, with a focus on the COVID-19 pandemic. Discusses policy options for Medicaid programs to address housing challenges. Presents data by Medicaid enrollee demographic characteristics, including race/ethnicity, age, sex, and metro/non-metro status.
Author(s): Bradley Corallo
Date: 09/2021
Type: Document
Sponsoring organization: KFF
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Opportunities Exist to Strengthen Evaluation and Oversight of Telehealth for Behavioral Health in Medicaid
Explores how 37 states evaluated and conducted oversight of telehealth for behavioral health services for Medicaid enrollees in January and February 2020. Discusses states' experiences with telehealth and the impacts of telehealth on access to care, as well as concerns regarding the impact of these services on cost and quality of care. Provides recommendations for states the Centers for Medicare and Medicaid Services (CMS) to meet the behavioral health needs of Medicaid enrollees and prevent fraud, waste, and abuse.
Date: 09/2021
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Explores how 37 states evaluated and conducted oversight of telehealth for behavioral health services for Medicaid enrollees in January and February 2020. Discusses states' experiences with telehealth and the impacts of telehealth on access to care, as well as concerns regarding the impact of these services on cost and quality of care. Provides recommendations for states the Centers for Medicare and Medicaid Services (CMS) to meet the behavioral health needs of Medicaid enrollees and prevent fraud, waste, and abuse.
Date: 09/2021
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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States Reported Multiple Challenges with Using Telehealth to Provide Behavioral Health Services to Medicaid Enrollees
Summarizes results of a January-February 2020 survey of State Medicaid Directors in 37 states that provide behavioral health services via telehealth through managed care organizations. Describes challenges with using telehealth to serve Medicaid enrollees, including provider and enrollee training, internet connectivity, privacy, and technology costs. Offers recommendations for the Centers of Medicare and Medicaid Services (CMS) to help states address these challenges.
Date: 09/2021
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Summarizes results of a January-February 2020 survey of State Medicaid Directors in 37 states that provide behavioral health services via telehealth through managed care organizations. Describes challenges with using telehealth to serve Medicaid enrollees, including provider and enrollee training, internet connectivity, privacy, and technology costs. Offers recommendations for the Centers of Medicare and Medicaid Services (CMS) to help states address these challenges.
Date: 09/2021
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Changes in Socioeconomic Mix and Health Outcomes in Rural Counties with Hospital Closures, 2005-2018
Explores changes in socioeconomic mix and health outcomes that occurred in micropolitan and noncore counties with and without a complete hospital closure between 2005-2018, using the 2013 National Center for Health Statistics Rural Classification Scheme for Counties. Features statistics on number of counties that experienced hospital closures, percentage of hospital closures by Medicaid expansion status, trends in area unemployment and poverty rates and proportion of non-white residents across counties by closure status, and mortality rates, with breakdowns by micropolitan and noncore areas.
Author(s): Nathaniel Bell, Peiyin Hung, Kewei Shi, et al.
Date: 09/2021
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Explores changes in socioeconomic mix and health outcomes that occurred in micropolitan and noncore counties with and without a complete hospital closure between 2005-2018, using the 2013 National Center for Health Statistics Rural Classification Scheme for Counties. Features statistics on number of counties that experienced hospital closures, percentage of hospital closures by Medicaid expansion status, trends in area unemployment and poverty rates and proportion of non-white residents across counties by closure status, and mortality rates, with breakdowns by micropolitan and noncore areas.
Author(s): Nathaniel Bell, Peiyin Hung, Kewei Shi, et al.
Date: 09/2021
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas
Describes how Medicaid agencies in five states - Alabama, Colorado, Maine, Idaho, and Oklahoma - utilize primary care case management (PCCM) programs to strengthen primary care, particularly in rural areas. Identifies three strategies implemented by some or all of these states to support primary care providers, and highlights lessons learned for state Medicaid programs that want to strengthen primary care in rural areas.
Author(s): Neva Kaye
Date: 08/2021
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Describes how Medicaid agencies in five states - Alabama, Colorado, Maine, Idaho, and Oklahoma - utilize primary care case management (PCCM) programs to strengthen primary care, particularly in rural areas. Identifies three strategies implemented by some or all of these states to support primary care providers, and highlights lessons learned for state Medicaid programs that want to strengthen primary care in rural areas.
Author(s): Neva Kaye
Date: 08/2021
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Advancing Integrated Care for Dually Eligible Individuals: Factors Influencing State D-SNP Contracting Decisions
Presents results of a study on factors that influence states' use of a variety of Dual Eligible Special Needs Plans (D-SNP) contracting strategies to facilitate the integration of Medicare and Medicaid benefits. Discusses factors influencing state adoption of D-SNP contracting strategies, barriers to D-SNP contracting in rural areas, and benefits and challenges of adoption 11 specific contracting strategies.
Additional links: Issue Brief
Author(s): Erin Weir Lakhmani, Danielle Chelminsky, Alena Tourtellotte, et al.
Date: 07/2021
Type: Document
Sponsoring organization: Mathematica
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Presents results of a study on factors that influence states' use of a variety of Dual Eligible Special Needs Plans (D-SNP) contracting strategies to facilitate the integration of Medicare and Medicaid benefits. Discusses factors influencing state adoption of D-SNP contracting strategies, barriers to D-SNP contracting in rural areas, and benefits and challenges of adoption 11 specific contracting strategies.
Additional links: Issue Brief
Author(s): Erin Weir Lakhmani, Danielle Chelminsky, Alena Tourtellotte, et al.
Date: 07/2021
Type: Document
Sponsoring organization: Mathematica
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Medicaid and Housing Partnerships: A Resource for Local Health Departments
Explores how local health departments (LHDs) in rural areas can utilize Medicaid managed care levers to address homelessness and housing security issues. Summarizes results from a gap analysis and readiness assessment which identified key opportunities to help prepare three LHDs in rural North Carolina counties for the transition to Medicaid-managed care. Identifies action steps for these counties to strengthen housing supports that can also inform similar initiatives in other states.
Author(s): Matthew Ralls, Kathy Moses, Rob Houston
Date: 07/2021
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Explores how local health departments (LHDs) in rural areas can utilize Medicaid managed care levers to address homelessness and housing security issues. Summarizes results from a gap analysis and readiness assessment which identified key opportunities to help prepare three LHDs in rural North Carolina counties for the transition to Medicaid-managed care. Identifies action steps for these counties to strengthen housing supports that can also inform similar initiatives in other states.
Author(s): Matthew Ralls, Kathy Moses, Rob Houston
Date: 07/2021
Type: Document
Sponsoring organization: Center for Health Care Strategies
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State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency
Examines state Medicaid telehealth coverage, policies, and utilization before and after the COVID-19 public health emergency. Discusses issues and opportunities for optimizing telehealth, including equity considerations for rural and lower-income communities.
Author(s): Rose C. Chu, Christie Peters, Nancy De Lew, Benjamin D. Sommers
Date: 07/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines state Medicaid telehealth coverage, policies, and utilization before and after the COVID-19 public health emergency. Discusses issues and opportunities for optimizing telehealth, including equity considerations for rural and lower-income communities.
Author(s): Rose C. Chu, Christie Peters, Nancy De Lew, Benjamin D. Sommers
Date: 07/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Demographic and Health Characteristics of Ohio's Non-Elderly Adult Medicaid Population: 2019 OMAS Update
Presents information on the Medicaid population in Ohio based on the 2019 Ohio Medicaid Assessment Survey (OMAS). Discusses the health status of Medicaid enrollees with information on self-reported health status, unmet needs, and mental health-related impairments. Includes county-level reports on non-working adults and demographic data broken down by age, gender, race/ethnicity, household type, insurance status, employment, and rural Appalachian, rural non-Appalachian, suburban, and metropolitan county types.
Author(s): Hilary Metelko Rosebrook, Kelly Stamper Balistreri
Date: 06/2021
Type: Document
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio College of Medicine Government Resource Center, Ohio Department of Health, Ohio Department of Medicaid
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Presents information on the Medicaid population in Ohio based on the 2019 Ohio Medicaid Assessment Survey (OMAS). Discusses the health status of Medicaid enrollees with information on self-reported health status, unmet needs, and mental health-related impairments. Includes county-level reports on non-working adults and demographic data broken down by age, gender, race/ethnicity, household type, insurance status, employment, and rural Appalachian, rural non-Appalachian, suburban, and metropolitan county types.
Author(s): Hilary Metelko Rosebrook, Kelly Stamper Balistreri
Date: 06/2021
Type: Document
Sponsoring organizations: Medicaid Technical Assistance and Policy Program, Ohio College of Medicine Government Resource Center, Ohio Department of Health, Ohio Department of Medicaid
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Quarterly Therapy Access Monitoring Report
Analyzes pediatric acute care therapy services data for physical, occupational, and speech therapies, as required quarterly by the Texas State Legislative Budget Board and the Governor, to determine any adverse impact in access to care in rural, micro, and metro counties.
Date: 06/2021
Type: Document
Sponsoring organization: Texas Health and Human Services
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Analyzes pediatric acute care therapy services data for physical, occupational, and speech therapies, as required quarterly by the Texas State Legislative Budget Board and the Governor, to determine any adverse impact in access to care in rural, micro, and metro counties.
Date: 06/2021
Type: Document
Sponsoring organization: Texas Health and Human Services
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