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Rural Health Information Hub

Rural Health
Resources by Topic: Transportation

ADA Toolkit
Provides information and resources for local and rural transit managers. Identifies requirements under ADA regulations based on the type of transit service and best practices. Includes information on considerations for riders with disabilities related to COVID-19.
Date: 10/2021
Sponsoring organization: National Rural Transit Assistance Program
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NADTC Best Practices Compendium
Highlights innovative programs, best practices, and lessons learned by 16 programs funded by the National Aging and Disability Transportation Center (NADTC) between 2017-2019. Identifies common themes across the programs that serve as key considerations for communities that want to expand accessible transportation options for older adults and people with disabilities. Includes a section focused on rural transportation programs.
Date: 09/2021
Sponsoring organization: National Aging and Disability Transportation Center
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Air Ambulance Use and Surprise Billing
Provides an overview of air ambulance services, including the types and number of air ambulance providers and suppliers, utilization rates by patients, average costs, and the potential for balance billing for air ambulance transport. Summarizes key policies and legislation related to air ambulances, including the No Surprises Act. Presents data on air ambulance utilization by rurality between 2014-2018.
Author(s): Gina Turrini, Joel Ruhter, Andre R. Chappel, Nancy De Lew
Date: 09/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Disparities in Emergency Medical Services Time Intervals for Patients with Suspected Acute Coronary Syndrome: Findings from the North Carolina Prehospital Medical Information System
Study of EMS response, scene, and transport times for suspected acute coronary syndrome (ACS) patients in North Carolina using North Carolina Prehospital Medical Information System data from 2011 to 2017. Examines patient demographics and breaks down response, scene, and transport times by urban, suburban, and rural location.
Author(s): Eric R. Cui, Antonio R. Fernandez, Jessica K. Zegre-Hemsey, et al.
Citation: Journal of the American Heart Association, 10(15), e019305
Date: 08/2021
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2020 Transportation Trends
Identifies trends and issues affecting the availability of accessible transportation for older adults and people with disabilities. Includes examples of programs underway in rural areas to address transportation needs.
Date: 07/2021
Sponsoring organization: National Aging and Disability Transportation Center
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In New Mexico, Pathways Care Coordination Supports People With Opioid Use Disorder
Describes the efforts of the rural New Mexico-based Rio Arriba Health and Human Services to treat individuals with Opioid Use Disorder (OUD) through an outcomes-based chronic disease care coordination model. Discusses challenges of treating OUD in a rural frontier county, including limited transportation, housing concerns, and involvement in the criminal justice system.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Sponsoring organization: Pew Charitable Trusts
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Understanding the Value of the Medicaid Non-Emergency Medical Transportation Benefit
Presents findings from a focus group of 41 Medicaid enrollees in six states who have either used the non-emergency medical transportation (NEMT) benefit or are caring for a Medicaid beneficiary who has used the benefit. Describes the transportation barriers focus group participants face, their health care needs and the services they use NEMT to access, their experiences using NEMT, and suggestions for improving the benefit. Includes perspectives from rural beneficiaries.
Date: 06/2021
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, PerryUndem
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National RTAP/FTA Webinar: Rural Transportation Planning and the COVID-19 Response
Webinar recording discusses how the COVID-19 pandemic has affected rural and tribal transit, their communities, and the providers responding to the pandemic. Features speakers from the Federal Transit Administration, the National Rural Transit Assistance Program, the Confederated Tribes of the Umatilla Indian Reservation, the Crawford Area Transit Authority, and Nevada County Transit Services.
Date: 06/2021
Sponsoring organization: National Rural Transit Assistance Program
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Report to Congress on Medicaid and CHIP, June 2021
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses high-cost specialty drugs in the Medicaid program, access to mental health services for those enrolled in Medicaid and the State Children's Health Insurance Program (CHIP), integration of physical and behavioral health care through electronic health records (EHRs), Medicaid's non-emergency transportation (NEMT) benefit, and state strategies for integrating care for people who are dually eligible for Medicaid and Medicare. Includes rural references throughout.
Date: 06/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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RideSheet: A Transportation Technology Solution for Rural America
Explores how two non-emergency medical transportation providers in a rural county in Oregon used the open-sourced software, RideSheet, to improve scheduling and data collection. Discusses how scheduling software can make non-emergency transportation more efficient and effective.
Author(s): Jana Lynott
Date: 05/2021
Sponsoring organization: AARP
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