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Rural Health
Resources by Topic: Transportation

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
Type: Document
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
Type: Document
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
Type: Video/Multimedia
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
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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An Analysis of the Costs and Benefits of Providing Increased Mobility to Reduce Social Isolation Among America's Aging Population
Quantifies the cost of providing greater mobility to aging adults through public transportation in small urban and rural communities, using data from 10 states representing different regions of the country with large rural populations or a large percentage of rural residents. Features statistics on population with breakdowns by percentage of rural residents, and operating costs compared with increased Medicare costs due to isolation, with breakdowns by state.
Additional links: Executive Summary
Author(s): Del Peterson, Antonio Molina
Date: 05/2021
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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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
Type: Document
Sponsoring organization: AARP
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April 2021 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2021 meeting. Covers the review of draft chapters and recommendations regarding high-cost specialty drugs, improving integration through dual-eligible special needs plans (D-SNPs), access to mental health services for adults, access to behavioral health services for children and adolescents, electronic health records as a tool for behavioral health services integration, and the non-emergency medical transportation benefit. Also details lessons from states on rebalancing, ensuring quality in Medicaid and CHIP, and what states are learning from the expanded use of telehealth.
Date: 04/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and Rural Health
Provides an overview of rural residents, including socioeconomic characteristics, insurance status, and health status. Explores the availability of healthcare providers in rural areas, with a focus on primary care providers and hospitals. Discusses the role of Medicaid in rural health, as well as Medicaid policies and services that are important for providing healthcare in rural communities.
Date: 04/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Tribal Transit Study: Demographic Needs Indicators, Funding Needs and Livability
Explores the demographic characteristics that correlate with transportation needs among American Indian and discusses the transit options available in several reservations in North Dakota, South Dakota, and Washington. Breaks down data by demographics such as senior citizen status, disability status, and income, among other factors.
Date: 04/2021
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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The Hospital as a Convener in Rural Communities
Examines the traditional and non-traditional role of rural hospitals as conveners that support community health initiatives and population health. Discusses examples of approaches used by rural and urban serving hospitals from Michigan and Virginia. Offers steps for hospitals on becoming a convener, and suggests community stakeholders for forming partnerships to improve health and well-being in their communities.
Date: 04/2021
Type: Document
Sponsoring organization: American Hospital Association
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