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Rural Health Information Hub

Rural Home Health Services – Resources

Selected recent or important resources focusing on Rural Home Health Services.

There's No Place Like Home: Home Health Care in Rural America
Recording of testimony by providers of rural home health care and representatives of home health and hospice organizations, in a hearing held by the United States Senate Special Committee on Aging on February 12, 2020. Addresses challenges including workforce shortages and limitations in Medicare coverage for needed services.
Additional links: Testimony of Francis Adams, Testimony of Leigh Ann Howard, Testimony of Warren Hebert, Testimony of William A. Dombi
Date: 02/2020
Sponsoring organization: U.S. Senate Special Committee on Aging
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Rural Post-Acute Care: Healthcare Leaders Offer Practical Solutions to Workforce Challenges
Describes methods for preparing and supporting healthcare workers who provide post-acute care in rural areas. Highlights programs that empower and train staff, maximize community partnerships, involve community health workers, and use telemonitoring.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 05/2018
Sponsoring organization: Rural Health Information Hub
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Rural Post-Acute Care: Improving Transitions to Enhance Patient Recovery
Highlights approaches that are improving patient transitions from acute care to post-acute care (PAC) in rural settings. Features a tertiary facility's communication with skilled nursing facilities in Tennessee and Kentucky, a Nebraska Critical Access Hospital's swing bed program, and a home health agency serving rural Maine.
Author(s): Jenn Lukens
Date: 05/2018
Sponsoring organization: Rural Health Information Hub
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Improving Chronic Disease Self-Management by Older Home Health Patients through Community Health Coaching
Describes a pilot study using community volunteers trained as health coaches to assist rural older adults with chronic diseases discharged from home health services in effectively managing their chronic condition, with the intent to reduce their hospital readmission and emergency department use.
Author(s): Cheryl Dye, Deborah Willoughby, Begum Aybar-Damali, Carmelita Grady, Rebecca Oran, Alana Knudson
Citation: International Journal of Environmental Research and Public Health, 15(4), 660
Date: 04/2018
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State Operations Manual Appendix B - Guidance for Surveyors: Home Health Agencies
Presents interpretive guidelines clarifying statutory and regulatory requirements for home health agencies.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Care Compare
Provides information on the quality of care, cost, volume of services, and other data for Medicare-certified providers. Includes data on doctors and clinicians, hospitals, nursing homes, home health services, hospice care, inpatient rehabilitation facilities, long-term care hospitals, and dialysis facilities.
Sponsoring organization: Centers for Medicare and Medicaid Services
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State Operations Manual Appendix Z - Emergency Preparedness for All Provider and Certified Supplier Types Interpretive Guidance
Interpretive guidelines clarifying several provisions of the emergency preparedness final rule for Medicare- and Medicaid-participating providers, which affects Rural Health Clinics (RHCs), Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), and other rural facilities.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Home Health Prospective Payment System Regulations and Notices
Lists federal regulations and notices related to the Home Health Prospective Payment System, including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS State Operations Manual (SOM)
Provides guidance to state agencies that survey healthcare facilities and providers to determine if they are in compliance with the Medicare Conditions of Participation (CoP). Includes appendices with regulatory information specific to Critical Access Hospitals (Appendix W) and Federally Qualified Health Centers/Rural Health Clinics (Appendix G). Can be used by healthcare facilities as a tool to self-evaluate their compliance with Medicare CoP.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Code of Federal Regulations: Title 42: Public Health, Chapter 4 Subchapter G: Standards and Certification Part 484 Home Health Services
Contains details and requirements for condition of participation for home health agencies.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Last Updated: 10/24/2025