Rural Health
Resources by State: North Carolina
Medicaid Coverage of the National Diabetes Prevention Program: Considerations for Texas
Offers key considerations for implementing the National Diabetes Prevention Program (DPP) as a Medicaid-covered benefit in Texas. Synthesizes findings from interviews with representatives from 6 states and features a state-level map with colors indicating coverage mechanisms for the program. Mentions rural throughout.
Author(s): Anna Spencer, Stephanie Paneca-Navarro
Date: 06/2026
Sponsoring organization: Episcopal Health Foundation
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Offers key considerations for implementing the National Diabetes Prevention Program (DPP) as a Medicaid-covered benefit in Texas. Synthesizes findings from interviews with representatives from 6 states and features a state-level map with colors indicating coverage mechanisms for the program. Mentions rural throughout.
Author(s): Anna Spencer, Stephanie Paneca-Navarro
Date: 06/2026
Sponsoring organization: Episcopal Health Foundation
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Sex Differences in Rural Prehospital ST-Segment Elevation Myocardial Infarction Care
Compares prehospital treatment for ST-elevation myocardial infarction (STEMI) by sex in rural populations using 2016-2020 STEMI registry data from a rural cohort in North Carolina. Includes data breakdowns by clinical characteristics.
Author(s): Michael W. Supples, Randy S. Carpenter, Nicklaus P. Ashburn, et al.
Citation: Emergency Medicine Journal, 43(8), 486-492
Date: 06/2026
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Compares prehospital treatment for ST-elevation myocardial infarction (STEMI) by sex in rural populations using 2016-2020 STEMI registry data from a rural cohort in North Carolina. Includes data breakdowns by clinical characteristics.
Author(s): Michael W. Supples, Randy S. Carpenter, Nicklaus P. Ashburn, et al.
Citation: Emergency Medicine Journal, 43(8), 486-492
Date: 06/2026
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Is Access to Primary Care Clinicians Improving in North Carolina? A 2025 Update
Blog post providing updated information on the ratio of North Carolina population to primary care clinicians. Provides county-level maps with shadings showing better or worse access to primary care as of 2025 and percentage change in access from 2017-2025.
Author(s): Evan Galloway
Date: 06/2026
Sponsoring organizations: Sheps Health Workforce NC, The Cecil G. Sheps Center for Health Services Research
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Blog post providing updated information on the ratio of North Carolina population to primary care clinicians. Provides county-level maps with shadings showing better or worse access to primary care as of 2025 and percentage change in access from 2017-2025.
Author(s): Evan Galloway
Date: 06/2026
Sponsoring organizations: Sheps Health Workforce NC, The Cecil G. Sheps Center for Health Services Research
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North Carolina Mental Health & Substance Use Services Workforce Data 2024 Snapshot: Licensed Recreational Therapists and Assistants
Presents statistics on North Carolina licensed recreational therapists and assistants, including demographics, rate per 10,000 population with breakdowns by metro and nonmetro areas, and a county-level map showing rate per 10,000 population as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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Presents statistics on North Carolina licensed recreational therapists and assistants, including demographics, rate per 10,000 population with breakdowns by metro and nonmetro areas, and a county-level map showing rate per 10,000 population as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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North Carolina Mental Health & Substance Use Services Workforce Data 2024 Snapshot: Mental Health & Substance Use Services Registered Nurses & Licensed Practical Nurses
Presents statistics on North Carolina mental health and substance use services nurses, including demographics, rate per 10,000 population with breakdowns by metro and nonmetro areas, and a county-level map showing rate per 10,000 population as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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Presents statistics on North Carolina mental health and substance use services nurses, including demographics, rate per 10,000 population with breakdowns by metro and nonmetro areas, and a county-level map showing rate per 10,000 population as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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The Economic Impact of North Carolina's Hospitals
Reports on the statewide and regional economic contributions of 113 hospitals across North Carolina. Features statistics including number of hospitals by county designation and number of beds, with breakdowns by nonmetropolitan, micropolitan, and metropolitan areas.
Additional links: Infographic, Technical Documentation
Author(s): Sara Nienow, Carly Dotson
Date: 05/2026
Sponsoring organization: North Carolina Healthcare Association
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Reports on the statewide and regional economic contributions of 113 hospitals across North Carolina. Features statistics including number of hospitals by county designation and number of beds, with breakdowns by nonmetropolitan, micropolitan, and metropolitan areas.
Additional links: Infographic, Technical Documentation
Author(s): Sara Nienow, Carly Dotson
Date: 05/2026
Sponsoring organization: North Carolina Healthcare Association
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North Carolina Mental Health & Substance Use Services Workforce Data 2024 Snapshot: Certified Community Health Workers
Presents statistics on numbers of community health workers (CHWs) in North Carolina with breakdowns by metro and nonmetro areas, statistics on certification level, and a county-level map showing numbers of CHWs per 10,000 population as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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Presents statistics on numbers of community health workers (CHWs) in North Carolina with breakdowns by metro and nonmetro areas, statistics on certification level, and a county-level map showing numbers of CHWs per 10,000 population as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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North Carolina Mental Health & Substance Use Services Workforce Data 2024 Snapshot: Addiction Counselors
Offers statistics on number of addiction counselors in North Carolina, with breakdowns by type; demographics; county-level maps showing number of licensed clinical addiction specialists and certified drug and alcohol counselors per 10,000 population; and metro and nonmetro rate to 10,000 population by credential type, as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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Offers statistics on number of addiction counselors in North Carolina, with breakdowns by type; demographics; county-level maps showing number of licensed clinical addiction specialists and certified drug and alcohol counselors per 10,000 population; and metro and nonmetro rate to 10,000 population by credential type, as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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North Carolina Mental Health & Substance Use Services Workforce Data 2024 Snapshot: Certified Peer Support Specialists
Presents statistics on North Carolina peer support specialists, including demographics, rate per 10,000 population with breakdowns by metro and nonmetro areas, and a county-level map showing rate per 10,000 population as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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Presents statistics on North Carolina peer support specialists, including demographics, rate per 10,000 population with breakdowns by metro and nonmetro areas, and a county-level map showing rate per 10,000 population as of 2024.
Author(s): B.M. Lombardi, J. Headley, M.P. Jimenez, et al.
Date: 05/2026
Sponsoring organizations: The Cecil G. Sheps Center for Health Services Research, University of North Carolina Behavioral Health Workforce Research Center
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Integrated Care for Kids (InCK) Model: Evaluation Report 3
Presents findings from the first two years of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model; the impacts of the InCK Model on navigation and coordination, utilization and expenditures, quality of care, and beneficiary and caregiver experience of care; and the extent to which service changes or disruptions occurred and impacted care delivery. Identifies award recipients serving rural areas.
Additional links: Findings at a Glance
Date: 05/2026
Sponsoring organizations: Abt Associates, Centers for Medicare & Medicaid Services
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Presents findings from the first two years of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model; the impacts of the InCK Model on navigation and coordination, utilization and expenditures, quality of care, and beneficiary and caregiver experience of care; and the extent to which service changes or disruptions occurred and impacted care delivery. Identifies award recipients serving rural areas.
Additional links: Findings at a Glance
Date: 05/2026
Sponsoring organizations: Abt Associates, Centers for Medicare & Medicaid Services
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