Rural Health
Resources by Topic: Access
Marriage and Family Therapist and Mental Health Counselor Workforces in Rural America Under New Medicare Reimbursement Policy
Describes how Medicare reimbursement expanded to cover marriage and family therapists (MFTs) and mental health counselors (MHCs) in January 2024. Examines the change in Medicare-enrolled MFTs and MHCs between the third quarter (Q3) of 2023 and fourth quarter (Q4) of 2024. Presents findings from semi-structured interviews with rural health system and mental health organization leaders regarding practice arrangements, the perceived impacts of MFT and MHC reimbursement, barriers to serving rural Medicare beneficiaries, and considerations for future policies.
Author(s): Janessa M. Graves, Natalia V. Oster, Lisa A. Garberson, Davis G. Patterson, C. Holly A. Andrilla
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Describes how Medicare reimbursement expanded to cover marriage and family therapists (MFTs) and mental health counselors (MHCs) in January 2024. Examines the change in Medicare-enrolled MFTs and MHCs between the third quarter (Q3) of 2023 and fourth quarter (Q4) of 2024. Presents findings from semi-structured interviews with rural health system and mental health organization leaders regarding practice arrangements, the perceived impacts of MFT and MHC reimbursement, barriers to serving rural Medicare beneficiaries, and considerations for future policies.
Author(s): Janessa M. Graves, Natalia V. Oster, Lisa A. Garberson, Davis G. Patterson, C. Holly A. Andrilla
Date: 06/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Medicaid Home- and Community-Based Services Rebalancing Is Concentrated in Large Urban Areas
Compares rural and urban utilization of home and community-based services among Medicaid long-term services and supports users, using 2022 Transformed Medicaid Statistical Information System data sourced through an ATI Advisory LTSS user dashboard. Analyzes rural-urban disparities in access by level of rurality and by state.
Author(s): Emmaline Keesee, Laura M. Keohane
Citation: The Journal of the Post-Acute and Long-Term Care Medical Association, 27(6), 106208
Date: 06/2026
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Compares rural and urban utilization of home and community-based services among Medicaid long-term services and supports users, using 2022 Transformed Medicaid Statistical Information System data sourced through an ATI Advisory LTSS user dashboard. Analyzes rural-urban disparities in access by level of rurality and by state.
Author(s): Emmaline Keesee, Laura M. Keohane
Citation: The Journal of the Post-Acute and Long-Term Care Medical Association, 27(6), 106208
Date: 06/2026
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Impact and Opportunities for Certified Community Behavioral Health Clinics in Rural Communities
Examines ways in which Certified Community Behavioral Health Clinics (CCBHCs) are improving access to and quality of care in rural areas. Highlights opportunities and strategies for CCBHCs to fill service gaps in rural areas and to meet or exceed program requirements.
Author(s): Renee Boak
Date: 06/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Examines ways in which Certified Community Behavioral Health Clinics (CCBHCs) are improving access to and quality of care in rural areas. Highlights opportunities and strategies for CCBHCs to fill service gaps in rural areas and to meet or exceed program requirements.
Author(s): Renee Boak
Date: 06/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Pursuing Cultural Competence in Rural Mental Health
Offers best practices for mental health practitioners treating patients in rural communities, particularly through telehealth. Discusses rural culture and stereotypes, patient and provider trust, access to resources, broadband access, and provider burnout.
Author(s): Ashley Abramson
Citation: Monitor on Psychology, 57(4), 74
Date: 06/2026
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Offers best practices for mental health practitioners treating patients in rural communities, particularly through telehealth. Discusses rural culture and stereotypes, patient and provider trust, access to resources, broadband access, and provider burnout.
Author(s): Ashley Abramson
Citation: Monitor on Psychology, 57(4), 74
Date: 06/2026
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Strengthening Rural Health Centers: Challenges, Innovations, and Opportunities
Provides an overview of how health centers serve rural residents. Describes workforce and geographic challenges rural health centers face. Includes data on states where rural health centers serve over half of all health center patients in the state. Discusses areas for key investments to strengthen the ability of health centers to serve their patients and communities.
Date: 06/2026
Sponsoring organization: National Association of Community Health Centers
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Provides an overview of how health centers serve rural residents. Describes workforce and geographic challenges rural health centers face. Includes data on states where rural health centers serve over half of all health center patients in the state. Discusses areas for key investments to strengthen the ability of health centers to serve their patients and communities.
Date: 06/2026
Sponsoring organization: National Association of Community Health Centers
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Comparing Patient and Provider Perspectives on a Rural, Multilevel, Community-Engaged Food Is Medicine Intervention
Compares perspectives of 25 low-income patients with chronic disease risk and 19 healthcare providers in the rural Mississippi Delta on potential impacts of a food is medicine (FIM) program. Discusses themes regarding health status improvement, improvements to food insecurity, diet-related disease management and healthcare delivery, implementation barriers, and program adherence.
Author(s): Danielle M. Krobath, Vanessa Nicholson-Robinson, Yarisbel Melo Herrera, et al.
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Compares perspectives of 25 low-income patients with chronic disease risk and 19 healthcare providers in the rural Mississippi Delta on potential impacts of a food is medicine (FIM) program. Discusses themes regarding health status improvement, improvements to food insecurity, diet-related disease management and healthcare delivery, implementation barriers, and program adherence.
Author(s): Danielle M. Krobath, Vanessa Nicholson-Robinson, Yarisbel Melo Herrera, et al.
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Why Are Massachusetts Opioid Prescribing Rates Higher in Rural Versus Urban Areas?
Examines opioid prescribing trends in Massachusetts according to metro versus nonmetro patient characteristics, facility and provider availability, opioid supply and demand, and more. Utilizes 2010-2014 Massachusetts All-Payer Claims (MAPC) data and discusses the factors that lead to geographic differences in opioid prescribing.
Author(s): Alicia Sasser Modestino, Gary J. Young, Mahmudul Hasan, Jiesheng Shi, Noor E. Alam
Citation: PLoS One, 21(5), e0349247
Date: 05/2026
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Examines opioid prescribing trends in Massachusetts according to metro versus nonmetro patient characteristics, facility and provider availability, opioid supply and demand, and more. Utilizes 2010-2014 Massachusetts All-Payer Claims (MAPC) data and discusses the factors that lead to geographic differences in opioid prescribing.
Author(s): Alicia Sasser Modestino, Gary J. Young, Mahmudul Hasan, Jiesheng Shi, Noor E. Alam
Citation: PLoS One, 21(5), e0349247
Date: 05/2026
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2010-2024 County-Level Hospital-Based Obstetric Care Status
County-level dataset containing the county Federal Information Processing Standard (FIPS) code, county, state, and indicator of whether each county had hospital-based obstetrics care in years 2010-2024. Available for download as an XLS file.
Author(s): Julia D. Interrante, Emily C. Sheffield, Kevan O'Hanlon, Katy Kozhimannil
Date: 05/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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County-level dataset containing the county Federal Information Processing Standard (FIPS) code, county, state, and indicator of whether each county had hospital-based obstetrics care in years 2010-2024. Available for download as an XLS file.
Author(s): Julia D. Interrante, Emily C. Sheffield, Kevan O'Hanlon, Katy Kozhimannil
Date: 05/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Survivor Views on Rural Health
Presents findings from a survey of rural, urban, and suburban cancer patients and survivors on healthcare affordability, medical debt, provider access, cancer screening, patient navigation services, and other topics related to access to care.
Date: 05/2026
Sponsoring organization: American Cancer Society Cancer Action Network (ACS CAN)
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Presents findings from a survey of rural, urban, and suburban cancer patients and survivors on healthcare affordability, medical debt, provider access, cancer screening, patient navigation services, and other topics related to access to care.
Date: 05/2026
Sponsoring organization: American Cancer Society Cancer Action Network (ACS CAN)
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How Primary Care Associations Can Serve as Champions of Multisector Collaboration
Describes the Wisconsin Primary Health Care Association's Medical-Legal Partnership (MLP) pilot including the partners, focus on housing instability and public benefits denials, findings after Years 1 and 2, lessons learned, and future plans. 2 of 3 community health centers in the pilot serve rural and migrant and seasonal agricultural worker populations. Requires an email to download for free.
Date: 05/2026
Sponsoring organization: National Center for Medical-Legal Partnership
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Describes the Wisconsin Primary Health Care Association's Medical-Legal Partnership (MLP) pilot including the partners, focus on housing instability and public benefits denials, findings after Years 1 and 2, lessons learned, and future plans. 2 of 3 community health centers in the pilot serve rural and migrant and seasonal agricultural worker populations. Requires an email to download for free.
Date: 05/2026
Sponsoring organization: National Center for Medical-Legal Partnership
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