Rural Health
Resources by Topic: Federally Qualified Health Centers
Achieving Behavioral Health Care Integration in Rural America
Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Improving Health Care Access in Rural Communities: Obstacles and Opportunities
Presents the U.S. Senate Committee on Finance, Subcommittee on Health Care hearing on improving access to high-quality, affordable healthcare in rural communities. Discusses workforce issues, education pipeline, transportation, broadband, school-based health centers, payment models and value-based care, and rural-friendly policies. Features testimonies from representatives of Frances Mahon Deaconess Hospital, Choptank Community Health System, Essentia Health, and the Sheps Center For Health Services Research.
Additional links: Testimony by David Herman, Testimony by Erin Aune, Testimony by Mark Holmes, Testimony by Sara Rich
Date: 05/2023
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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Presents the U.S. Senate Committee on Finance, Subcommittee on Health Care hearing on improving access to high-quality, affordable healthcare in rural communities. Discusses workforce issues, education pipeline, transportation, broadband, school-based health centers, payment models and value-based care, and rural-friendly policies. Features testimonies from representatives of Frances Mahon Deaconess Hospital, Choptank Community Health System, Essentia Health, and the Sheps Center For Health Services Research.
Additional links: Testimony by David Herman, Testimony by Erin Aune, Testimony by Mark Holmes, Testimony by Sara Rich
Date: 05/2023
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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Patient Satisfaction with Rural Health Centers
Examines patient satisfaction with health centers in Illinois by patient demographics, including metro versus nonmetro home location. Utilizes 7,002 records from Health Center Patient Survey (HCPS) data gathered from October 2014 through April 2015 to analyze health status, perception of healthcare quality, and satisfaction of health center patients.
Author(s): Adee Athiyaman
Date: 05/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Examines patient satisfaction with health centers in Illinois by patient demographics, including metro versus nonmetro home location. Utilizes 7,002 records from Health Center Patient Survey (HCPS) data gathered from October 2014 through April 2015 to analyze health status, perception of healthcare quality, and satisfaction of health center patients.
Author(s): Adee Athiyaman
Date: 05/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Mental Health Visits via Telecommunications for Rural Health Clinics & Federally Qualified Health Centers
Details regulatory changes for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) regarding mental health visits provided through real-time audio-video and audio-only technologies. Includes information on coding for RHC and FQHC claims, in-person mental health visit requirements, and exceptions to the in-person requirement.
Date: 05/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Details regulatory changes for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) regarding mental health visits provided through real-time audio-video and audio-only technologies. Includes information on coding for RHC and FQHC claims, in-person mental health visit requirements, and exceptions to the in-person requirement.
Date: 05/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Implications of COVID-19 on Safety-Net Oral Health Services
Examines COVID-19 pandemic impacts on Federally Qualified Health Centers (FQHCs) and other safety-net dental providers. Describes the challenges safety-net providers face in delivering care to underserved and rural communities, and examines impacts on safety-net providers offering oral health services through mobile programs. Features statistics on FQHCs offering oral health services, with breakdowns by region.
Author(s): Margaret Langelier, Simona Surdu, Theekshana Fernando, Sai Sindhura Gundavarapu, Alex Romero
Date: 04/2023
Sponsoring organization: Oral Health Workforce Research Center
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Examines COVID-19 pandemic impacts on Federally Qualified Health Centers (FQHCs) and other safety-net dental providers. Describes the challenges safety-net providers face in delivering care to underserved and rural communities, and examines impacts on safety-net providers offering oral health services through mobile programs. Features statistics on FQHCs offering oral health services, with breakdowns by region.
Author(s): Margaret Langelier, Simona Surdu, Theekshana Fernando, Sai Sindhura Gundavarapu, Alex Romero
Date: 04/2023
Sponsoring organization: Oral Health Workforce Research Center
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Wyoming Medicaid SFY 2022 Annual Report
Comprehensive report of Wyoming's Medicaid program, including information and data for the types of services provided, enrollment, cost of services, and service utilization by Rural Health Clinics and Federally Qualified Health Centers.
Date: 04/2023
Sponsoring organization: Wyoming Department of Health
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Comprehensive report of Wyoming's Medicaid program, including information and data for the types of services provided, enrollment, cost of services, and service utilization by Rural Health Clinics and Federally Qualified Health Centers.
Date: 04/2023
Sponsoring organization: Wyoming Department of Health
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California Federally Qualified Health Center Alternative Payment Model Implementation Guide
Provides an overview on how the California Federally Qualified Health Center Alternative Payment Model (FQHC APM) may impact FQHCs and how facilities can prepare for the transition. Discusses the financial impact of the FQHC APM and assists facilities and staff in setting priorities, determining staffing needs, understanding necessary data collection, building staff competencies, and more.
Author(s): Greg Howe, Karla Silverman, Rob Houston
Date: 03/2023
Sponsoring organizations: California Health Care Foundation, Center for Health Care Strategies
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Provides an overview on how the California Federally Qualified Health Center Alternative Payment Model (FQHC APM) may impact FQHCs and how facilities can prepare for the transition. Discusses the financial impact of the FQHC APM and assists facilities and staff in setting priorities, determining staffing needs, understanding necessary data collection, building staff competencies, and more.
Author(s): Greg Howe, Karla Silverman, Rob Houston
Date: 03/2023
Sponsoring organizations: California Health Care Foundation, Center for Health Care Strategies
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Using GIS to Identify Priority Sites for Colorectal Cancer Screening Programs in Texas Health Centers
Provides county-level information on colorectal cancer (CRC) screening rates in Texas, including percentage of the population who have been screened and number of Federally Qualified Health Center (FQHC) patients without up-to-date screening or Cancer Prevention and Research Institute of Texas (CPRIT) engagement. Lists FQHCs by county that are priority for CRC screening improvement.
Author(s): F. Benjamin Zhan, Yanyan Liu, Mei Yang, et al.
Citation: Preventing Chronic Disease, 20
Date: 03/2023
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Provides county-level information on colorectal cancer (CRC) screening rates in Texas, including percentage of the population who have been screened and number of Federally Qualified Health Center (FQHC) patients without up-to-date screening or Cancer Prevention and Research Institute of Texas (CPRIT) engagement. Lists FQHCs by county that are priority for CRC screening improvement.
Author(s): F. Benjamin Zhan, Yanyan Liu, Mei Yang, et al.
Citation: Preventing Chronic Disease, 20
Date: 03/2023
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FQHC & RHC CMS Policy Manual Updates
Highlights policy changes in the 2022 and 2023 Final Physician Fee Schedules, but not included in the FQHC/RHC CMS Policy Manual, regarding mental health face-to-face and telehealth encounters, and care management services. Details when permanent policies take effect. Discusses the current CMS modified definition of a mental health visit. Provides clarification on the Medicare allowance for general care management services including chronic care, chronic pain, and behavioral health integration.
Date: 02/2023
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Highlights policy changes in the 2022 and 2023 Final Physician Fee Schedules, but not included in the FQHC/RHC CMS Policy Manual, regarding mental health face-to-face and telehealth encounters, and care management services. Details when permanent policies take effect. Discusses the current CMS modified definition of a mental health visit. Provides clarification on the Medicare allowance for general care management services including chronic care, chronic pain, and behavioral health integration.
Date: 02/2023
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Associations Between Social Vulnerability and Providing Evidence-Based Diabetes Prevention and Management Activities in South Carolina, 2019
Examines the abilities of Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) in South Carolina to implement evidence-based diabetes prevention and management activities in counties with high burden of heart disease, diabetes, and associated social vulnerabilities. Includes a state map showing location of RHCs and FQHCs and data on associations between social vulnerability measures and diabetes prevention and management activities.
Author(s): Jennifer Mandelbaum, Courtney Brightharp, Kristian Myers, Shauna Hicks
Citation: Preventing Chronic Disease, 20
Date: 02/2023
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Examines the abilities of Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) in South Carolina to implement evidence-based diabetes prevention and management activities in counties with high burden of heart disease, diabetes, and associated social vulnerabilities. Includes a state map showing location of RHCs and FQHCs and data on associations between social vulnerability measures and diabetes prevention and management activities.
Author(s): Jennifer Mandelbaum, Courtney Brightharp, Kristian Myers, Shauna Hicks
Citation: Preventing Chronic Disease, 20
Date: 02/2023
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