Rural Health
Resources by Topic: Healthcare needs and services
Barriers to Mental Health Care: Improving Provider Directory Accuracy to Reduce the Prevalence of Ghost Networks
Recording of a May 3, 2023, hearing of the U.S. Senate Committee on Finance regarding inaccurate healthcare provider directories that impede access to mental healthcare. Features testimony from Robert L. Trestman, Professor and Chair of Behavioral Medicine at the Carilion Clinic and Virginia Tech Carilion School of Medicine, on access to care in rural Virginia.
Additional links: Robert L. Trestman, American Psychiatric Association - Testimony
Date: 05/2023
Sponsoring organization: Senate Committee on Finance
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Recording of a May 3, 2023, hearing of the U.S. Senate Committee on Finance regarding inaccurate healthcare provider directories that impede access to mental healthcare. Features testimony from Robert L. Trestman, Professor and Chair of Behavioral Medicine at the Carilion Clinic and Virginia Tech Carilion School of Medicine, on access to care in rural Virginia.
Additional links: Robert L. Trestman, American Psychiatric Association - Testimony
Date: 05/2023
Sponsoring organization: Senate Committee on Finance
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Medication for Opioid Use Disorder During Pregnancy — Maternal and Infant Network to Understand Outcomes Associated with Use of Medication for Opioid Use Disorder During Pregnancy (MAT-LINK), 2014–2021
Describes a surveillance network of 7 clinical sites focused on the use of medication for opioid use disorder (MOUD) during pregnancy. Initial report is limited to selected demographic characteristics of pregnant persons overall and by MOUD treatment status, including data for urban and rural areas.
Author(s): Kathryn Miele, Shin Y. Kim, Rachelle Jones, et al.
Citation: MMWR Surveillance Summaries, 72(3), 1-14
Date: 05/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Describes a surveillance network of 7 clinical sites focused on the use of medication for opioid use disorder (MOUD) during pregnancy. Initial report is limited to selected demographic characteristics of pregnant persons overall and by MOUD treatment status, including data for urban and rural areas.
Author(s): Kathryn Miele, Shin Y. Kim, Rachelle Jones, et al.
Citation: MMWR Surveillance Summaries, 72(3), 1-14
Date: 05/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Access to Maternity Providers: Midwives and Birth Centers
Provides an overview of the role of certified nurse-midwives and birth centers in Medicaid and how beneficiaries use these services. Describes policy issues and barriers to expanding access to midwives and birth centers, including payment policies; contracting with managed care organizations; licensure, certification, and accreditation; scope of practice; and limited supply. Includes rural considerations throughout.
Date: 05/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of the role of certified nurse-midwives and birth centers in Medicaid and how beneficiaries use these services. Describes policy issues and barriers to expanding access to midwives and birth centers, including payment policies; contracting with managed care organizations; licensure, certification, and accreditation; scope of practice; and limited supply. Includes rural considerations throughout.
Date: 05/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Frequently Asked Questions: CMS Waivers, Flexibilities, and the End of the COVID-19 Public Health Emergency
Provides information related to COVID-19 flexibilities after the end of the COVID-19 public health emergency (PHE) that expired May 11, 2023. Addresses issues impacting Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and private insurance including concerns related to COVID-19 vaccines and treatment, telehealth, and more. Includes information about which changes have ended, as well as end dates for those that extend after the PHE.
Date: 05/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides information related to COVID-19 flexibilities after the end of the COVID-19 public health emergency (PHE) that expired May 11, 2023. Addresses issues impacting Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and private insurance including concerns related to COVID-19 vaccines and treatment, telehealth, and more. Includes information about which changes have ended, as well as end dates for those that extend after the PHE.
Date: 05/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Association of Receipt of Opioid Use Disorder-Related Telehealth Services and Medications for Opioid Use Disorder with Fatal Drug Overdoses among Medicare Beneficiaries Before and During the COVID-19 Pandemic
Reports on a study to determine the benefits of expanding opioid use disorder (OUD) related telehealth services and remote prescribing of medications for opioid use disorder (MOUD) during the COVID-19 pandemic to reduce the number of fatalities due to drug overdose. Examines clinical and sociodemographic characteristics of Medicare fee-for-service beneficiaries with OUD by analyzing data on sex, age, county rural and urban status, death rates, disability, mental health diagnosis, chronic conditions, and other substance use disorders (SUDs).
Author(s): Christopher M. Jones, Carla Shoff, Carlos Blanco, et al.
Citation: JAMA Psychiatry, 80(5), 508–514
Date: 05/2023
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Reports on a study to determine the benefits of expanding opioid use disorder (OUD) related telehealth services and remote prescribing of medications for opioid use disorder (MOUD) during the COVID-19 pandemic to reduce the number of fatalities due to drug overdose. Examines clinical and sociodemographic characteristics of Medicare fee-for-service beneficiaries with OUD by analyzing data on sex, age, county rural and urban status, death rates, disability, mental health diagnosis, chronic conditions, and other substance use disorders (SUDs).
Author(s): Christopher M. Jones, Carla Shoff, Carlos Blanco, et al.
Citation: JAMA Psychiatry, 80(5), 508–514
Date: 05/2023
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Sparta Community Hospital Spotlight
Describes how the Sparta Community Hospital worked to identify the social determinants of health in its community. Discusses the addition of a mobile clinic to increase access to primary care, address barriers, and advance health equity. Transcript available below description.
Date: 05/2023
Sponsoring organization: National Rural Health Resource Center
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Describes how the Sparta Community Hospital worked to identify the social determinants of health in its community. Discusses the addition of a mobile clinic to increase access to primary care, address barriers, and advance health equity. Transcript available below description.
Date: 05/2023
Sponsoring organization: National Rural Health Resource Center
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Home Health Agencies: CMS Flexibilities to Fight COVID-19
Outlines specific regulatory waivers and Medicare flexibilities for home health agencies issued in response to the COVID-19 pandemic. Includes information on whether each waiver or flexibility has been terminated, will end at the conclusion of the public health emergency, or has become permanent.
Date: 05/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Outlines specific regulatory waivers and Medicare flexibilities for home health agencies issued in response to the COVID-19 pandemic. Includes information on whether each waiver or flexibility has been terminated, will end at the conclusion of the public health emergency, or has become permanent.
Date: 05/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Hospice: CMS Flexibilities to Fight COVID-19
Outlines specific regulatory waivers and Medicare flexibilities for hospice providers issued in response to the COVID-19 pandemic. Includes information on payments for COVID-19 vaccines and therapeutics. Identifies whether each waiver or flexibility has been terminated, will end at the conclusion of the public health emergency, or has become permanent.
Date: 05/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Outlines specific regulatory waivers and Medicare flexibilities for hospice providers issued in response to the COVID-19 pandemic. Includes information on payments for COVID-19 vaccines and therapeutics. Identifies whether each waiver or flexibility has been terminated, will end at the conclusion of the public health emergency, or has become permanent.
Date: 05/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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DRCHSD Spotlight on Natchitoches Regional Medical Center
Profiles Natchitoches Regional Medical Center (NRMC) in Natchitoches, Louisiana. Discusses how NRMC implemented best practices from the Delta Region Community Health Systems Development Program to improve their emergency department redirect program and form community partnerships to address social determinants of health and improve the health of the population.
Date: 05/2023
Sponsoring organization: National Rural Health Resource Center
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Profiles Natchitoches Regional Medical Center (NRMC) in Natchitoches, Louisiana. Discusses how NRMC implemented best practices from the Delta Region Community Health Systems Development Program to improve their emergency department redirect program and form community partnerships to address social determinants of health and improve the health of the population.
Date: 05/2023
Sponsoring organization: National Rural Health Resource Center
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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 & 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 & Medicaid Services
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