Rural Health
Resources by Topic: Home and community-based services
Arizona State Plan on Aging: Federal Fiscal Years 2027 and 2028
Provides a plan for the ways Arizona's Division of Aging and Adult Services (DAAS) will support independent, healthy, and dignified community-based aging during FY 2027 and 2028. Addresses rural and tribal areas throughout, discussing topics including access to healthcare, well-being and safety, the need to ensure sufficient funding for rural programs, collaboration and communication with tribal and rural populations, and more.
Date: 11/2026
Sponsoring organization: Arizona Department of Economic Security
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Provides a plan for the ways Arizona's Division of Aging and Adult Services (DAAS) will support independent, healthy, and dignified community-based aging during FY 2027 and 2028. Addresses rural and tribal areas throughout, discussing topics including access to healthcare, well-being and safety, the need to ensure sufficient funding for rural programs, collaboration and communication with tribal and rural populations, and more.
Date: 11/2026
Sponsoring organization: Arizona Department of Economic Security
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People Living with Dementia in Rural Areas Are Most Likely to Report Unmet Service Needs in Home- and Community-based Services in the United States
Examines the relationship among home and community-based services (HCBS), dementia status, and rural versus urban location. Utilizes 2016-2019 National Core Indicators-Aging and Disability survey data to analyze 14,645 residents according to dementia status, sociodemographics, residential status and assistive care needs, and metropolitan, micropolitan, small town, or rural location. Discusses how location impacts access to HCBS for people living with dementia.
Author(s): Romil R. Parikh, Eric Jutkowitz, Jack M. Wolf, et al.
Citation: Journal of Rural Health, 42(4), e70230
Date: 10/2026
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Examines the relationship among home and community-based services (HCBS), dementia status, and rural versus urban location. Utilizes 2016-2019 National Core Indicators-Aging and Disability survey data to analyze 14,645 residents according to dementia status, sociodemographics, residential status and assistive care needs, and metropolitan, micropolitan, small town, or rural location. Discusses how location impacts access to HCBS for people living with dementia.
Author(s): Romil R. Parikh, Eric Jutkowitz, Jack M. Wolf, et al.
Citation: Journal of Rural Health, 42(4), e70230
Date: 10/2026
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MedPAC Payment Basics
Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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September 2026 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2026 meeting. Covers community engagement requirements in Medicaid, state directed payments and healthcare-related taxes, a comparison of an updated inpatient hospital payment index across states, utilization management for medications for opioid use disorder (MOUD) in Medicaid, and Medicaid coverage of assistive technology for adults, among other things. Includes rural references throughout.
Additional links: Medicaid Coverage of Assistive Technology for Adults: Data Analysis and Stakeholder Interviews
Date: 09/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2026 meeting. Covers community engagement requirements in Medicaid, state directed payments and healthcare-related taxes, a comparison of an updated inpatient hospital payment index across states, utilization management for medications for opioid use disorder (MOUD) in Medicaid, and Medicaid coverage of assistive technology for adults, among other things. Includes rural references throughout.
Additional links: Medicaid Coverage of Assistive Technology for Adults: Data Analysis and Stakeholder Interviews
Date: 09/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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From Innovation to Implementation: Replicable Community-Based Care Models for Aging in Place
Offers 6 domains influencing feasibility, sustainability, and adaptability for community-based long-term care models, drawn from more than 60 programs. Includes analysis of 3 of those programs including 1 rural North Dakota program. More rural programs are highlighted in Table 3.
Author(s): Brendan Flinn, Cleanthe (Cleo) Kordomenos, Giselle Torralba, Alondra Janicek, Tyler Cromer
Date: 09/2026
Sponsoring organization: AARP Public Policy Institute
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Offers 6 domains influencing feasibility, sustainability, and adaptability for community-based long-term care models, drawn from more than 60 programs. Includes analysis of 3 of those programs including 1 rural North Dakota program. More rural programs are highlighted in Table 3.
Author(s): Brendan Flinn, Cleanthe (Cleo) Kordomenos, Giselle Torralba, Alondra Janicek, Tyler Cromer
Date: 09/2026
Sponsoring organization: AARP Public Policy Institute
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Urban Versus Rural Differences in Services Requested, Received, and Interest Expressed among Informal Caregivers of Older U.S. Veterans
Results of a study on differences in access to, utilization of, and interest in home and community-based services (HCBS) for caregivers of older veterans in rural and urban communities. Bases findings on an online survey of caregivers of older veterans. Breaks down data by demographic factors of both veterans and their caregivers, veterans' care complexity, and by caregivers' access to services and interest in services to support the veterans under their care.
Author(s): Elizabeth S. Chamberlin, Steven D. Shirk, Victoria Ngo, et al.
Citation: Journal of Rural Health, 42(3), e70218
Date: 08/2026
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Results of a study on differences in access to, utilization of, and interest in home and community-based services (HCBS) for caregivers of older veterans in rural and urban communities. Bases findings on an online survey of caregivers of older veterans. Breaks down data by demographic factors of both veterans and their caregivers, veterans' care complexity, and by caregivers' access to services and interest in services to support the veterans under their care.
Author(s): Elizabeth S. Chamberlin, Steven D. Shirk, Victoria Ngo, et al.
Citation: Journal of Rural Health, 42(3), e70218
Date: 08/2026
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Older Medicare Beneficiaries' Use of Long Term Services and Supports, 2015-2021
Examines how the likelihood of living in nursing homes, lower intensity facilities, or community settings has varied over time among adults aged 65 and older, using 2015-2021 Medicare Current Beneficiary Survey data. Compares trends by rural or urban dwelling and other demographic and clinical factors.
Author(s): Yvonne Jonk, Heidi O'Connor, Erika C. Ziller
Date: 07/2026
Sponsoring organization: Maine Rural Health Research Center
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Examines how the likelihood of living in nursing homes, lower intensity facilities, or community settings has varied over time among adults aged 65 and older, using 2015-2021 Medicare Current Beneficiary Survey data. Compares trends by rural or urban dwelling and other demographic and clinical factors.
Author(s): Yvonne Jonk, Heidi O'Connor, Erika C. Ziller
Date: 07/2026
Sponsoring organization: Maine Rural Health Research Center
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State Innovations in Improving Access to Care for Adults with Complex Needs in Rural Communities
Discusses Medicaid policy and financing strategies that can help improve rural delivery systems and access to care for rural older adults, people with disabilities, and others with complex health and social needs. Describes effective approaches undertaken in California, Missouri, North Dakota, South Dakota, and Virginia across three promising strategies. Identifies four factors critical to successful program design and implementation and key considerations for states.
Author(s): Molly Knowles, Nida Enehizena, Gretchen Bell, Ellen Breslin
Date: 07/2026
Sponsoring organization: Center for Health Care Strategies
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Discusses Medicaid policy and financing strategies that can help improve rural delivery systems and access to care for rural older adults, people with disabilities, and others with complex health and social needs. Describes effective approaches undertaken in California, Missouri, North Dakota, South Dakota, and Virginia across three promising strategies. Identifies four factors critical to successful program design and implementation and key considerations for states.
Author(s): Molly Knowles, Nida Enehizena, Gretchen Bell, Ellen Breslin
Date: 07/2026
Sponsoring organization: Center for Health Care Strategies
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Rural–Urban Variability in Home and Community-Based Service Use Among Veterans
Evaluates rural and urban differences in home and community-based services (HCBS) use among more than 6 million veterans. Includes analysis of variance in use by rural status of Veterans Administration medical centers, as well as rural and urban comparisons of the study population's demographics and comorbidities.
Author(s): Heather Davila, Daniel Hackert, Frank DeVone, et al.
Citation: Journal of the American Geriatrics Society, 2026
Date: 06/2026
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Evaluates rural and urban differences in home and community-based services (HCBS) use among more than 6 million veterans. Includes analysis of variance in use by rural status of Veterans Administration medical centers, as well as rural and urban comparisons of the study population's demographics and comorbidities.
Author(s): Heather Davila, Daniel Hackert, Frank DeVone, et al.
Citation: Journal of the American Geriatrics Society, 2026
Date: 06/2026
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Supporting Rural Older Adults in Home and Community-Based Settings: Perspectives from Area Agencies on Aging
Explores the needs of older adults living in rural communities who are homebound. Presents findings and themes from a July 2025 listening session with representatives from rural-serving Area Agencies on Aging (AAAs) from five states regarding challenges serving rural older adults who are homebound.
Author(s): Katie Rydberg, Jessica Machler, Megan Lahr, Carrie Henning-Smith
Date: 06/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Explores the needs of older adults living in rural communities who are homebound. Presents findings and themes from a July 2025 listening session with representatives from rural-serving Area Agencies on Aging (AAAs) from five states regarding challenges serving rural older adults who are homebound.
Author(s): Katie Rydberg, Jessica Machler, Megan Lahr, Carrie Henning-Smith
Date: 06/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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