Rural Health
Resources by Topic: Home and community-based services
Report to Congress on Medicaid and CHIP, June 2025
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to transitions from pediatric to adult care for Medicaid-covered children and youth with special health care needs (CYSHCN). Also discusses appropriate access to residential behavioral health treatment services for children, findings from MACPAC's analytic work on access to medications for opioid use disorder (MOUD) in Medicaid, an overview on the Program of All-Inclusive Care for the Elderly, and self-direction for Medicaid home- and community-based services. Includes rural references throughout.
Date: 06/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to transitions from pediatric to adult care for Medicaid-covered children and youth with special health care needs (CYSHCN). Also discusses appropriate access to residential behavioral health treatment services for children, findings from MACPAC's analytic work on access to medications for opioid use disorder (MOUD) in Medicaid, an overview on the Program of All-Inclusive Care for the Elderly, and self-direction for Medicaid home- and community-based services. Includes rural references throughout.
Date: 06/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Operating Status of Adult Day Services Centers in 2022
Author(s): Jessica P. Lendon, Priyanka Singh, Christine Caffrey, Manisha Sengupta, Zhaohui Lu
Date: 03/2025
Sponsoring organization: National Center for Health Statistics
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Offers estimates from the 2022 National Post-acute and Long-term Care Study (NPALS) regarding operating status of adult day service centers as a result of COVID-19 response efforts. Compares U.S. Census Bureau regions, metropolitan and nonmetropolitan statistical areas, Medicaid licensure, and number of enrolled participants.
Author(s): Jessica P. Lendon, Priyanka Singh, Christine Caffrey, Manisha Sengupta, Zhaohui Lu
Date: 03/2025
Sponsoring organization: National Center for Health Statistics
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Report to Congress on Medicaid and CHIP, March 2025
Reports on three aspects of Medicaid of interest to Congress: 1) improving the usability and transparency of the managed care external quality review process, 2) improvements on timely access to home- and community-based services (HCBS), and 3) ways to streamline Medicaid Section 1915 authorities for home-and community-based services and reduce the administrative burden.
Date: 03/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on three aspects of Medicaid of interest to Congress: 1) improving the usability and transparency of the managed care external quality review process, 2) improvements on timely access to home- and community-based services (HCBS), and 3) ways to streamline Medicaid Section 1915 authorities for home-and community-based services and reduce the administrative burden.
Date: 03/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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North Dakota Qualified Service Provider Hub Survey Report
Report features findings of a survey of qualified service providers (QSPs) in the state of North Dakota. Discusses findings from individual QSPs and agency QSPs and details information about clients served, services provided, and pay and benefits, including the rural differential rate, among other topics.
Author(s): Karen Bernhardt
Date: 11/2024
Sponsoring organization: North Dakota Qualified Service Provider Hub
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Report features findings of a survey of qualified service providers (QSPs) in the state of North Dakota. Discusses findings from individual QSPs and agency QSPs and details information about clients served, services provided, and pay and benefits, including the rural differential rate, among other topics.
Author(s): Karen Bernhardt
Date: 11/2024
Sponsoring organization: North Dakota Qualified Service Provider Hub
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Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities: FY2024 Year in Review
Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2024 to advance health and ensure affordable healthcare for people living in rural, tribal, and geographically isolated communities. Covers 6 priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2024 to advance health and ensure affordable healthcare for people living in rural, tribal, and geographically isolated communities. Covers 6 priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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An Aging America: Priorities and Policy Innovations
Presents themes that emerged during the National Academy of State Health Policy's 2024 pre-conference on aging. Highlights examples of innovative approaches in New York and North Dakota, as well as federal aging initiatives that support states.
Date: 11/2024
Sponsoring organization: National Academy for State Health Policy
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Presents themes that emerged during the National Academy of State Health Policy's 2024 pre-conference on aging. Highlights examples of innovative approaches in New York and North Dakota, as well as federal aging initiatives that support states.
Date: 11/2024
Sponsoring organization: National Academy for State Health Policy
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Building an Inclusive Disability Community in Rural Idaho: Stories from the Magic Valley
Case study highlighting the work of a rural Center for Independent Living (CIL) in Idaho participating in the Rural Community Living Development (RCLD), a peer support network offering mentorship. Discusses building both community relationships and individual capacity with focus on transportation, social connections, advocacy, independent living skills, and peer support.
Author(s): Lillie Greiman, Genna M. Mashinchi, E. Peterson, et al.
Date: 10/2024
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Case study highlighting the work of a rural Center for Independent Living (CIL) in Idaho participating in the Rural Community Living Development (RCLD), a peer support network offering mentorship. Discusses building both community relationships and individual capacity with focus on transportation, social connections, advocacy, independent living skills, and peer support.
Author(s): Lillie Greiman, Genna M. Mashinchi, E. Peterson, et al.
Date: 10/2024
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Rural Aging Action Network: Lessons from an Innovative Model for Mobilizing Whole Communities and Empowering Older Adults Across Rural America
Highlights the work of the Rural Aging Action Network (RAAN), a national collaborative that works to expand community-based services and supports to aid independence for older adults. Offers 7 steps for implementing a RAAN with a focus on continuous community involvement and ongoing evaluation.
Additional links: Summary
Author(s): Molly Wylie, Ashley Washington, Verena Cimarolli, Regan McManus, Robyn Stone
Date: 10/2024
Sponsoring organizations: LeadingAge, Lutheran Services in America
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Highlights the work of the Rural Aging Action Network (RAAN), a national collaborative that works to expand community-based services and supports to aid independence for older adults. Offers 7 steps for implementing a RAAN with a focus on continuous community involvement and ongoing evaluation.
Additional links: Summary
Author(s): Molly Wylie, Ashley Washington, Verena Cimarolli, Regan McManus, Robyn Stone
Date: 10/2024
Sponsoring organizations: LeadingAge, Lutheran Services in America
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Rural Communication Strategies: Disability and the Role of Public Libraries
Discusses the role of libraries to support underresourced populations, rural areas, and people with disabilities. Utilizes survey and interview feedback from rural librarians to examine issues such as networking, sharing information and resources, outreach, accessing community services, and more. Provides suggestions for increasing inclusion, social connectedness, and collaboration between libraries and Centers for Independent Living (CILs).
Author(s): Jeff Gutierrez
Date: 09/2024
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Discusses the role of libraries to support underresourced populations, rural areas, and people with disabilities. Utilizes survey and interview feedback from rural librarians to examine issues such as networking, sharing information and resources, outreach, accessing community services, and more. Provides suggestions for increasing inclusion, social connectedness, and collaboration between libraries and Centers for Independent Living (CILs).
Author(s): Jeff Gutierrez
Date: 09/2024
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Access in Brief: Seniors and Adults with Physical Disabilities
Explores access to Medicaid-funded long-term services and supports (LTSS) among Medicaid beneficiaries age 65 and older and Medicaid beneficiaries aged 18-64 with physical disabilities. Describes the demographics, health status, service use, and experiences with Medicaid home and community-based services (HCBS) of these Medicaid beneficiaries using data from the 2017-2018 National Core Indicators Aging and Disabilities (NCI-AD) Adult Consumer Survey. Presents data by race and ethnicity, dually eligible status, and age.
Date: 08/2024
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Explores access to Medicaid-funded long-term services and supports (LTSS) among Medicaid beneficiaries age 65 and older and Medicaid beneficiaries aged 18-64 with physical disabilities. Describes the demographics, health status, service use, and experiences with Medicaid home and community-based services (HCBS) of these Medicaid beneficiaries using data from the 2017-2018 National Core Indicators Aging and Disabilities (NCI-AD) Adult Consumer Survey. Presents data by race and ethnicity, dually eligible status, and age.
Date: 08/2024
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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