Rural Health
Resources by Topic: Home and community-based services
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
Type: Document
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
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Veterans in Focus: Disability and Veterans in Rural America
Fact sheet highlighting 2018-2022 American Community Survey 5-year estimates related to rural disabled veterans. Includes data on service-connected disability, geography including rural and urban comparisons, and access to Department of Veterans Affairs (VA) healthcare facilities. Discusses opportunities for Centers for Independent Living.
Author(s): Hannah W. Pepprock, Lillie Greiman
Date: 07/2024
Type: Document
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Fact sheet highlighting 2018-2022 American Community Survey 5-year estimates related to rural disabled veterans. Includes data on service-connected disability, geography including rural and urban comparisons, and access to Department of Veterans Affairs (VA) healthcare facilities. Discusses opportunities for Centers for Independent Living.
Author(s): Hannah W. Pepprock, Lillie Greiman
Date: 07/2024
Type: Document
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Characteristics of People Using Medicaid Long-Term Services and Supports, 2021
Presents data on the characteristics of individuals who used Medicaid long-term services and supports (LTSS) in 2021, including age, dual-eligibility status, rural or urban residence, and race and ethnicity. Offers data on home and community-based service (HCBS) users by HCBS program and state plan option types and institutional service users by setting type.
Author(s): Cara Stepanczuk, Alexandra Carpenter, Andrea Wysocki
Date: 07/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Presents data on the characteristics of individuals who used Medicaid long-term services and supports (LTSS) in 2021, including age, dual-eligibility status, rural or urban residence, and race and ethnicity. Offers data on home and community-based service (HCBS) users by HCBS program and state plan option types and institutional service users by setting type.
Author(s): Cara Stepanczuk, Alexandra Carpenter, Andrea Wysocki
Date: 07/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Community Health Needs and Opportunities in Rural Central New York
Reports on community health in central New York's Cayuga, Cortland, Madison, and Oswego counties. Discusses issues related to rural access to care, funding, and health workforce supply. Highlights health disparities affecting rural Black, Hispanic, multiracial, LGBTQ+, and disabled people. Includes sections dedicated to perinatal health, oral health, mental health and substance use, and medical and nonmedical home care.
Date: 06/2024
Type: Document
Sponsoring organization: Health Foundation for Western & Central New York
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Reports on community health in central New York's Cayuga, Cortland, Madison, and Oswego counties. Discusses issues related to rural access to care, funding, and health workforce supply. Highlights health disparities affecting rural Black, Hispanic, multiracial, LGBTQ+, and disabled people. Includes sections dedicated to perinatal health, oral health, mental health and substance use, and medical and nonmedical home care.
Date: 06/2024
Type: Document
Sponsoring organization: Health Foundation for Western & Central New York
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New Frontiers for Funding: An Introduction to Grantmaking in Rural Aging
Offers guidance on offering grant funds for rural aging work, discussing scale of funding, rural assets, sustainability, and partnership building. Highlights rural aging issues including health, cultural sensitivities, transportation, broadband, housing and institutional care, and social isolation.
Date: 06/2024
Type: Document
Sponsoring organization: Grantmakers In Aging
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Offers guidance on offering grant funds for rural aging work, discussing scale of funding, rural assets, sustainability, and partnership building. Highlights rural aging issues including health, cultural sensitivities, transportation, broadband, housing and institutional care, and social isolation.
Date: 06/2024
Type: Document
Sponsoring organization: Grantmakers In Aging
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Wisconsin National Youth in Transition Database (NYTD) Review Final Report
Provides an overview of the National Youth in Transition Database (NYTD) data collection system that tracks independent living (IL) services for youth transitioning from foster care to self-sufficiency. Reports on the NYTD review process in Wisconsin and provides feedback on IL services, including those in tribal and rural areas.
Date: 03/2024
Type: Document
Sponsoring organizations: Administration for Children and Families, Children's Bureau
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Provides an overview of the National Youth in Transition Database (NYTD) data collection system that tracks independent living (IL) services for youth transitioning from foster care to self-sufficiency. Reports on the NYTD review process in Wisconsin and provides feedback on IL services, including those in tribal and rural areas.
Date: 03/2024
Type: Document
Sponsoring organizations: Administration for Children and Families, Children's Bureau
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Addressing the Shortage of Direct Care Workers: Insights from Seven States
Brief assessing efforts for strengthening and identifying federal policy opportunities related to the direct care workforce through interviews with 20 stakeholders in 7 states. Discusses federal funding, collaboration, workforce pipelines, equity, credentials, training, family caregivers, and home- and community-based services. Discusses rural throughout.
Author(s): Barbara Lyons, Molly O'Malley Watts
Date: 03/2024
Type: Document
Sponsoring organization: Commonwealth Fund
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Brief assessing efforts for strengthening and identifying federal policy opportunities related to the direct care workforce through interviews with 20 stakeholders in 7 states. Discusses federal funding, collaboration, workforce pipelines, equity, credentials, training, family caregivers, and home- and community-based services. Discusses rural throughout.
Author(s): Barbara Lyons, Molly O'Malley Watts
Date: 03/2024
Type: Document
Sponsoring organization: Commonwealth Fund
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Aging Our Way, PA: A Plan for Lifelong Independence
Draft of a master plan for aging (MPA) for Pennsylvania. Highlights 5 priorities areas and their associated strategies and tactics related to access to services, aging in place, independence, caregiving, and awareness building. Includes rural throughout.
Date: 02/2024
Type: Document
Sponsoring organization: Pennsylvania Department of Aging
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Draft of a master plan for aging (MPA) for Pennsylvania. Highlights 5 priorities areas and their associated strategies and tactics related to access to services, aging in place, independence, caregiving, and awareness building. Includes rural throughout.
Date: 02/2024
Type: Document
Sponsoring organization: Pennsylvania Department of Aging
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Access in Brief: Adults with Intellectual Disabilities and Developmental Disabilities
Issue brief examining access to Medicaid coverage for adults with intellectual or developmental disabilities (ID/DD), using data for fiscal years 2017-2018. Compares characteristics of adult Medicaid beneficiaries with ID/DD across racial and ethnic groups and by Medicaid-only or dually eligible status. Includes a section on home and community-based services and features demographics including breakdowns by rural or urban residence.
Date: 02/2024
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Issue brief examining access to Medicaid coverage for adults with intellectual or developmental disabilities (ID/DD), using data for fiscal years 2017-2018. Compares characteristics of adult Medicaid beneficiaries with ID/DD across racial and ethnic groups and by Medicaid-only or dually eligible status. Includes a section on home and community-based services and features demographics including breakdowns by rural or urban residence.
Date: 02/2024
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Bridging The Home-Based Primary Care Gap In Rural Areas
Discusses challenges with offering home-based primary care (HBPC) in rural communities for older adults and people with disabilities, notably workforce shortages, insufficient infrastructure, and funding. Offers HBPC redesign suggestions with these challenges in mind, discussing community health workers, technology and telehealth, leveraging community resources and partnerships, training, scope of practice laws, payment models, and infrastructure investments.
Author(s): Ginny Rogers, Montgomery Smith, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: Health Affairs Forefront
Date: 02/2024
Type: Document
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Discusses challenges with offering home-based primary care (HBPC) in rural communities for older adults and people with disabilities, notably workforce shortages, insufficient infrastructure, and funding. Offers HBPC redesign suggestions with these challenges in mind, discussing community health workers, technology and telehealth, leveraging community resources and partnerships, training, scope of practice laws, payment models, and infrastructure investments.
Author(s): Ginny Rogers, Montgomery Smith, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: Health Affairs Forefront
Date: 02/2024
Type: Document
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