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Rural Health
Resources by Topic: Home and community-based services

States Use Appendix K Waivers to Support Home- and Community-Based Services in Response to COVID-19
Provides an overview of how states are utilizing Appendix K waivers to promote flexibility and modify their home- and community-based services for older adults and their family caregivers during the COVID-19 pandemic. Includes an interactive map and chart outlining each state's modifications.
Date: 07/2020
Type: Website
Sponsoring organization: National Academy for State Health Policy
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The Most Costly Chronic Medical Condition in America: Experts Talk About the Rural Aspects of Alzheimer's Disease and Related Dementias
Describes the impact of Alzheimer's Disease and other dementias in rural areas, the challenges of providing treatment and care, and initiatives underway to address dementia in rural communities.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Helping Patients Living in Rural Areas Transition from Hospital to Home - The ROADMAP Study
Evaluates a hospital discharge planning program's effectiveness in providing support to rural patients returning home after staying in a hospital. Includes patients' demographic information and compares the number of emergency department visits and rehospitalizations of the control group with those of the intervention group.
Author(s): Tom Seekins, Jennifer Wong, Lynda Yearous, et al.
Date: 2020
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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The Evolving Policy Landscape of Telehealth Services Delivered in the Home and Other Nonclinical Settings
Issue brief identifying key findings for state officials considering adopting new policies for home-based telehealth services. Describes Medicaid and Medicare coverage for telehealth services, including those provided in rural and Health Professional Shortage Areas, Critical Access Hospitals, and Rural Health Clinics.
Author(s): Brittany Lazur, Andrea Bennett, Valerie King
Date: 08/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Supportive Services and Caregiving for Older Rural Adults: Policy Brief and Recommendations to the Secretary
Provides an overview of current supportive services and caregiving policies for rural seniors, in terms of availability, accessibility, and acceptability of services. Explores topics including long-term services and supports, telehealth, care coordination, transportation, stigma, and unpaid caregivers, and describes federal programs for older adults. Offers policy recommendations and considerations.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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National Program Helps Older Adults in Rural Maine and Hawaii Feel More CAPABLE
Highlights CAPABLE (Community Aging in Place—Advancing Better Living for Elders), a national model that connects low-income older adults with an occupational therapist, registered nurse, and home repair services. Features programs implemented in Hawaii and Maine based on this model.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 07/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Support and Services at Home (SASH) Evaluation: SASH Evaluation Findings, 2010-2016
Evaluates the Support and Services at Home (SASH) program in Vermont, which provides support services and care coordination for older adults and people with disabilities in conjunction with affordable housing. Addresses Medicaid and Medicare expenditures, medication management, property management, challenges, and lessons learned. Identifies the percent of rural SASH host properties and differences for rural areas.
Additional links: Highlights
Date: 07/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Older Americans Act: HHS Could Help Rural Service Providers by Centralizing Information on Promising Practices
Focuses on services and resources authorized by the Older Americans Act to help older adults age in place in rural communities. Addresses challenges accessing home and community-based services in rural areas and information on strategies for addressing those challenges. Covers home-delivered meals, congregate meals, transportation, family caregiver services, case management, and homemaker services. Research included interviews with ACL officials, rural area agencies on aging (AAA) in 8 states, rural health experts, and stakeholder groups; a literature review; and site visits.
Date: 05/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Strengthening Medicaid Long-term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Aging in Appalachia
Episodes of the radio program "Inside Appalachia," exploring challenges faced by elderly people in Appalachia, and the resources available to them. Topics include caregiver shortages, Alzheimer's disease, dying with dignity, and isolation and loneliness.
Date: 2019
Type: Website
Sponsoring organization: West Virginia Public Broadcasting
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