Rural Health
Resources by Topic: Home and community-based services
"I Now Have the Freedom to Do What I Want, When I Want, Like Anybody Else": The Impact, Creation, and Management of Transportation Voucher Programs
Explores the impacts and implementation of transportation voucher programs supporting people with disabilities in rural areas via interviews with CIL staff and disabled voucher program participants. Discusses the experiences of rural people with disabilities and highlights benefits and challenges of transportation voucher programs.
Author(s): Luke Santore, Andrew Myers
Date: 05/2025
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Explores the impacts and implementation of transportation voucher programs supporting people with disabilities in rural areas via interviews with CIL staff and disabled voucher program participants. Discusses the experiences of rural people with disabilities and highlights benefits and challenges of transportation voucher programs.
Author(s): Luke Santore, Andrew Myers
Date: 05/2025
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Disability Pride and Community Connection in Eastern Virginia: The disAbility Resource Center of the Rappahannock Area, Inc.
Case study highlighting the outreach efforts of The disAbility Resource Center of the Rappahannock Area, Inc (dRC), a Center for Independent Living (CIL) in eastern Virginia. Discusses the implementation and outcomes of peer mentoring and community engagement initiatives focused on supporting people with disabilities in underserved areas.
Author(s): Luke Santore, Lillie Greiman, Rayna Sage
Date: 05/2025
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Case study highlighting the outreach efforts of The disAbility Resource Center of the Rappahannock Area, Inc (dRC), a Center for Independent Living (CIL) in eastern Virginia. Discusses the implementation and outcomes of peer mentoring and community engagement initiatives focused on supporting people with disabilities in underserved areas.
Author(s): Luke Santore, Lillie Greiman, Rayna Sage
Date: 05/2025
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Transportation: The Missing Link in Family Caregiver Support
Provides information on transportation services the professional or family caregivers of people with disabilities or aging-related challenges. See pages 8-9 for discussion of rural-specific challenges and strategies.
Date: 04/2025
Sponsoring organizations: ARCH National Respite Network and Resource Center, National Aging and Disability Transportation Center
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Provides information on transportation services the professional or family caregivers of people with disabilities or aging-related challenges. See pages 8-9 for discussion of rural-specific challenges and strategies.
Date: 04/2025
Sponsoring organizations: ARCH National Respite Network and Resource Center, National Aging and Disability Transportation Center
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Use of Medicaid Personal Care Services in 2019 and 2020
Explores the change in the utilization of personal care services (PCS) among Medicaid beneficiaries from 2019 to 2020. Compares the number and characteristics of Medicaid enrollees with comprehensive benefits who received personal care services (PCS) between a pre-COVID-19 pandemic period (March and December of 2019) and a COVID-19 pandemic period (March through December of 2020). Presents data by patient demographic and clinical characteristics.
Author(s): Melissa Sanchez, Zosha Kandel, Andrea Wysocki, et al.
Date: 03/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores the change in the utilization of personal care services (PCS) among Medicaid beneficiaries from 2019 to 2020. Compares the number and characteristics of Medicaid enrollees with comprehensive benefits who received personal care services (PCS) between a pre-COVID-19 pandemic period (March and December of 2019) and a COVID-19 pandemic period (March through December of 2020). Presents data by patient demographic and clinical characteristics.
Author(s): Melissa Sanchez, Zosha Kandel, Andrea Wysocki, et al.
Date: 03/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Operating Status of Adult Day Services Centers in 2022
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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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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National Community Care Corps 2023-2025 Grantee Snapshots: Volunteer Power Supporting Health at Home
Highlights programs supporting independent living and wellness for older adults, adults with disabilities, and family caregivers funded by Community Care Corps grants between 2023 and 2025. Includes programs in and for rural communities in California, Georgia, Washington, Idaho, Oklahoma, and Alabama offering transportation, social connection, and housework services.
Date: 2025
Sponsoring organization: National Community Care Corps
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Highlights programs supporting independent living and wellness for older adults, adults with disabilities, and family caregivers funded by Community Care Corps grants between 2023 and 2025. Includes programs in and for rural communities in California, Georgia, Washington, Idaho, Oklahoma, and Alabama offering transportation, social connection, and housework services.
Date: 2025
Sponsoring organization: National Community Care Corps
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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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