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Rural Health Information Hub

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

A Place to Thrive: Creating Opportunities to Age Well in North Carolina
Reports on North Carolina's aging population, and provides recommendations and strategies for improved health and livability for an aging population. Key topics include social and economic factors affecting older adults, the culture of aging, services and programs that support aging in place, and workforce supporting older adults' needs. Mentions people in rural areas throughout as a disproportionately affected group.
Date: 10/2023
Sponsoring organization: North Carolina Institute of Medicine
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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: 10/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Maintaining Fidelity to ACT: Current Issues and Innovations in Implementation
Reports on principles, implementation, and population-based adaptions of the Assertive Community Treatment (ACT) model, which provides community-based treatment and recovery services for people with serious mental illness and high risk of concurrent substance use, homelessness, criminal justice system involvement, or psychiatric crisis. See pages 35-38 for discussion of rural ACT implementation and modifications.
Date: 09/2023
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Research Insight: How Do Workforce Challenges and Strategies Vary Across Area Agencies on Aging?
Report analyzing workforce data for Area Agencies on Aging (AAAs) to identify connections between workforce challenges and organizational characteristics. Includes rural and urban comparisons.
Date: 07/2023
Sponsoring organization: USAging
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Arkansas State Plan on Aging: Fiscal Years 2024-2027
Provides direction for long-term care efforts in the state of Arkansas. Focuses on implementation of the Older American Act (OAA), COVID-19 recovery, equity, access to home and community-based services, and caregiving infrastructure. Highlights population data on rural Arkansas citizens and rural-specific priorities.
Date: 06/2023
Sponsoring organization: Arkansas Department of Human Services
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Report to Congress on Medicaid and CHIP, June 2023
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations on disproportionate share hospital (DSH) payments, care integration for people who are dually eligible for Medicaid and Medicare, access to Medicaid coverage for adults leaving incarceration, and barriers to Medicaid home- and community-based services (HCBS). Includes rural references throughout.
Date: 06/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Purposefully Investing in the Tribal Home Visiting Workforce
Examines the Tribal Home Visiting workforce and the various programs that impact the well-being of American Indian/Alaska Native (AI/AN) populations. Includes stories from home visitor staff regarding their work with AI/AN populations, culturally sensitive programming, recruitment and retention strategies, and management of appropriate compensation and training opportunities for the home visiting workforce.
Date: 05/2023
Sponsoring organization: Tribal Home Visiting
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The Value of Rural Independent Living
Presents a Photovoice project evaluating rural community outreach for Centers for Independent Living along the themes of inclusion, raising awareness, being in community, community connections, and rural community living and values.
Date: 04/2023
Sponsoring organizations: Association of Programs for Rural Independent Living, University of Montana: Rural Institute for Inclusive Communities
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Bend, Oregon, April 26-28, 2023
Summarizes the 92nd meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Bend, Oregon. Presents an overview of national, tribal, and state perspectives on the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program.
Date: 04/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Medicaid: Characteristics of and Expenditures for Adults with Intellectual or Developmental Disabilities
Describes the health and demographic characteristics of adults with intellectual or developmental disabilities (I/DD) enrolled in Medicaid home- and community-based programs in 2019 in six states: Colorado, Florida, Georgia, Indiana, Oklahoma, and South Dakota. Examines average per-beneficiary healthcare expenditures for I/DD beneficiaries in these states. Highlights the percentage of I/DD beneficiaries in rural areas of each state.
Additional links: Full Report
Date: 04/2023
Sponsoring organization: Government Accountability Office
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