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Rural Health Information Hub

Rural Health
Resources by Topic: Integrated service delivery

Empowering Rural Communities: Overcoming Barriers to Substance Use Treatment
Webinar recording discusses the ways rural communities can overcome barriers to substance use disorder (SUD) treatment and uptake. Explores substance use data for rural communities and outlines common barriers, such as travel times and distance to care, provider shortages, and concerns about stigma and patient confidentiality. Highlights strategies for rural communities to leverage their community bonds and faith communities to address SUD, and details models for expanding treatment and patient support in rural areas.
Additional links: Webinar Slides
Date: 02/2026
Sponsoring organization: Addiction Technology Transfer Center Network
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State Medicaid & CHIP Toolkit for Children's Behavioral Health Services and the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Requirements
Toolkit designed to support state Medicaid and CHIP agencies in ensuring that children and youth experiencing behavioral health conditions get the care they need under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) requirements. Offers state examples within each strategy and sub-strategy presented. Includes rural considerations throughout.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Development of Metrics and a Protocol to Clinically Evaluate the HRSA Behavioral Health Integration Program Within the Evidence-Based Telehealth Network Program
Describes a protocol and 27 common data elements for examining the implementation of behavioral health integration in primary care. Protocol and elements were developed from 26 participants in the Health Resources and Services Administration's Evidence-Based Telehealth Network Program.
Author(s): J. Priyanka Vakkalanka, Fred Ullrich, Kimberly A.S. Merchant, Christopher M. Shea, Marcia M. Ward
Date: 02/2026
Sponsoring organization: Remote Care & Telehealth Research Center
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Integrating Substance Use Disorder Prevention with Physical Health Care: Progress in States
Discusses how states can integrate substance use disorder (SUD) prevention with physical healthcare, including examples of integration activities that are applicable to rural settings. Highlights opportunities for behavioral health integration aimed at serving adolescents aged 12-18. Includes a rural case study example of a school-based health center SUD prevention program in Oregon.
Date: 01/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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PACE in Rural Communities: Emerging Evidence on Integrated Care for Older Adults
An interview conversation with Carrie Henning-Smith of the the University of Minnesota School of Public Health (UMN) Rural Health Research Center about All-Inclusive Care for the Elderly (PACE). Covers how PACE supports older adults, the impact of PACE in rural communities as well as potential barriers, and policy and partnership needs.
Author(s): Megan Lisch
Date: 11/2025
Sponsoring organization: Center for Health Care Strategies
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Rural Maternity and Obstetrics Management Strategies (RMOMS) Program
Describes a pilot grant program designed to improve maternal and neonatal health in rural communities by collecting data and supporting the development of financially sustainable and coordinated network models. Aims to make maternal and obstetrics care more accessible through increased use of telehealth and specialty care. Fact sheet provides information on the activities of 3 rural networks funded through the RMOMS program.
Date: 09/2025
Sponsoring organizations: Federal Office of Rural Health Policy, Maternal and Child Health Bureau
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Expanding Access to Integrated Medicare-Medicaid Programs in Rural Communities
Discusses the rural population who are dually eligible for Medicare and Medicaid and their unique physical health, mental health, and health-related social needs (HRSNs). Includes information on dual eligibility issues related to access, integrated care, and managed care infrastructure. Provides a literature review and stakeholder interview feedback focused on potential strategies to improve healthcare integration.
Author(s): Molly Knowles, Nida Joseph, Nancy Archibald, Ellen Breslin
Date: 08/2025
Sponsoring organization: Center for Health Care Strategies
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Partners in Progress: Pursuing Medical-Dental Integration in Ohio
Report explores dental health integration into primary care in Ohio and a way to expand oral healthcare access in the state. Discusses access issues in rural area, shortage areas, among Medicaid recipients, and details how integration can help close the gap.
Date: 07/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Compendium of Rural Oral Health Best Practices - 2025
Highlights examples of the best practices in rural oral healthcare across the country. Presents a number of models regarding workforce development and training, integration of care, telehealth, clinical care, and policy.
Date: 06/2025
Sponsoring organizations: CareQuest Institute for Oral Health, National Rural Health Association
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Montana AHEC Scholars - HRSA: Area Health Education Center (AHEC)
Highlights the Montana AHEC Scholars Program, which provides interdisciplinary training in behavioral health integration, telehealth, and social determinants of health, among other topics, to improve the quality and access to care in rural communities.
Date: 05/2025
Sponsoring organizations: Montana Area Health Education Center, Montana Office of Rural Health
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