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Rural Health
Resources by Topic: Integrated service delivery

Grantee Sourcebook: Rural Health Network Development Planning Program, 2021
Detailed descriptions of 20 Rural Health Network Development Planning Program grant projects funded in fiscal year 2021. Reports on each grantee's network infrastructure development, plans for sustaining the network after the grant, and program activities addressing topics such as integrated service delivery, creating efficiencies, integrating health services, chronic disease management, and care coordination. Grantee profiles identify the geographic areas served, network partners, and primary contact person.
Date: 07/2022
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Behavioral Health and Primary Care Integration in Rural Health Facilities: Policy Brief and Recommendations to the Secretary
Provides an overview of the prevalence of mental illness and substance use disorders in rural areas. Discusses the role of rural primary care providers in treating these conditions. Outlines federal programs and resources to support behavioral health and primary care integration. Offers policy recommendations related to access to care; workforce recruitment and retention; telehealth, technology, and broadband; and reimbursement and sustainable revenue.
Date: 06/2022
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Report to Congress on Medicaid and CHIP, June 2022
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses access to care, the oversight and transparency of managed care directed payments, access to vaccines for adult Medicaid beneficiaries, how Medicaid policy can be used to support the adoption of health IT among behavioral health providers, care integration for people who are dually eligible for Medicaid and Medicare, and advancing health equity in Medicaid. Includes rural references throughout.
Date: 06/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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MACPAC Response to CMS Request for Information on Access and Coverage in Medicaid and CHIP
Letter to the Centers for Medicare & Medicaid Services (CMS) responding to a request for information on access to coverage and care in Medicaid and the State Children's Health Insurance Program (CHIP). Discusses strategies related to enrolling in and maintaining coverage, accessing services, and ensuring adequate payment rates. Includes information on physical and behavioral health integration, substance use disorder treatment for pregnant and postpartum women, telehealth, and more.
Date: 04/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Integrating SUD and OB/GYN Care: Policy Challenges and Opportunities Final Report
Describes opportunities to integrate obstetrics and gynecology (OB/GYN) and substance use disorder (SUD) care to address treatment opportunities and reduce the impacts of SUD on mothers, children, and healthcare spending. Provides a review of literature on the effectiveness of integrated OB/GYN and SUD models, a scan of integrated models. Summarizes selected findings from subject matter experts on incentives for integrated OB/GYN and SUD models, as well as state and federal policy options to encourage the expansion of integrated OB/GYN and SUD care. Includes rural references throughout.
Author(s): Julie Seibert, Erin Dobbins, Elysha Theis, et al.
Date: 01/2022
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Depression and Integrated Care
Webinar recording discusses access to treatment for depression via integrated care. Highlights best practices for overcoming barriers to depression treatment, particularly in rural areas.
Additional links: Video Recording, Webinar Slides
Date: 12/2021
Type: Video/Multimedia
Sponsoring organization: Mountain Plains Mental Health Technology Transfer Center
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Improving Access to Care in Underserved Rural Communities: Eighteenth Annual Report to the Secretary of the U.S. Department of Health and Human Services and the U.S. Congress
Offers policy and program development recommendations to the Secretary of the U.S. Department of Health and Human Services and the U.S. Congress regarding primary care training and education. Recommendations aim to advance health equity through enhanced support of primary care workforce training to address health barriers in rural and other underserved communities. Covers longitudinal clinical training in rural primary care, integrating oral and behavioral health in primary care, enhancing telehealth capacity, and supporting interprofessional team-based education and practice in maternal-infant care.
Date: 11/2021
Type: Document
Sponsoring organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Washington, D.C., October 25-27, 2021
Summarizes the 89th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held virtually. Presents an overview of national and Arizona perspectives on the meeting's two areas of focus: behavioral health and primary care integration in rural America and the Rural Emergency Hospital designation.
Date: 10/2021
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Health Workforce Strategic Plan
Provides a framework for health workforce improvements and addresses long-standing barriers to strengthening the health workforce. Focuses on recruiting and training health professionals from underserved communities to build a diverse, representative health workforce; ensuring equitable distribution of the workforce across geographic areas and health professions; strengthening the ability of the workforce to deliver high-quality care, including through strengthening cultural and linguistic competency of professionals; and using evidence and data to make better decisions about health workforce education and training investments. Mentions rural throughout.
Additional links: Comments from Federal National Advisory Committees
Date: 10/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Grantee Sourcebook: Rural HIV/AIDS Planning Program, 2020-2021
Detailed descriptions of 7 Rural HIV/AIDS Planning Program grant projects funded in fiscal year 2020. Reports on each grantee's key Ending the HIV Epidemic (EHE) strategies, secondary focus areas, target populations served, network development and planning activities, initial outcomes of their planning work, and sustainability strategies of the HIV/AIDS rural health networks and HIV-related programming beyond the planning year. Grantee profiles identify the geographic areas served, network partners, and primary contact person.
Date: 09/2021
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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