Rural Health
Resources by Topic: Licensure and certification of health professionals
Access to Maternity Providers: Midwives and Birth Centers
Provides an overview of the role of certified nurse-midwives and birth centers in Medicaid and how beneficiaries use these services. Describes policy issues and barriers to expanding access to midwives and birth centers, including payment policies; contracting with managed care organizations; licensure, certification, and accreditation; scope of practice; and limited supply. Includes rural considerations throughout.
Date: 05/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of the role of certified nurse-midwives and birth centers in Medicaid and how beneficiaries use these services. Describes policy issues and barriers to expanding access to midwives and birth centers, including payment policies; contracting with managed care organizations; licensure, certification, and accreditation; scope of practice; and limited supply. Includes rural considerations throughout.
Date: 05/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Characteristics of California's EMT and Paramedic Workforce
Provides an overview of the emergency medical technician (EMT) and paramedic workforce in California, including trends, estimated size, geographic distribution, employment and demographic characteristics, educational pipeline, and more. Provides county-level maps of actively certified EMTS to population ratios, actively licensed paramedics to population ratios, and EMT and paramedic training programs.
Author(s): Tim Bates, Janet Coffman
Date: 02/2023
Sponsoring organization: Healthforce Center at UCSF
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Provides an overview of the emergency medical technician (EMT) and paramedic workforce in California, including trends, estimated size, geographic distribution, employment and demographic characteristics, educational pipeline, and more. Provides county-level maps of actively certified EMTS to population ratios, actively licensed paramedics to population ratios, and EMT and paramedic training programs.
Author(s): Tim Bates, Janet Coffman
Date: 02/2023
Sponsoring organization: Healthforce Center at UCSF
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State-Based Recommendations to Support Rural Ambulance Agencies
Discusses challenges faced by rural ambulance agencies and emergency medical services (EMS) agencies. Identifies state-based policy opportunities to support rural ambulance agencies. Covers EMS as an essential service, professional management, EMS zones, and standby costs.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Alva O. Ferdinand, et al.
Date: 02/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Discusses challenges faced by rural ambulance agencies and emergency medical services (EMS) agencies. Identifies state-based policy opportunities to support rural ambulance agencies. Covers EMS as an essential service, professional management, EMS zones, and standby costs.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Alva O. Ferdinand, et al.
Date: 02/2023
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Telehealth and Licensure Policies Improving Healthcare Access for Rural Communities
Discusses expanding licensure across state lines so providers can provide telehealth services to a wider service area. Includes information on Medicaid and Medicare telehealth policies as well as state-level legislation focused on cross-state licensing.
Author(s): Ashley Cram
Date: 01/2023
Sponsoring organization: Association of State and Territorial Health Officials
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Discusses expanding licensure across state lines so providers can provide telehealth services to a wider service area. Includes information on Medicaid and Medicare telehealth policies as well as state-level legislation focused on cross-state licensing.
Author(s): Ashley Cram
Date: 01/2023
Sponsoring organization: Association of State and Territorial Health Officials
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State Telehealth Policy: Summary and Findings from the Fall 2022 Webinar Series
Offers a summary of presentations included in the Center for Connected Health Policy's (CCHP) Fall 2022 webinar series. Topics focus on telehealth policy after the public health emergency (PHE) environment and include licensure laws and legal considerations when providers practice across state lines, the use of telehealth by Medicare beneficiaries, and the expansion and effectiveness of telemedicine in primary care settings.
Date: 01/2023
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Offers a summary of presentations included in the Center for Connected Health Policy's (CCHP) Fall 2022 webinar series. Topics focus on telehealth policy after the public health emergency (PHE) environment and include licensure laws and legal considerations when providers practice across state lines, the use of telehealth by Medicare beneficiaries, and the expansion and effectiveness of telemedicine in primary care settings.
Date: 01/2023
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Health Care Access in the Heartland: How to Improve Services in Rural America
Outlines strategies policymakers and community leaders in rural America can use to improve healthcare access and services. Combines data analysis of county demographics and health data with focus groups in Arkansas, Kansas, Kentucky, Missouri, Oklahoma, and Tennessee. Provides expert interviews to better understand healthcare access in rural communities.
Author(s): Darren Chapman, Angie Cooper, Elizabeth Dombowsky, et al.
Date: 12/2022
Sponsoring organization: Heartland Forward
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Outlines strategies policymakers and community leaders in rural America can use to improve healthcare access and services. Combines data analysis of county demographics and health data with focus groups in Arkansas, Kansas, Kentucky, Missouri, Oklahoma, and Tennessee. Provides expert interviews to better understand healthcare access in rural communities.
Author(s): Darren Chapman, Angie Cooper, Elizabeth Dombowsky, et al.
Date: 12/2022
Sponsoring organization: Heartland Forward
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EMS Listening Sessions: Report to the Governor's Healthcare Task Force
A summary of 6 listening sessions on emergency medical services in Wyoming. Discusses issues and potential solutions related to essential service designation, EMS districts, regionalization, education and licensing, reimbursement, the use of 911, and defining critical care. Discusses rural and frontier issues throughout.
Date: 10/2022
Sponsoring organization: Wyoming Department of Health
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A summary of 6 listening sessions on emergency medical services in Wyoming. Discusses issues and potential solutions related to essential service designation, EMS districts, regionalization, education and licensing, reimbursement, the use of 911, and defining critical care. Discusses rural and frontier issues throughout.
Date: 10/2022
Sponsoring organization: Wyoming Department of Health
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Frequently Asked Questions Regarding Licensure & Telehealth
Video addressing frequently asked questions about telehealth licensure, including cross-state issues, COVID-19 licensure waivers, and more. Answers to questions reflect policy as of September 2022.
Additional links: Presentation Slides
Date: 09/2022
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Video addressing frequently asked questions about telehealth licensure, including cross-state issues, COVID-19 licensure waivers, and more. Answers to questions reflect policy as of September 2022.
Additional links: Presentation Slides
Date: 09/2022
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Medicaid Coverage of Community Health Worker Services
Provides an overview of types of community health workers (CHWs) and the services they provide. Summarizes studies examining the effects of CHW programs on health outcomes and costs. Discusses state approaches to covering CHW services through Medicaid, including the services covered, regulatory authorities used to provide Medicaid payment, the populations served, and training and certification requirements.
Date: 04/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of types of community health workers (CHWs) and the services they provide. Summarizes studies examining the effects of CHW programs on health outcomes and costs. Discusses state approaches to covering CHW services through Medicaid, including the services covered, regulatory authorities used to provide Medicaid payment, the populations served, and training and certification requirements.
Date: 04/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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2020 Indiana Behavioral Health and Human Services Workforce Brief
Information on demographics, education and practice characteristics, trends in licensing, and distribution of Indiana psychologists, addiction counselors, social workers, marriage and family therapists, and mental health counselors. Includes a county-level map showing Mental Health Professional Shortage Areas.
Author(s): Courtney Medlock, Hannah L. Maxey
Date: 06/2021
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Information on demographics, education and practice characteristics, trends in licensing, and distribution of Indiana psychologists, addiction counselors, social workers, marriage and family therapists, and mental health counselors. Includes a county-level map showing Mental Health Professional Shortage Areas.
Author(s): Courtney Medlock, Hannah L. Maxey
Date: 06/2021
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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