Rural Health
Resources by Topic: Medicaid
Community Voices from North Carolina's Healthy Opportunities Pilots Program: Implications for Designing and Evaluating Programs to Address Upstream Drivers of Health
Describes experiences of participants in North Carolina's Healthy Opportunities Pilots program, including enrollees, care managers, and staff at community-based organizations. The program tested impacts of providing services to eligible Medicaid members to address upstream drivers of health in 3 predominantly rural regions of the state.
Author(s): Alida Austin, Katie Huber, Brianna Van Stekelenburg, Kody Kinsley, Rebecca Whitaker
Date: 07/2026
Sponsoring organizations: Duke-Margolis Institute for Health Policy, Milbank Memorial Fund
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Describes experiences of participants in North Carolina's Healthy Opportunities Pilots program, including enrollees, care managers, and staff at community-based organizations. The program tested impacts of providing services to eligible Medicaid members to address upstream drivers of health in 3 predominantly rural regions of the state.
Author(s): Alida Austin, Katie Huber, Brianna Van Stekelenburg, Kody Kinsley, Rebecca Whitaker
Date: 07/2026
Sponsoring organizations: Duke-Margolis Institute for Health Policy, Milbank Memorial Fund
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Demographic Characteristics of Medicaid Beneficiaries Enrolled in the Program of All-Inclusive Care for the Elderly
Describes the demographic characteristics and long-term nursing facility use of Program of All-Inclusive Care for the Elderly (PACE) enrollees in 2023, including rural residence. Compares data by PACE enrollees who are full-benefit dually eligible beneficiaries and those who are Medicaid-only enrollees.
Date: 07/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Describes the demographic characteristics and long-term nursing facility use of Program of All-Inclusive Care for the Elderly (PACE) enrollees in 2023, including rural residence. Compares data by PACE enrollees who are full-benefit dually eligible beneficiaries and those who are Medicaid-only enrollees.
Date: 07/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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A Tour of Youth Behavioral Health Services Landscape: Prevalence, Treatment, and the Workforce
Webinar discussing the prevalence of youth mental health conditions, substance use, and treatment in rural areas, the distribution of the youth behavioral health workforce, and the state of Medicaid funding for these services.
Additional links: Presentation Slides
Author(s): Janessa Graves, Holly Andrilla, Lisa Garberson, et al.
Date: 06/2026
Sponsoring organizations: Rural Health Research Gateway, WWAMI Rural Health Research Center
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Webinar discussing the prevalence of youth mental health conditions, substance use, and treatment in rural areas, the distribution of the youth behavioral health workforce, and the state of Medicaid funding for these services.
Additional links: Presentation Slides
Author(s): Janessa Graves, Holly Andrilla, Lisa Garberson, et al.
Date: 06/2026
Sponsoring organizations: Rural Health Research Gateway, WWAMI Rural Health Research Center
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Medicaid Opportunities to Strengthen Oral Health Access In Rural Communities
Discusses how workforce innovations, teledentistry, rural workforce pipelines, and the Rural Health Transformation Program (RHTP) can improve oral healthcare access for Medicaid recipients in rural communities.
Author(s): Madeline Steward
Date: 06/2026
Sponsoring organization: Center for Health Care Strategies
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Discusses how workforce innovations, teledentistry, rural workforce pipelines, and the Rural Health Transformation Program (RHTP) can improve oral healthcare access for Medicaid recipients in rural communities.
Author(s): Madeline Steward
Date: 06/2026
Sponsoring organization: Center for Health Care Strategies
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Report to Congress on Medicaid and CHIP, June 2026
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to community engagement (CE) requirements in Medicaid, automation in prior authorization, Medicaid managed care accountability, appropriate access to residential treatment services for Medicaid-enrolled youth, transitions to adult Medicaid coverage for children and youth with special health care needs (CYSHCN), the Program of All-Inclusive Care for the Elderly (PACE), and provider enrollment and credentialing in Medicaid. Includes rural references throughout.
Date: 06/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations related to community engagement (CE) requirements in Medicaid, automation in prior authorization, Medicaid managed care accountability, appropriate access to residential treatment services for Medicaid-enrolled youth, transitions to adult Medicaid coverage for children and youth with special health care needs (CYSHCN), the Program of All-Inclusive Care for the Elderly (PACE), and provider enrollment and credentialing in Medicaid. Includes rural references throughout.
Date: 06/2026
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid Home- and Community-Based Services Rebalancing Is Concentrated in Large Urban Areas
Compares rural and urban utilization of home and community-based services among Medicaid long-term services and supports users, using 2022 Transformed Medicaid Statistical Information System data sourced through an ATI Advisory LTSS user dashboard. Analyzes rural-urban disparities in access by level of rurality and by state.
Author(s): Emmaline Keesee, Laura M. Keohane
Citation: The Journal of the Post-Acute and Long-Term Care Medical Association, 27(6), 106208
Date: 06/2026
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Compares rural and urban utilization of home and community-based services among Medicaid long-term services and supports users, using 2022 Transformed Medicaid Statistical Information System data sourced through an ATI Advisory LTSS user dashboard. Analyzes rural-urban disparities in access by level of rurality and by state.
Author(s): Emmaline Keesee, Laura M. Keohane
Citation: The Journal of the Post-Acute and Long-Term Care Medical Association, 27(6), 106208
Date: 06/2026
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State-Level Impacts of Key Medicaid Provisions in the One Big Beautiful Bill Act
Explores the potential impacts of 12 healthcare provisions within the One Big Beautiful Bill Act (Public Law 119-21) on Medicaid and state budgets. Presents estimated impacts for each state provision-by-provision and overall. Includes analysis related to Medicaid determination, provider taxes, state-directed payments, work requirements, and the Rural Health Transformation Program.
Author(s): Preethi Rao, Lawrence Baker, Federico Girosi, et al.
Date: 06/2026
Sponsoring organization: RAND Corporation
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Explores the potential impacts of 12 healthcare provisions within the One Big Beautiful Bill Act (Public Law 119-21) on Medicaid and state budgets. Presents estimated impacts for each state provision-by-provision and overall. Includes analysis related to Medicaid determination, provider taxes, state-directed payments, work requirements, and the Rural Health Transformation Program.
Author(s): Preethi Rao, Lawrence Baker, Federico Girosi, et al.
Date: 06/2026
Sponsoring organization: RAND Corporation
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Missouri Rural Health Clinic Provider Manual
Provider manual identifying the conditions of participation providing services in Missouri state-funded healthcare programs, including MO HealthNet, Missouri's Medicaid program. Addresses enrollment, eligibility, claim filing, and billing requirements for Rural Health Clinics (RHCs) in Missouri. Includes information on covered telehealth services.
Date: 06/2026
Sponsoring organization: Missouri Department of Social Services
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Provider manual identifying the conditions of participation providing services in Missouri state-funded healthcare programs, including MO HealthNet, Missouri's Medicaid program. Addresses enrollment, eligibility, claim filing, and billing requirements for Rural Health Clinics (RHCs) in Missouri. Includes information on covered telehealth services.
Date: 06/2026
Sponsoring organization: Missouri Department of Social Services
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Community Health Workers: An Overview
Discusses the roles of community health workers (CHWs) and provides evidence of their effectiveness. Focuses on Arkansas's plans for a CHW certification process and reimbursement pathway, and other policy considerations. Features state-level maps showing state approaches to funding mechanisms for CHWs.
Author(s): Elizabeth Montgomery, Jennifer Wessel
Date: 05/2026
Sponsoring organization: Arkansas Center for Health Improvement
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Discusses the roles of community health workers (CHWs) and provides evidence of their effectiveness. Focuses on Arkansas's plans for a CHW certification process and reimbursement pathway, and other policy considerations. Features state-level maps showing state approaches to funding mechanisms for CHWs.
Author(s): Elizabeth Montgomery, Jennifer Wessel
Date: 05/2026
Sponsoring organization: Arkansas Center for Health Improvement
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Tennessee's Community Health Worker Strategy Is Succeeding. Which State Will Be Next?
Discusses the role community health workers (CHWs) can play in improving healthcare outcomes and addressing unmet needs in both rural and urban communities. Details Tennessee's state-funded implementation of a evidence-based CHW infrastructure, and highlights the outcomes over the first two years of the program. Explores how this approach could be implemented in other states.
Author(s): Victor Wu, Brea Burke, Nikayla Boyd, et al.
Citation: Health Affairs Forefront
Date: 05/2026
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Discusses the role community health workers (CHWs) can play in improving healthcare outcomes and addressing unmet needs in both rural and urban communities. Details Tennessee's state-funded implementation of a evidence-based CHW infrastructure, and highlights the outcomes over the first two years of the program. Explores how this approach could be implemented in other states.
Author(s): Victor Wu, Brea Burke, Nikayla Boyd, et al.
Citation: Health Affairs Forefront
Date: 05/2026
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