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Rural Health
Resources by Topic: Medicaid

Housing Affordability, Adequacy, and Access to the Internet in Homes of Medicaid Enrollees
Examines the housing adequacy, affordability, and internet access among Medicaid enrollees in 2019. Describes the impact of housing conditions on health, with a focus on the COVID-19 pandemic. Discusses policy options for Medicaid programs to address housing challenges. Presents data by Medicaid enrollee demographic characteristics, including race/ethnicity, age, sex, and metro/non-metro status.
Author(s): Bradley Corallo
Date: 09/2021
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Opportunities Exist to Strengthen Evaluation and Oversight of Telehealth for Behavioral Health in Medicaid
Explores how 37 states evaluated and conducted oversight of telehealth for behavioral health services for Medicaid enrollees in January and February 2020. Discusses states' experiences with telehealth and the impacts of telehealth on access to care, as well as concerns regarding the impact of these services on cost and quality of care. Provides recommendations for states the Centers for Medicare and Medicaid Services (CMS) to meet the behavioral health needs of Medicaid enrollees and prevent fraud, waste, and abuse.
Date: 09/2021
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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States Reported Multiple Challenges with Using Telehealth to Provide Behavioral Health Services to Medicaid Enrollees
Summarizes results of a January-February 2020 survey of State Medicaid Directors in 37 states that provide behavioral health services via telehealth through managed care organizations. Describes challenges with using telehealth to serve Medicaid enrollees, including provider and enrollee training, internet connectivity, privacy, and technology costs. Offers recommendations for the Centers of Medicare and Medicaid Services (CMS) to help states address these challenges.
Date: 09/2021
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Changes in Socioeconomic Mix and Health Outcomes in Rural Counties with Hospital Closures, 2005-2018
Explores changes in socioeconomic mix and health outcomes that occurred in micropolitan and noncore counties with and without a complete hospital closure between 2005-2018, using the 2013 National Center for Health Statistics Rural Classification Scheme for Counties. Features statistics on number of counties that experienced hospital closures, percentage of hospital closures by Medicaid expansion status, trends in area unemployment and poverty rates and proportion of non-white residents across counties by closure status, and mortality rates, with breakdowns by micropolitan and noncore areas.
Author(s): Nathaniel Bell, Peiyin Hung, Kewei Shi, et al.
Date: 09/2021
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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CMS: Current Emergencies: Coronavirus Disease 2019
Guidance from CMS for healthcare facilities and labs related to COVID-19. Includes clinical and technical guidance for specific types of facilities, information on billing and coding, coverage for services related to COVID-19, and other topics.
Date: 09/2021
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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COVID-19 Telehealth Coverage Policies
Summary of telehealth services that are covered by various public and private payers related to COVID-19. Includes information on state and federal actions. Updated with new information and new policies as the situation develops.
Additional links: COVID-19 Related State Actions
Date: 09/2021
Type: Website
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas
Describes how Medicaid agencies in five states - Alabama, Colorado, Maine, Idaho, and Oklahoma - utilize primary care case management (PCCM) programs to strengthen primary care, particularly in rural areas. Identifies three strategies implemented by some or all of these states to support primary care providers, and highlights lessons learned for state Medicaid programs that want to strengthen primary care in rural areas.
Author(s): Neva Kaye
Date: 08/2021
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Geographic Variation in Health Insurance Coverage: United States, 2019
Reports on rates of people who had private health insurance, public insurance, and who were uninsured according to the 2019 National Health Interview Survey. Presents coverage rates by age, urbanization level, and by location in states that have or have not expanded state Medicaid.
Author(s): Robin A. Cohen, Emily P. Terlizzi, Amy E. Cha, et al.
Date: 08/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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States Use Appendix K Waivers to Support Home- and Community-Based Services in Response to COVID-19
Describes how states are utilizing Appendix K waivers to promote flexibility and modify their home- and community-based services for older adults and their family caregivers during the COVID-19 pandemic. Includes an interactive map and chart outlining each state's modifications.
Date: 08/2021
Type: Website
Sponsoring organization: National Academy for State Health Policy
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Coronavirus (COVID-19) Partner Toolkit
Provides resources from federal government agencies regarding COVID-19. Includes infographics, regulatory guidance, and other sources of information for the general public, Medicare beneficiaries, caregivers, and providers.
Date: 08/2021
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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