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Rural Health
Resources by Topic: Medicaid

Federal and State Policy Changes Since COVID-19
Video recording of a presentation on federal and state telehealth policy changes during the COVID-19 pandemic. Discusses Centers for Medicare and Medicaid (CMS) policies related to geographic and site location for the patient, provider location and type, and telehealth delivery modality. Addresses common issues related to reimbursement and payment codes, Medicare billing guidance for Federally Qualified Health Centers and Rural Health Clinics, and notes post-COVID policy questions and issues. Transcript available by clicking the dots above the Subscribe tab, then selecting Open Transcript.
Date: 09/2020
Type: Video/Multimedia
Sponsoring organizations: Centers for Connected Health Policy, Northwest Regional Telehealth Resource Center
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A Toolkit for Building and Growing a Sustainable Telehealth Program in Your Practice
Offers information for family practices to develop and implement telehealth strategies in light of the COVID-19 pandemic's impacts on regulatory and reimbursement policies. Topics include telehealth services, payment considerations, program sustainability, licensing and technology requirements, and workflow. Includes 10 telehealth scenarios with breakdowns of payer, technology, staff, coding, and other special considerations.
Date: 09/2020
Type: Document
Sponsoring organizations: American Academy of Family Physicians, Manatt Health
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A Comparison of Rural and Urban Specialty Hospitals
Results of a study examining differences in long-term acute care hospitals, inpatient psychiatric hospitals, and inpatient rehabilitation facilities in urban and rural areas. Features statistics on ownership type, location, number of beds, percent of inpatient days for rural residents, percent of inpatient days for Medicare beneficiaries, operating expenses, percent of Medicaid days, and profitability.
Author(s): George H. Pink, Andrew Osgood, Pranathi Sana
Date: 09/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Variation of Medicaid Expansion on Access to Naloxone
Poster examining the rate of naloxone prescriptions dispensed by retail pharmacies between 2011 and 2017. Compares the rate of naloxone prescriptions before and after Medicaid expansion and as the rural population increased.
Author(s): Yue Cheng, Minji Sohn, Patricia R. Freeman,Eugene Shin, Chris Delcher
Date: 09/2020
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2019
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes participating states' CCBHC activities including improved access to treatment and recovery support services, the range of services provided during the first year of the demonstration, how states have been reporting and utilizing required quality measures, and assess the costs to CCBHCs. This is the third of five annual reports to Congress on the CCBHC demonstration.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research, RAND Corporation
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Preliminary Cost and Quality Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Describes the CCBHC payment rates and costs of care through the first demonstration year as well as the experiences of states and CCBHCs reporting the required quality measures. Includes a comparison of payment rates by urban and rural clinic location.
Author(s): Joshua Breslau, Brian Briscombe, Michael Dunbar, et al.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Uninsured Rates Across Kansas Counties, September 2020
Provides data and statistics on uninsured rates in Kansas. Fact sheets feature state maps with county-level information on child and adult uninsured rates and numbers, as well as potential eligibility for Medicaid and KanCare. Includes rural and urban comparisons.
Author(s): Phillip Steiner, Wen-Chieh Lin
Date: 09/2020
Type: Website
Sponsoring organization: Kansas Health Institute
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OIG's Top Unimplemented Recommendations: Solutions To Reduce Fraud, Waste, and Abuse in HHS Programs: August 2020
Annual report identifying the top 25 unimplemented recommendations from the Office of Inspector General (OIG) that, in OIG's view, would have the most substantial positive impact on Health and Human Services (HHS) programs. Positive impact may refer to cost savings, program efficacy and efficiency, and/or quality improvement. Primary areas of interest in the August 2020 edition include: reforming the hospital wage index system; ensuring that Medicaid managed care enrollees have timely access to behavioral health services; developing and implementing a staffing program for recruiting, retaining, and transitioning staff and leadership to remote Indian Health Service hospitals; and ensuring proper payments for 340B-purchased drugs.
Date: 08/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Policy Goals to Support the Healthcare Workforce in Healthy Aging Communities
Report describing a research project funded by the New Mexico Department of Health that examines behavioral healthcare workforce needs and the growing elderly population in rural Grant, Sierra, Socorro, Catron, and Valencia counties. Presents key points from discussions with project participants, including professionals in health promotion, hospital, community health centers, local government, and educational institutions. Offers policy goals related to regional services, economic planning, and expansion of Medicaid and Medicare reimbursable services.
Author(s): Susan Wilger, Anne Hayes Egan, Alexis Brandt, Micaela Imar de la Rosa
Date: 08/2020
Type: Document
Sponsoring organization: Center for Health Innovation
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Telehealth in Vermont: COVID-19 Response and Recovery
Provides an overview of telehealth services and regulations in Vermont prior to, and in response to, the COVID-19 public health emergency. Includes resources on billing and reimbursement, licensure, patient consent, telehealth platforms and technology, sample workflows and implementation toolkits, case studies, and planning for the future.
Date: 08/2020
Type: Website
Sponsoring organization: Bi-State Primary Care Association
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