Rural Health
Resources by Topic: Medicaid
Exploring Oral Health and Care Access among Adults with Disabilities
Report discusses the challenges adults with disabilities have accessing oral healthcare. Explores the role of transportation, Medicare and Medicaid coverage, and metro versus non-metro location, among other factors, as barriers to oral healthcare access for people with disabilities.
Author(s): Morgan Santoro, Lisa J. Heaton, Rebecca Preston, et al.
Date: 04/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Report discusses the challenges adults with disabilities have accessing oral healthcare. Explores the role of transportation, Medicare and Medicaid coverage, and metro versus non-metro location, among other factors, as barriers to oral healthcare access for people with disabilities.
Author(s): Morgan Santoro, Lisa J. Heaton, Rebecca Preston, et al.
Date: 04/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Assisting Rural Consumers
Offers information and guidance for Navigators and certified application counselors helping rural healthcare consumers. Covers rural-relevant considerations and policy updates regarding Federally-facilitated and State-based Marketplaces, Medicaid/CHIP, and Medicare. Outlines tips for assisters to address barriers to care and conducting outreach in rural areas.
Date: 04/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Offers information and guidance for Navigators and certified application counselors helping rural healthcare consumers. Covers rural-relevant considerations and policy updates regarding Federally-facilitated and State-based Marketplaces, Medicaid/CHIP, and Medicare. Outlines tips for assisters to address barriers to care and conducting outreach in rural areas.
Date: 04/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Federal and State Reimbursement for Youth Behavioral Health Services
Report details Medicaid and Children's Health Insurance Program (CHIP) coverage of behavioral health services for rural people under 21 years of age. Breaks down reimbursement eligibility for behavioral health providers in all 50 states and discusses barriers to access in rural areas.
Date: 04/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Report details Medicaid and Children's Health Insurance Program (CHIP) coverage of behavioral health services for rural people under 21 years of age. Breaks down reimbursement eligibility for behavioral health providers in all 50 states and discusses barriers to access in rural areas.
Date: 04/2025
Sponsoring organization: WWAMI Rural Health Research Center
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CMS Bundled Payments for Care Improvement Advanced Model: Sixth Annual Evaluation Report
Sixth annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Examines the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 5. Also explores the impact of the model on accountable care relationships, strengthening primary care, and care for patients eligible for both Medicare and Medicaid. Includes data on the percentage of BPCI Advanced episodes with and without ACO attribution by patient characteristics, including rural residents.
Additional links: Appendices, Executive Summary, Findings at a Glance, Transformation Spotlight
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 04/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Sixth annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Examines the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 5. Also explores the impact of the model on accountable care relationships, strengthening primary care, and care for patients eligible for both Medicare and Medicaid. Includes data on the percentage of BPCI Advanced episodes with and without ACO attribution by patient characteristics, including rural residents.
Additional links: Appendices, Executive Summary, Findings at a Glance, Transformation Spotlight
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 04/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Relationship Between Food and Housing Insecurity and Healthcare Use among Virginia Medicaid Expansion Members: Considering the Neighborhood Context
Examines how rurality and residential segregation impact food and housing insecurity in Medicaid expansion members in Virginia. Analyzes 14,735 individuals in 2019 for food and housing security, with demographic breakdowns by sex, race/ethnicity, age, health status, healthcare usage, income, and urban, suburban, or rural location.
Author(s): Hannah Shadowen, Sarah J. Marks, Olufemi Obembe, et al.
Citation: Health Services Research, 60(S2)
Date: 04/2025
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Examines how rurality and residential segregation impact food and housing insecurity in Medicaid expansion members in Virginia. Analyzes 14,735 individuals in 2019 for food and housing security, with demographic breakdowns by sex, race/ethnicity, age, health status, healthcare usage, income, and urban, suburban, or rural location.
Author(s): Hannah Shadowen, Sarah J. Marks, Olufemi Obembe, et al.
Citation: Health Services Research, 60(S2)
Date: 04/2025
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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: 04/2025
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: 04/2025
Sponsoring organization: Missouri Department of Social Services
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Exercising Self-Governance Through an Indian Managed Care Entity: The Eastern Band of Cherokee Indians Tribal Option
Profiles the Cherokee Indian Hospital Authority (CIHA), a health system serving the Eastern Band of Cherokee Indians (EBCI). Discusses the design and impact of their Medicaid managed care entity.
Author(s): Anne Smithey, Rob Houston
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Profiles the Cherokee Indian Hospital Authority (CIHA), a health system serving the Eastern Band of Cherokee Indians (EBCI). Discusses the design and impact of their Medicaid managed care entity.
Author(s): Anne Smithey, Rob Houston
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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5 Key Facts About Medicaid and Hospitals
Provides an overview of the impact of Medicaid spending for hospitals. Discusses potential challenges facing rural hospitals if policy changes to reduce Medicaid spending are implemented. Includes data on the percentage of births financed by Medicaid overall and by urban and rural status.
Author(s): Scott Hulver, Zachary Levinson, Alice Burns, et al.
Date: 03/2025
Sponsoring organization: KFF
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Provides an overview of the impact of Medicaid spending for hospitals. Discusses potential challenges facing rural hospitals if policy changes to reduce Medicaid spending are implemented. Includes data on the percentage of births financed by Medicaid overall and by urban and rural status.
Author(s): Scott Hulver, Zachary Levinson, Alice Burns, et al.
Date: 03/2025
Sponsoring organization: KFF
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Policy Considerations: The Future of Group VIII (expansion) Medicaid Coverage in Ohio
Provides information on the impact of Medicaid Expansion legislation in Ohio. Includes county-level data on percentage of population enrolled in Medicaid Group VIII as of January 2025 as well as enrollee county type by metropolitan, suburban, Appalachian, or rural. Discusses access issues and potential policy considerations.
Date: 03/2025
Sponsoring organization: Health Policy Institute of Ohio
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Provides information on the impact of Medicaid Expansion legislation in Ohio. Includes county-level data on percentage of population enrolled in Medicaid Group VIII as of January 2025 as well as enrollee county type by metropolitan, suburban, Appalachian, or rural. Discusses access issues and potential policy considerations.
Date: 03/2025
Sponsoring organization: Health Policy Institute of Ohio
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Navigating Natural Disasters: Key Strategies for Medicaid Agencies to Support Members
Provides information on the impact of natural disasters on people, communities, and the economy. Discusses how Medicaid and the Children's Health Insurance Program (CHIP) can address health needs of their members by strengthening disaster preparedness, working with managed care organizations, and focusing on policy. Includes examples from rural areas.
Author(s): Armelle Casau, Rachel Yard
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Provides information on the impact of natural disasters on people, communities, and the economy. Discusses how Medicaid and the Children's Health Insurance Program (CHIP) can address health needs of their members by strengthening disaster preparedness, working with managed care organizations, and focusing on policy. Includes examples from rural areas.
Author(s): Armelle Casau, Rachel Yard
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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