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Rural Health
Resources by Topic: Reimbursement and payment models

State Medicaid & CHIP Telehealth Toolkit: Policy Considerations for States Expanding Use of Telehealth
Identifies policy areas that states should address in order to facilitate the expansion of telehealth services within the Medicaid and CHIP programs. Includes a customizable checklist and worksheet for next steps for each policy area. Provides resources on federal telehealth policies and updates as a result of COVID-19.
Date: 04/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Providing Services via Telephone During COVID-19
An April 22, 2020, video that discusses how telephone-based telehealth services, including audio-only services, will be reimbursed by Medicare during the COVID-19 public health emergency. Provides a brief comparison of how different Medicaid programs approach reimbursement for telephone-delivered services. Transcript available by clicking the dots above the Subscribe tab, then selecting Open Transcript.
Date: 04/2020
Type: Video/Multimedia
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Confronting Rural America's Health Care Crisis
Offers policy recommendations to stabilize the rural healthcare infrastructure and ensuring local access to care. Discusses strategies to provide financial relief to rural providers, preserve obstetric services, expand telehealth services, and address workforce shortages. Includes brief references to policy actions taken in response to the COVID-19 pandemic.
Additional links: Summary, The Case for Expanding Telehealth Services, July 2020
Date: 04/2020
Type: Document
Sponsoring organization: Bipartisan Policy Center Rural Health Task Force
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Fact Sheet: Expansion of the Accelerated and Advance Payments Program for Providers and Suppliers During COVID-19 Emergency
Explains the expansion of the CMS Accelerated and Advance Payment Program to a broader group of Medicare Part A providers and Part B suppliers under the COVID-19 public health emergency. Explains eligibility for the payments and offers a step-by-step guide on how facilities can request accelerated or advance payment. Beginning April 26, 2020 CMS will not be accepting new applications for the Advance Payment Program and will reevaluate all pending and new applications for Accelerated Payments in light of the CARES ACT Provider Relief Fund support.
Date: 04/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Care Provisions in the Families First Coronavirus Response Act, P.L. 116-127
Provides an overview of the healthcare-related provisions of the Families First Coronavirus Response Act, passed in response to the COVID-19 pandemic. Focuses on coverage of COVID-19 testing and related items for individuals covered by Medicare, Medicare Advantage, Medicaid, CHIP, TRICARE, Veterans healthcare, the IHS, and most private plans. Includes a discussion of changes to Medicare coverage of telehealth services.
Date: 04/2020
Type: Document
Sponsoring organization: Congressional Research Service
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Federally Qualified Health Centers & Rural Health Clinics Acting as Distant Site Providers in Medicare
Provides answers to common questions regarding guidance from the Centers for Medicare and Medicaid Services allowing FQHCs and RHCs to serve as telehealth distant site providers during a public health emergency. Includes information on reimbursement for telehealth services and billing for virtual communication services. Updated April 30, 2020 based on updated CMS guidance.
Additional links: Video: FQHCs & RHCs Acting as Distant Site Providers in Medicare
Date: 04/2020
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Community Health Centers in a Time of Change: Results from an Annual Survey
Summarizes results from the Kaiser Family Foundation/Geiger Gibson 2019 Community Health Center Survey. Explores trends in patient health coverage, healthcare affordability, and health center revenue; social determinants of health; potential implications of Medicaid work requirements; participation in the Title X program; and other challenges facing health centers. Includes rural references throughout. Presents survey response data by urban and rural status in Appendix A.
Author(s): Jessica Sharac, Anne Markus, Jennifer Tolbert, Sara Rosenbaum
Date: 04/2020
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Rural Hospital Participation in Medicare Accountable Care Organizations
Report explores the rates of rural hospital participation in Medicare Shared Savings Program (SSP) Accountable Care Organizations (ACOs). Details some of the factors that correspond to participation and compares rates by region and by rural status.
Date: 04/2020
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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COVID-19 Frequently Asked Questions (FAQs) for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Provides information for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) regarding the expansion of virtual communication services in response to COVID-19. Describes the revision of the Home Health Agency Shortage Area requirement for visiting nursing services provided by RHCs and FQHCs.
Date: 04/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Telehealth Policies Impacting Federally Qualified Health Centers (FQHCs) in Face of COVIDÔÇÉ19
Provides an overview of changes to federal, California Medicaid, and private insurer telehealth policies in response to COVID-19. Discusses opportunities and limitations Federally Qualified Health Centers and Rural Health Clinics may face in expanding telehealth services. Offers recommendations for removing barriers for providers in rural and underserved areas.
Author(s): Miku Sodhi
Citation: Journal of Rural Health
Date: 04/2020
Type: Document
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