Rural Health
Resources by Type: Document
Billing of Distant Site Telehealth Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Presents instructions on how Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) should bill distant site telehealth services for services provided on or after October 1, 2026.
Date: 05/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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Presents instructions on how Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) should bill distant site telehealth services for services provided on or after October 1, 2026.
Date: 05/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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When Ambulances Wait at the Emergency Department: Hospital Factors and Offload times in California
Analyzes ambulance patient offload time (APOT) between emergency medical services (EMS) and 310 emergency departments (ED) in California in 2022 to determine associations with hospital characteristics including rurality and number of ED treatment stations. The study data precedes a 2023 state law establishing statewide standards for APOT and so aims to offer baseline metrics for understanding policy impact.
Author(s): Esmeralda Melgoza, Madeline Fedmeier, Crystal Chen, Hiram Beltrán-Sánchez, Renee Y. Hsia
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Analyzes ambulance patient offload time (APOT) between emergency medical services (EMS) and 310 emergency departments (ED) in California in 2022 to determine associations with hospital characteristics including rurality and number of ED treatment stations. The study data precedes a 2023 state law establishing statewide standards for APOT and so aims to offer baseline metrics for understanding policy impact.
Author(s): Esmeralda Melgoza, Madeline Fedmeier, Crystal Chen, Hiram Beltrán-Sánchez, Renee Y. Hsia
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Why Are Massachusetts Opioid Prescribing Rates Higher in Rural Versus Urban Areas?
Examines opioid prescribing trends in Massachusetts according to metro versus nonmetro patient characteristics, facility and provider availability, opioid supply and demand, and more. Utilizes 2010-2014 Massachusetts All-Payer Claims (MAPC) data and discusses the factors that lead to geographic differences in opioid prescribing.
Author(s): Alicia Sasser Modestino, Gary J. Young, Mahmudul Hasan, Jiesheng Shi, Noor E. Alam
Citation: PLoS One, 21(5), e0349247
Date: 05/2026
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Examines opioid prescribing trends in Massachusetts according to metro versus nonmetro patient characteristics, facility and provider availability, opioid supply and demand, and more. Utilizes 2010-2014 Massachusetts All-Payer Claims (MAPC) data and discusses the factors that lead to geographic differences in opioid prescribing.
Author(s): Alicia Sasser Modestino, Gary J. Young, Mahmudul Hasan, Jiesheng Shi, Noor E. Alam
Citation: PLoS One, 21(5), e0349247
Date: 05/2026
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Dementia Diagnostic Deserts: Workforce and Geographic Inequities in the Diagnostic Pathway for Cognitive Impairment
Describes the "Triple Disadvantage Zones" or the places where rurality, Primary Care Health Professional Shortage Areas, and social deprivation converge to create a dementia diagnostic desert resulting in both delayed diagnosis and over-testing. Discusses training gaps for nurse practitioners and physician assistants as well as policy measures to mitigate diagnosis errors.
Author(s): Zhijing Xu, Ying Xue, Yaguang Zheng, Bei Wu
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Describes the "Triple Disadvantage Zones" or the places where rurality, Primary Care Health Professional Shortage Areas, and social deprivation converge to create a dementia diagnostic desert resulting in both delayed diagnosis and over-testing. Discusses training gaps for nurse practitioners and physician assistants as well as policy measures to mitigate diagnosis errors.
Author(s): Zhijing Xu, Ying Xue, Yaguang Zheng, Bei Wu
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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A New Network of Rural Providers in Arkansas Looks to Take On The 'Needs and Pain Points' of Behavioral Healthcare
Features the Arkansas Rural Behavioral Health Access Network, a network of primary care providers working to improve regional access to mental and behavioral health resources.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 05/2026
Sponsoring organization: Rural Health Information Hub
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Features the Arkansas Rural Behavioral Health Access Network, a network of primary care providers working to improve regional access to mental and behavioral health resources.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 05/2026
Sponsoring organization: Rural Health Information Hub
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New Hampshire Rural Behavioral Health Workforce
Offers maps and tables of the supply and distribution of behavioral health clinicians in New Hampshire in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the supply and distribution of behavioral health clinicians in New Hampshire in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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How Primary Care Associations Can Serve as Champions of Multisector Collaboration
Describes the Wisconsin Primary Health Care Association's Medical-Legal Partnership (MLP) pilot including the partners, focus on housing instability and public benefits denials, findings after Years 1 and 2, lessons learned, and future plans. 2 of 3 community health centers in the pilot serve rural and migrant and seasonal agricultural worker populations. Requires an email to download for free.
Date: 05/2026
Sponsoring organization: National Center for Medical-Legal Partnership
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Describes the Wisconsin Primary Health Care Association's Medical-Legal Partnership (MLP) pilot including the partners, focus on housing instability and public benefits denials, findings after Years 1 and 2, lessons learned, and future plans. 2 of 3 community health centers in the pilot serve rural and migrant and seasonal agricultural worker populations. Requires an email to download for free.
Date: 05/2026
Sponsoring organization: National Center for Medical-Legal Partnership
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Delaware Rural Obstetrical Workforce
Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Delaware in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the obstetricians and advanced practice midwives workforce distribution in Delaware in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Governors' Policy Actions on Behavioral Health Access
Provides examples of behavioral health priorities outlined in state Rural Health Transformation Programs, including integrated care models, scaling telehealth services, and workforce incentives. Describes how states can incorporate supplemental grant funding to promote sustainable growth of the behavioral health workforce.
Date: 05/2026
Sponsoring organization: National Governors Association
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Provides examples of behavioral health priorities outlined in state Rural Health Transformation Programs, including integrated care models, scaling telehealth services, and workforce incentives. Describes how states can incorporate supplemental grant funding to promote sustainable growth of the behavioral health workforce.
Date: 05/2026
Sponsoring organization: National Governors Association
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Delaware Rural Behavioral Health Workforce
Offers maps and tables of the supply and distribution of behavioral health clinicians in Delaware in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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Offers maps and tables of the supply and distribution of behavioral health clinicians in Delaware in 2025. Includes county-level data and rural and urban comparisons.
Author(s): S.C. Woolcock, C.H.A. Andrilla, L.A. Garberson, J.M. Graves
Date: 05/2026
Sponsoring organization: WWAMI Rural Health Research Center
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