Rural Health Information Hub Latest News

Medicaid Option for Community-Based Mobile Crisis Intervention Services Takes Effect

 

The Centers for Medicare and Medicaid Services (CMS) reminded states that Medicaid agencies have the option to implement qualifying community-based mobile crisis intervention services in their state plans. The option took effect on April 1, 2022, as per the American Rescue Plan (ARP). CMS also awarded planning grants to 20 state Medicaid agencies, including Pennsylvania, for the purpose of implementing the option. CMS guidance states that programs must include health centers as part of the intervention services teams.

Pennie System Enhancements and Changes in Pennsylvania Start in April

 

Changes made to the Pennsylvania Assister Dashboard and Pennie Customer Application will ease enrollment. Additional information, including screens to review enrollment details, customer enrollment history, coverage period by member, and premium history are available to review to assist with answering questions and removing the need to contact the Pennie Call Center. Income eligibility thresholds have been updated with 2022 Federal Poverty Level (FPL) data for Medicaid and CHIP eligibility as of April 1, 2022. Pennie continues to use 2021 FPL tables for the 2022 plan year eligibility.

The Sliding Fee Scale Guide for CAHs and RHCs is Found Here

In this guide, the HRSA-supported National Rural Health Resource Center presents an overview of how to develop a Sliding Fee Scale Discount Program for Critical Access Hospitals (CAHs) and Rural Health Clinics (RHCs). It also provides information on how sliding fee scale discount programs relate to Internal Revenue Code Section 501(r) compliance and participation in the National Health Service Corps.

Comments Requested on Updates to Medicare Policies and Rates for Skilled Nursing Facilities

A new proposed rule from the Centers for Medicare & Medicaid Services (CMS) would update prospective payment rates for skilled nursing facilities (SNF) for the fiscal year 2023. To maintain the accuracy, increase the predictability and mitigate instability and significant negative impacts to providers resulting from any future changes to the wage index, CMS is proposing to apply a permanent five percent cap on any decrease to a provider’s wage index from its wage index in the prior year, regardless of the circumstances causing the decline.  CMS also proposes requirements for the Skilled Nursing Facility Quality Reporting Program and Skilled Nursing Facility Value-Based Purchasing, including a proposal to adopt influenza vaccination coverage among health care personnel. This proposed rule also requests information from the public on revising the requirements for long-term care facilities to establish mandatory minimum staffing levels.

Predictors of Hospital Choice Among Rural Patients Seeking Elective Surgery: A Scoping Review

Hospital choice for surgery affects both patient outcomes and hospital viability; a greater understanding of rural patients’ surgical care-seeking behavior could enhance rural health and rural hospital financial stability.  Conducted by the North Carolina Rural Health Research and Policy Analysis Center, this brief identifies literature describing determinants of hospital choice among rural patients seeking elective surgery.

The Persistence of Poverty in Rural America

The Housing Assistance Council (HAC) is a national nonprofit focused on improving conditions in the poorest rural places.  In this policy brief, HAC identifies 377 persistent poverty counties in the United States – those classified by the Census Bureau as having poverty rates of 20 percent or more for three consecutive decades.  Approximately 81 percent of these counties are outside of metropolitan areas.

The Successful Federal Efforts to Address SDOH

Social determinants of health (SDOH) include factors such as housing, food and nutrition, transportation, social mobility, and environmental conditions as having a significant impact on health outcomes.  In this series of policy briefs, the U.S. Department of Health & Human Services describes the Department’s strategic approach to SDOH and provides successful examples of current federal programs.