This edition of Grants in Motion focuses on a recipient of the Community Based Division’s Rural Health Care Coordination Program (RHCC). The RHCC Program supports rural health consortiums/networks aiming to achieve the overall goals of improving access, delivery, and quality of care through the application of care coordination strategies in rural communities.

  The nonprofit Commonwealth Fund takes a closer look at how Critical Access Hospitals and other rural providers partner to overcome challenges. The report profiles six regional partnerships that address staffing, quality improvement, contracts with payers, value-based payment, and community development.

The National Committee on Vital and Health Statistics (NCVHS) advisory committee, part of the Department of Health & Human Services (HHS), seeks feedback on the upcoming ICD-11 transition. The information received via the RFI and meeting will provide advice to HHS to inform ICD–11 policy. The meeting will be held Thursday, August 3, 2023, 10:00 a.m.–5:30 p.m. EDT and is open to the public. Instructions are posted on the Committee website: https://ncvhs.hhs.gov/​meetings-meeting/​. To submit comments in response to the RFI, please send by close of business June 30, 2023, to NCVHSmail@cdc.gov, and include on the subject line: Response from [your organization or name] regarding ICD–11 RFI. Due by June 30, 2023.

  The Government Accountability Office (GAO) examines the federal Child Care and Development Fund and its efficacy at increasing access to quality child care for low-income families.  The fund supports 142 family childcare networks, primarily through coaching, training, and peer-to-peer networking opportunities for childcare providers at the community level.  Most of these are licensed providers, though many of the networks serve license-exempt family, friend, and neighbor providers.  Earlier this year, the National Advisory Committee on Rural Health & Human Services recommended creation of a Childcare Shortage Area designation similar to the Health Professions Shortage Area designation.

 In a letter to governors, the Secretary of Health & Human Services announced several new options states can use to help eligible individuals and families maintain their Medicaid and Children’s Health Insurance Program (CHIP) coverage as requirements change with the end of the public health emergency.  The new flexibilities include allowing managed care plans to assist people with completing their Medicaid renewal forms and allowing pharmacies and community-based organizations to facilitate reinstatement of coverage for those who were recently disenrolled for procedural reasons based on presumptive eligibility criteria. A complete list of flexibilities available to states can be found here. The Centers for Medicare and Medicaid Services has created outreach and educational resources. The Kaiser Family Foundation Medicaid Enrollment Tracker reports that at least 1,027,000 Medicaid enrollees had been disenrolled as of June 12, 2023, based on the most current data from 20 states. There is also a call to action for community organizations, employers, providers, and others can help in this effort.

The U.S. Department of Agriculture (USDA) announced awards made in 19 states under the Bipartisan Infrastructure Law.  Grantees and loan recipients of USDA’s ReConnect Program must serve a rural area that lacks access to service at speeds of 100 megabits per second, and must also commit to building infrastructure that can deliver service at that speed to every location in the area. Additionally, to ensure that rural households that need internet service can afford it, all awardees will be required to participate in the Bipartisan Infrastructure Law’s Affordable Connectivity Program (ACP). The ACP offers a discount of up to $30 per month towards internet service to qualifying low-income households and up to $75 per month for households on qualifying Tribal Lands.