Rural Health Information Hub Latest News

NIH National COVID Cohort Collaborative

As part of an effort to help scientists understand COVID and develop treatments, the National Institutes of Health (NIH) has launched a centralized, secure enclave to store and study clinical record data from people who have been diagnosed.  The collaborative aims to transform clinical information into knowledge urgently needed to study COVID-19, including health risk factors that indicate better or worse outcomes of the disease, and identify potentially effective treatments. Read more here.

HHS Announces Partnership with Morehouse School of Medicine to Fight COVID-19 in Vulnerable Communities

On Monday, June 22, the U.S. Department of Health & Human Services (HHS) announced the selection of the Morehouse School of Medicine as the awardee for a new $40 million initiative to fight COVID-19 in racial and ethnic minority, rural, and socially vulnerable communities. The initiative – the National Infrastructure for Mitigating the Impact of COVID-19 within Racial and Ethnic Minority Communities (NIMIC) – is a three-year project designed to work with community-based organizations across the nation to deliver education, information, and resources. Read more here.

New Brief: Provision of Mental Health Services by Critical Access Hospital-Based Rural Health Clinics

Residents of rural communities face longstanding access barriers to mental health (MH) services due to chronic shortages of specialty MH providers, long travel distances to services, increased likelihood of being uninsured or under-insured, limited choice of providers, and high rates of stigma. As a result, rural residents rely more heavily on primary care providers and local acute care hospitals to meet their MH needs than do urban residents. This reality highlights the importance of integrating primary care and MH services to improve access to needed care in rural communities. Critical Access Hospitals (CAHs) are ideally positioned to help meet rural MH needs as 60 percent manage at least one Rural Health Clinic (RHC). RHCs receive Medicare cost-based reimbursement for a defined package of services including those provided by doctoral-level clinical psychologists (CPs) and licensed clinical social workers (LCSWs).

This policy brief explores the extent to which CAH-based RHCs are employing CPs and/or LCSWs to provide MH services, describes models of MH services implemented by CAH-based RHCs, examines their successes and challenges in doing so, and provides a resource to assist CAH and RHC leaders in developing MH services. It also provides a resource for State Flex Programs to work with CAH-based RHCs in the development of MH services.

Pennsylvania Governor’s Administration Urges USDA to Maintain Flexibility for States Administering SNAP Benefits in Response to Continued Threat of COVID-19

Pennsylvania Governor Tom Wolf sent a letter to the United States Department of Agriculture (USDA) Secretary Sonny Perdue urging the USDA to extend waivers granted to provide states for longer than a month at a time to preserve flexibility they need to ensure the uninterrupted and safe administration of public benefits during the COVID-19 public health crisis. The flexibilities granted by waivers from the USDA specifically related to the Supplemental Nutrition Assistance Program (SNAP) reduce the need for in-person interactions between Department of Human Service (DHS) staff and current and potential clients, keeping both safer from COVID-19 while allowing DHS to continue to meet needs of Pennsylvanians during this period of economic uncertainty.

Numerous waivers previously granted by the USDA for the SNAP program were set to expire on June 30. Thus far, the Pennsylvania Department of Human Services (DHS) has been granted a one-month extension for the following waivers:

  • Elimination of Face-to-Face and Quality Control Interviews: Under normal circumstances, a face-to-face interview must be conducted to determine benefit eligibility and at random for quality control processes. Due to COVID-19, these waivers allows states to perform interviews over the phone to accommodate social distancing and keep DHS staff and clients safe while ensuring continuity of benefits and eligibility determinations.
  • Extension of Fair Hearing and Administrative Disqualification Hearings Timeframes: These waivers help Pennsylvania remain in compliance with SNAP regulations by granting DHS staff more time to conduct appeals and disqualification hearings. DHS’ Bureau of Hearings and Appeals is currently operating under a blended on-site and telework model, but there is currently a backlog of cases being worked through from when the stay at home order first began in March. Without these waivers, Pennsylvania would be out of compliance with federal regulations.
  • Temporary Suspension of Claims Collections: This waiver allows Pennsylvania’s Office of Inspector General to pause recoupment if SNAP benefits are overpaid. Without this waiver, SNAP households with a previous overpayment would receive less benefits during the COVID-19 health emergency and would have complicated households’ ability to receive emergency SNAP payments. Given current economic uncertainty, the Wolf Administration would like to continue this temporary pause to prevent further strain on households until circumstances improve.

These waivers are set to expire on July 31, 2020, but Pennsylvania is requesting a longer term, 90-day extension. Waiver extensions of up to 90 days, instead of the current 30 days, would allow for greater predictability and efficiency in DHS operations, as the certainty would eliminate the need to reapply for waivers each month and prepare processes for changes necessary if waivers are not granted.

DHS has also requested wavier extensions to extend SNAP certification periods so current recipients do not have to submit additional paperwork in order to maintain benefits, and to adjust interview requirements, which can slow issuance of benefits and increase rates of people churning off and back on to SNAP. These waivers are also set to expire on June 30.

Governor Wolf also encouraged the USDA to continue to allow states to extend emergency SNAP allotments to current SNAP households. These payments, which are authorized under the Families First Coronavirus Response Act, grant an additional payment to SNAP households that do not receive the maximum monthly benefit for their household size to bring these households to the monthly maximum.

Pennsylvania was approved for this benefit for July, but states lose the authority to issue the supplemental payments if the federal or state disaster declarations are rescinded. Without this, Pennsylvania would lose $100 million per month in additional federal funds that get returned to grocers, farmers markets, and other small businesses in local economies, and SNAP households would receive only the normal benefit amount when many counties still experiencing economic challenges as well as increases in the cost of groceries.

Governor Wolf also urged Secretary Perdue and the USDA to recognize the important role the SNAP program plays in helping more than 1.9 million Pennsylvanians avoid going hungry, which can have adverse effects on a person’s health and well-being. Because SNAP primarily serves populations like the elderly and low-income communities that have been disproportionately affected by the pandemic, removing flexibilities that could potentially remove people from the program would be another way of directing support away from vulnerable Pennsylvanians.

Read the full letter here.