Rural Health Information Hub Latest News

Here is An Important Notice for HRSA Grantees

  On May 26, HRSA will follow a federal upgrade to security measures for online systems requiring a login for external users.  The new multi-factor login procedure will affect those who access HRSA’s Electronic Handbook (EHB) system, including grantees, grant applicants, service providers, and consultants. To avoid issues with upcoming application and reporting deadlines, it is important to set up the new login procedure ahead of the change on May 26.

Here You Can Read About Telehealth and the End of the PHE

The COVID-19 public health emergency (PHE) officially ended on May 11, but many Medicare telehealth flexibilities remain in place temporarily. The Department of Health and Human Services (HHS) released a fact sheet to provide clarity around federal telehealth flexibilities. HHS will release additional guidance on updates and timing relating to the continuation of these flexibilities in the coming weeks. Learn more about telehealth policy changes with the end of the PHE. Earlier this spring, NRHA sent a letter to HHS on PHE flexibilities we would like to see made permanent, including telehealth provisions, and we continue to advocate for legislative change in Congress.

GAO Released a Report on Rural Health Care Accessibility 

 The Government Accountability Office (GAO) released a report titled, “Why Health Care is Harder to Access in Rural America.” The report found many rural residents face several challenges, including fewer health care providers, longer travel distances to get to health care, fewer transportation options, and less broadband internet. The report recommends that federal agencies learn more about the needs of rural residents and address the gaps in information regarding the healthcare needs of people living in rural areas. Join NRHA in fighting for rural health.

Good to Know!  Read How PHE is Unwinding Resources  

The PHE officially ended a week ago on May 11. NRHA is working with the Centers for Medicare and Medicaid Services (CMS) to ensure rural providers aren’t left behind. Please review the following resources and reach out to the NRHA team with any questions:

CMS Has Proposed a Rule on SNF Prospective Payment System:  Comments Have Been Requested

CMS released its fiscal year (FY) 2024 Skilled Nursing Facility (SNF) Prospective Payment System proposed rule. The proposed rule includes a 3.7% increase in payments to SNFs in FY 2024. This rule does not include the anticipated minimum staffing standards for nursing homes, which are expected later this spring. For more information, you can find NRHA’s full summary here. Please find CMS’ fact sheet here.

CMS Releases Inpatient Prospective Payment System Proposed Rule: Comments Have Been Requested   

CMS released the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) proposed rule. NRHA’s full summary is available here. CMS also released a fact sheet. Key provisions include:

  • Increased IPPS payments by 2.8% overall and 3.3% for rural hospitals.
  • Rural Emergency Hospital (REH) provisions include codifying conversion guidance and allowing REHs to be Medicare Graduate Medical Education eligible sites.
  • The proposed policy that hospitals reclassified as rural must be treated like geographically rural hospitals for wage index calculations.
  •  A safety net hospital request for information.