Rural Health Information Hub Latest News

ICYMI: Preview FORHP Programs for FY2026

In case you missed it, the Rural Health Information Hub archived the February 17 webinar they hosted.  The hour-long session outlined FORHP’s priorities for Fiscal Year 2026, includingplanned funding opportunities and key resources. As we continue our shared efforts to strengthen rural health care delivery and advance evidence-informed approaches, we hope these materials will support your planning efforts for the year ahead. 

Tech Companies Pledge to Support Medicaid Community Engagement Requirements

The Centers for Medicare & Medicaid Services (CMS) released a list of companies that have pledged their intent to help states prepare for and implement Medicaid community engagement requirements.

These requirements were enacted under Section 71119 of Public Law 119-21 and require states to establish community engagement rules for certain adults in the Medicaid expansion group, that is adults with incomes up to 138% of the Federal Poverty Level who are not pregnant, not enrolled in Medicare, and not otherwise eligible for Medicaid.

To qualify for and maintain Medicaid coverage, these individuals must engage in activities such as working, attending school, doing community service, or participating in a work program. The companies identified in this announcement have made voluntary commitments, and their inclusion should not be interpreted as an endorsement by CMS.

Report Examines Growth in Medicare Shared Savings Program Rural Provider Participation

The Centers for Medicare & Medicaid Services (CMS) released its annual Shared Savings Fast Facts showing that over 500 Accountable Care Organizations (ACOs) are participating in the Shared Savings Program as of January 1, 2026. ACOs are groups of doctors, hospitals, and other health care providers who collaborate to give coordinated high-quality care to people with Medicare, focusing on delivering the right care at the right time, while avoiding unnecessary services and medical errors.  The number of rural providers participating in ACOs has grown to more than 3,000 Rural Health Clinics and nearly 600 Critical Access Hospitals.

CMS Releases Additional Guidance Regarding Medicaid State Directed Payments

The Centers for Medicare & Medicaid Services (CMS) released new guidance related to Medicaid State Directed Payments (SDPs).

SDPs are a mechanism for states to direct Medicaid managed care plan expenditures in connection with implementing delivery systems and provider payment initiatives. Section 71116 of Public Law 119-21 directs CMS to reduce payment limits for SDPs covering inpatient and outpatient hospital services, nursing facility services, and certain practitioner services at academic medical centers, and it permits a temporary grandfathering period for certain SDPs.

The letter discusses the grandfathering provisions, including those involving rural hospitals. This new letter rescinds and replaces the September 9, 2025 guidance, and CMS notes that this guidance is preliminary. Final policies will be established through future notice and comment rulemaking.

 

HRSA Releases Resources Supporting 2026 Health Workforce Planning

The Health Resources and Services Administration’s (HRSA) National Center for Health Workforce Analysis (NCHWA) has released three new data resources to support health workforce planning in 2026:

Federal Office Provides Rural Hospital Technical Assistance Finder

HRSA’s Federal Office of Rural Health Policy (FORHP) provides hands-on support for rural hospitals and clinics, bringing national experts – in rural health care finance, clinical service, and operations – directly to rural communities to help them thrive. 

In 2026, 28 rural facilities across 16 states and one U.S. territory will receive this specialized technical assistance, through one of six FORHP-funded technical assistance programs.  This includes two recently selected cohorts:

Rural Health Value Updates Catalog of Value-Based Initiatives.

Rural Health Value, a Federal Office of Rural Health Policy (FORHP) funded partner, recently updated the Catalog of Value-Based Initiatives for Rural Providers.

The catalog summarizes rural-relevant, value-based programs currently or recently implemented by the Department of Health and Human Services, primarily by the Centers for Medicare & Medicaid Services (CMS) and its CMS Innovation Center. Its purpose is to help rural leaders and communities identify HHS value-based programs appropriate for rural participation. The catalog aims to assist rural leaders and communities in identifying HHS value-based programs appropriate for rural participation.

New Rural-Focused Issue Brief Examines Rural Provider Challenges

The Physician-Focused Payment Model Technical Advisory Committee (PTAC)—an independent advisory committee supported by the Office of the Assistant Secretary for Planning and Evaluation (ASPE) that reviews and makes recommendations on physician-focused payment models to the Secretary of the U.S. Department of Health & Human Services (HHS)—has released a new set of issue briefs focused on advancing value-based care. These briefs explain how alternative payment models can improve quality, strengthen accountability, and lower costs across the health care system.

A rural-focused PTAC brief examines the challenges rural providers face participating in population-based payment models and outlines practical strategies to support value-based care in rural communities.