- CMS: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- CMS: Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- Public Inspection: CMS: Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- Public Inspection: CMS: Medicare Program: Fiscal Year 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- CMS: Request for Information; Health Technology Ecosystem
- VA: Staff Sergeant Fox Suicide Prevention Grant Program Funding Opportunity
- State: 60-Day Notice of Proposed Information Collection: J-1 Visa Waiver Recommendation Application
- Public Inspection: CMS: Request for Information: Health Technology Ecosystem
- HHS: Request for Information (RFI): Ensuring Lawful Regulation and Unleashing Innovation To Make American Healthy Again
- VA: Solicitation of Nominations for the Appointment to the Advisory Committee on Tribal and Indian Affairs
- GAO Seeks New Members for Tribal and Indigenous Advisory Council
- VA: Staff Sergeant Fox Suicide Prevention Grant Program Funding Opportunity
- Telehealth Study Recruiting Veterans Now
- USDA Delivers Immediate Relief to Farmers, Ranchers and Rural Communities Impacted by Recent Disasters
- Submit Nominations for Partnership for Quality Measurement (PQM) Committees
CDC Release Data About Overdose Deaths Related to Xylazine on the Rise
Last week, the Centers for Disease Control and Prevention released data showing a significant increase – 276 percent in 21 jurisdictions from 2019 to 2022 – in overdose deaths involving Xylazine, a nonopioid sedative that’s been detected in illicitly manufactured fentanyl drug products. Because of inconsistent testing, the numbers are likely underestimated; in 2022, the Drug Enforcement Administration reported 23 percent of seized fentanyl powder and 7 percent of seized fentanyl pills contained xylazine.
FEMA: Here’s How You Can Prepare for Extreme Heat
With global climate watchers reporting Tuesday, July 4 as the hottest on record, the Federal Emergency Management Agency (FEMA) is striving for widespread awareness and preparation for more intense temperatures. The first step is knowing who is most vulnerable in each community. In rural areas, manual laborers are the most visible but older adults – especially those with medical conditions – who live alone are at increased risk and may go unnoticed. One important tip is to build a support network, check on neighbors, and create a plan for emergencies like a power outage. See the Funding section below for a new grant opportunity from FEMA.
CMS Release a New School-based Services Technical Assistance Center
As a follow-up to the May 2023 release of the School-Based Services (SBS) Comprehensive Guide to Medicaid Services and Administrative Claiming, the Centers for Medicare & Medicaid Services (CMS) launched the SBS Technical Assistance (TA) Center. This TA Center will support State Medicaid agencies, local education agencies, and school-based entities seeking to expand their capacity for providing Medicaid school-based physical and behavioral health services, and it will assist these entities in obtaining payment for Medicaid SBS. Schools can play an important role in bridging equity gaps among students in low-income and rural communities where access to health care services may be more limited.
CMS Proposes Policy Updates for End Stage Renal Disease
On June 26, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule under the end-stage renal disease (ESRD) Prospective Payment System for dialysis services furnished to Medicare beneficiaries on or after January 1, 2024. This includes facility-level adjustments for ESRD facilities that have a low patient volume, for facilities in rural areas, and for the wage index. In addition, CMS is issuing a Request for Information (RFI) soliciting comments regarding potential changes to the Low-Volume Payment Adjustment (LVPA) methodology and the possible creation of a new payment adjustment that accounts for isolation, rurality, and other geographic factors to inform future rulemaking. Comments are due by August 25, 2023.
Commonwealth Fund on State Health System Performance
Learn why Massachusetts, Hawaii, and New Hampshire top the health policy nonprofit’s ranking based on 58 measures of access, quality, disparities, and outcomes among other factors. While there’s scant mention of health care in rural areas, many of the emerging crises at the center of the report – namely, avoidable deaths from preventable and treatable causes – are known to have higher incidence in these areas.
USDA Economic Research Service on Rural Access to Primary Care
Researchers at the U.S. Department of Agriculture (USDA) update their chart showing the number of physicians per capita in rural counties.
The Built Environment and Social and Emotional Support Among Rural Older Adults
Previous studies on social infrastructure in the built environment – specifically, the physical places that facilitate social interaction and social tie formation – relied heavily on urban settings or samples with limited diversity. For this study, researchers examine whether social infrastructure is associated with well-being for older adults in rural areas and whether this relationship varies across race and ethnicity.
ACL Proposes Update to Older Americans Act Programs
The federal Administration for Community Living (ACL) is seeking input on proposed updates to the regulations for its Older Americans Act programs. The proposed rule is the first substantial update in 35 years, addressing new issues that have emerged and clarifying a number of requirements for programs, such as ACL’s state and tribal caregiver support programs. Last year, the FORHP-supported Rural Health Research Gateway evaluated 50 State Plans on Aging, including common and innovative approaches for serving older adults. Respond by August 15, 2023.
The GAO Release a Report on Critical Access Hospitals and Behavioral Health Care
The federal agency that examines the effectiveness of government programs turns attention to the way that Critical Access Hospitals (CAHs) provide behavioral health services in rural communities. CAH administrators who were interviewed for the report expressed mixed views on how Medicare payment policies affect their ability to provide services in various care settings that are not paid solely based on cost.
The U.S. Preventive Services Task Force Released a Final Recommendation Statement: Screening for Anxiety Disorders in Adults
The U.S. Preventive Services Task Force released a final recommendation statement on screening for anxiety disorders in adults. The task force determined that screening can help identify anxiety disorders in adults younger than 65, including those who are pregnant and postpartum. More research is needed to recommend for or against screening for anxiety disorders in adults older than 65. View the recommendation, the evidence on which it is based, and a summary for clinicians. In addition, the task force has also released a final recommendation statement on a related topic, screening for depression and suicide risk in adults.