Rural Health Information Hub Latest News

Approaching Deadline for Rural HIV and Aging Challenge

 The Administration for Community Living will award $500,000 in cash prizes for innovative and effective pilot solutions that address the needs of people in rural communities who are aging with HIV. Some potential solutions may be: enhancing the capacity of community-based organizations; increasing engagement/reducing isolation for long-term survivors; or addressing social determinants of health such as transportation or access to physical activities.  Up to 10 winners may be selected to each receive a prize of up to $15,000. Because these are prize competitions, there are no reporting requirements, deliverables, or other restrictions associated with federal grants.  The participants selected to receive a prize for Phase 1, Design of Concept, may compete for Phase 2, Development of Solution. The date was extended to February 14, 2023.

The FCC is Making Changes to Its Program for Rural Health

  Last week, the Federal Communications Commission (FCC) announced efforts to make it easier for rural healthcare providers to access funding for high-speed broadband connections and telecommunications services.  Four new proposals for the FCC’s Rural Health Care Program are intended to make it easier for providers to receive support, reduce delays in funding commitments, and improve the overall efficiency of the program.  Public response to FCC proposals in February 2022 brought about the current changes that include the way service rates are determined and invoiced.  The Second Further Notice of Proposed Rulemaking announced on January 26 includes fine-tuning rules for determining rural and urban rates, and making it easier for healthcare providers to receive funding as soon as they become eligible.

There is a Special Enrollment Period for Consumers Losing Medicaid or CHIP Coverage 

The Centers for Medicare & Medicaid Services (CMS) announced a Special Enrollment Period for qualified beneficiaries of Medicaid and the Children’s Health Insurance Program (CHIP). Between March 31, 2023, and July 31, 2024, CMS will allow Marketplace-eligible consumers to submit a new application or update an existing application through HealthCare.gov. A recently released study, conducted pre-pandemic, showed that nearly two-thirds of disenrolled beneficiaries had a period of uninsurance.  Healthcare providers and other community-based organizations can assist with outreach to individuals and families who may lose coverage. To help you better understand what states can do, the nonprofit State Health & Value Strategies provides two resources for state Medicaid agencies, state-based marketplaces, labor departments, and employers.  The first is an issue brief discussing strategies for helping people understand and navigate their coverage options.  A companion brief describes the importance of a Medicaid disenrollment survey to monitor coverage changes (p. 4) associated with the unwinding of continuous enrollment.

Read About the Variations in Affordability of Health Care by Non-Metropolitan/Metropolitan and Race/Ethnicity Status across Eight Geographically Dispersed States

 Among the findings in this brief from the Rural & Minority Health Research Center: Hispanic adults had the lowest health insurance rates; non-Hispanic Black individuals reported higher levels of forgoing medical care due to cost; non-metropolitan individuals ages 18-64 were more likely to report forgoing medication due to cost.

Federal Awards Given Out to Support Education in High-Needs Communities.

  Last week, the U.S. Department of Education announced more than $35 million in grants awarded for projects that support “cradle-to-career” solutions for low-income students through the Department’s Promise Neighborhoods program.  The national nonprofit Partners for Rural Impact is one of the newest Promise Neighborhood grantees, supporting two schools in Hazard, Kentucky, where the U.S. Secretary of Education made the announcement.

Medicare Graduate Medical Education (GME) Residency Have Positions Available 

 Hospitals interested in residency slots that will be supported by Medicare in Fiscal Year 2024 must apply through the Medicare Electronic Application Request Information (MEARIS™) by March 31. This is the second of five rounds of awards; the first 200 slots were awarded earlier this month.  Rural hospitals are among the facility types eligible to establish new programs or expand existing residency programs. The Centers for Medicare & Medicaid Services will prioritize training sites located in Health Professional Shortage Areas (HPSAs), and Tribal facilities located outside of a HPSA. For more information, see the Frequently Asked Questions and the application submission process guideApplications are Due March 31.