Connecting Rural and Urban Care in Indiana
GrantID: 73319
Grant Funding Amount Low: Open
Deadline: Ongoing
Grant Amount High: Open
Summary
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Grant Overview
Rural-Urban Transportation Divide in Indiana
Indiana exhibits pronounced differences in healthcare access between its 92 counties. The 11 counties containing major urban centers hold 60 percent of primary care physicians, while 47 rural counties operate with fewer than one physician per 3,500 residents. Low-income patients in these rural counties average 48 miles to the nearest specialist appointment, producing documented no-show rates above 25 percent for scheduled Medicaid visits. Existing public transit covers only 12 of the rural counties on weekdays.
Partnership Realities for Indiana Transportation Services
Organizations must secure written commitments from county commissioners and at least two health systems before submitting applications. Eligible projects coordinate with existing 5310 transit programs rather than establishing duplicate routes. Data collection requirements include origin-destination logs tied to specific clinic sites and verification that rides serve only verified low-income patients.
Implementation Approach in Indiana
Indiana requires all transportation vendors to carry state-mandated insurance thresholds higher than federal baselines. Proposals must map routes against current Medicaid managed care network adequacy standards to avoid overlap with existing non-emergency medical transportation brokers. Performance metrics focus on completed trips and resulting appointment adherence rates reported through the Indiana Family and Social Services Administration portal. Awards favor projects operating in the 20 counties with the lowest primary care physician density according to 2023 state workforce reports.
Eligible Regions
Interests
Eligible Requirements
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