This article aims to analyse active labour market policy efficiency for rural young NEETs integration into the labour market in the socioeconomic context of rural municipalities in Lithuania. For the empirical analysis, the administrative data of the public employment service concerning active labour market policy measures, e.g., training and mobility support, subsidised employment, and support for establishing or adapting workplaces of 2018 and 2022, as well as Lithuanian statistics data of 2018 and 2020 are used. The socio-economic environment of rural municipalities was analysed using the economic indicators (complex index), public transport accessibility, average wage, and free vacancies indicators. The recipient’s integration into employment after six months of participation in active labour market policy measures is analysed. The data revealed poor economic indicators, undeveloped public transport, lower average salaries, and a need for more vacancies in rural municipalities. The integration into employment fell significantly in two rural municipality clusters after the Covid-19 pandemic.