Chronic and Complex Populations
FEATURED ARTICLE
Feds Revise Buprenorphine Prescribing Requirements (Again)
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD /by Jodi ManzOn April 27, 2021, the federal Department of Health and Human Services (HHS) announced new practice guidelines for providers to prescribe buprenorphine, a medication used to treat opioid use disorder (OUD). These guidelines create an exemption from longstanding federal training requirements for providers, including physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse […]
Opioid Use Disorder Treatment: How Vermont Integrated its Community Treatment Standards into its State Prisons
/in Policy Vermont Featured News Home, Reports Behavioral/Mental Health and SUD /by Eliza Mette and Jodi ManzThrough Coordination and Investment, Arizona Substantially Increases Access to School-Based Behavioral Health Services
/in COVID-19 State Action Center, Policy Arizona Blogs, Featured News Home Back to School, Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, EPSDT, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health /by Anita Cardwell and Gia GouldBy leveraging federal Medicaid funding and state investment while simultaneously clarifying complex billing procedures and enhancing engagement with providers, Arizona has made remarkable progress in increasing student access to critical school-based behavioral health services. Arizona’s efforts to improve school behavioral health services began in 2018 when its state legislature allocated $3 million from the state’s […]
State Strategies to Promote Advance Care Planning in Light of the Pandemic
/in Palliative Care Blogs, Featured News Home Chronic and Complex Populations, Framing the Message, Palliative Care, Physical and Behavioral Health Integration, Reimbursement Strategies, State Recommended Resources /by Wendy Fox-GrageA new National Poll on Healthy Aging published by the University of Michigan this month found that 59 percent of older adults have discussed advance care planning with family members and/or friends, and nearly one-third of them did so during the first three months of the COVID-19 pandemic.
New Federal Resources Can Support States’ Affordable and Supportive Housing Programs
/in COVID-19 Relief and Recovery Resource Center Blogs, Featured News Home Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Equity, Housing and Health, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Relief and Recovery, Social Determinants of Health /by Allie AtkesonAcross the nation, COVID-19 has exacerbated the dual challenges of housing affordability and homelessness. As states address these issues, there are new federal resources available through the American Rescue Plan Act (ARPA) and proposed American Jobs Plan that states can deploy efficiently and equitably.
Confronted with Overdoses, Rhode Island’s Emergency Departments Employ Peer Services to Promote Treatment
/in Policy Featured News Home, Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration /by Jodi Manz and Kitty PuringtonDrug overdose deaths nationwide have continued to rise during the COVID-19 pandemic, exceeding 88,000 between August 2019 and August 2020, signaling a critical need for substance use disorder (SUD) treatment services and the workforce to provide them. Non-fatal overdoses, which are a predictor of future fatal overdoses, also rose, leading to an increase in opioid-related […]
Paying Family Caregivers through Medicaid Consumer-Directed Programs: State Opportunities and Innovations
/in The RAISE Act Family Caregiver Resource and Dissemination Center Connecticut, Florida, Virginia Featured News Home, Reports Chronic and Complex Populations, Chronic Disease Prevention and Management, Consumer Affordability, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Long-Term Care, Medicaid Managed Care, Population Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center, Workforce Capacity /by Salom Teshale, Wendy Fox-Grage and Kitty PuringtonFamily members provide significant amounts of care to relatives with complex needs, including those who are Medicaid enrollees.
Spotlight on Home- and Community-Based Services: New Federal Opportunities?
/in COVID-19 Relief and Recovery Resource Center Blogs, Featured News Home Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Coverage and Access, Medicaid Managed Care, Population Health, Relief and Recovery, Social Determinants of Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center, Workforce Capacity /by Kitty PuringtonOlder adults, people with disabilities, and their family caregivers have been hard hit by COVID 19. As states reel from the pandemic’s human and fiscal toll, policymakers are increasingly looking to home- and community-based services (HCBS) to address the pressing need for alternatives to nursing home care and supporting family caregivers who can help loved […]
Michigan’s Caring for Students Program Leverages Medicaid Funding to Expand School Behavioral Health Services
/in Policy Michigan Blogs, Featured News Home Behavioral/Mental Health and SUD, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Quality and Measurement, Safety Net Providers and Rural Health, Social Determinants of Health /by Anita Cardwell and Gia GouldDespite a federal rule change that allows states to bill Medicaid for school-based physical and behavioral health services provided to all Medicaid-enrolled students, many states struggle to overcome the persistent and complex billing challenges associated with receiving Medicaid reimbursement for delivery of these critical services. To access additional Medicaid funds to expand school-based behavioral health […]
Request for Applications for NASHP’s Second Health and Housing Institute – Due April 30, 2021
/in Policy Featured News Home Chronic and Complex Populations, State Resources, The RAISE Family Caregiver Resource and Dissemination Center /by NASHP StaffThe National Academy for State Health Policy (NASHP), with support from the Health Resources and Services Administration (HRSA) through the National Organizations of State and Local Officials (NOSLO) program, invites states to apply to its second Health and Housing Institute. The goal of the Institute is to break down inter-agency silos and strengthen services and […]

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
























































































































































How States Are Administering Opioid Settlement Funds
/in Behavioral/Mental Health and SUD Featured News Home, Maps Behavioral/Mental Health and SUD, Opioid Use Disorder Chronic and Complex Populations /by Mia AntezzoNASHP Resource Hub: State Strategies to Build and Support Palliative Care
/in Policy Reports, Toolkits Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Featured Policy Home, Health Coverage and Access, Health System Costs, Long-Term Care, Medicaid Managed Care, Palliative Care, Physical and Behavioral Health Integration, Population Health, Workforce Capacity Chronic and Complex Populations /by Kitty Purington, Wendy Fox-Grage and Salom TeshalePalliative care helps individuals with serious illness better manage the symptoms and stressors of disease. These services are interdisciplinary, person- and family-centered, and can help people at any stage of a serious illness.
States are uniquely positioned to influence how Americans think about access, and experience palliative care.