Chronic and Complex Populations
FEATURED ARTICLE
Overview of Funding: Meeting the Health-Related Social Needs of Low-income Persons
/in Policy Charts Accountable Health, Behavioral/Mental Health and SUD, Blending and Braiding Funding, Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Equity, Housing and Health, Population Health, Social Determinants of Health /by StaffNote: Other CDC support is available to states and localities, often targeted at specific conditions. Such support includes state-based tobacco control programs, the National Asthma Control Program, and a number of HIV–related demonstrations.
State Delivery System and Payment Reform Map
/in Policy Maps Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing Cost, Payment, and Delivery Reform /by NASHPIllinois: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Illinois Behavioral/Mental Health and SUD, Chronic and Complex Populations, Health Coverage and Access, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration /by NASHPPolicy and Process Changes State Legislation HB 1046, introduced in the 2013-2014 legislative session, specifically allows incarcerated individuals to apply for Medicaid prior to the date of their release. If these individuals are found to be eligible for Medicaid, they will be able to receive coverage after their release. In addition, the bill allows for […]
Wisconsin: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Wisconsin Behavioral/Mental Health and SUD, Chronic and Complex Populations, Health Coverage and Access, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration /by NASHPPolicy and Process Changes Memorandums of Understanding (MOUs) between state agencies In 2004, the Department of Health Services (DHS) and the DOC in Wisconsin established their first MOU related to developing processes to allow eligible incarcerated individuals to enroll in Medicaid prior to release. The MOU was updated in January 2015 with revised language to […]
Washington State: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Washington Behavioral/Mental Health and SUD, Chronic and Complex Populations, Essential Health Benefits, Health Coverage and Access, Physical and Behavioral Health Integration /by NASHPPolicy and Process Changes State Legislation Prior to passage of the ACA, processes to enroll justice-involved individuals with severe mental illnesses in Medicaid had been in place in Washington due to a directive based on state legislation. In subsequent years the state also enrolled Medicaid-eligible incarcerated individuals if they were admitted for inpatient health care […]
Rhode Island: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Rhode Island Behavioral/Mental Health and SUD, Chronic and Complex Populations, Health Coverage and Access, Medicaid Expansion, Physical and Behavioral Health Integration /by NASHPPolicy and Process Changes Contract Modifications Taking into consideration the needs of the justice-involved population newly eligible for Medicaid following passage of the ACA, the state negotiated new contracts with their Medicaid health plans and implemented certain changes to the benefit packages for these plans. For example, many behavioral health services that had previously been […]
Ohio: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Ohio Behavioral/Mental Health and SUD, Chronic and Complex Populations, Essential Health Benefits, Health Coverage and Access /by NASHPPolicy and Process Changes Memorandums of Understanding (MOUs) between state agencies The Ohio Department of Rehabilitation and Correction (ODRC) and the Ohio Department of Medicaid (ODM) have a MOU to facilitate the enrollment of justice-involved individuals via phone. The MOU describes how ODM telephone hotline representatives are provided with access to ODRC’s system which tracks […]
New Mexico: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy New Mexico Behavioral/Mental Health and SUD, Chronic and Complex Populations, Essential Health Benefits, Health Coverage and Access /by NASHPPolicy and Process Changes Policy Changes During the state’s 2015 legislative session SB 42 was introduced, which includes language indicating that incarceration is not a basis for denying or terminating an individual’s eligibility for Medicaid. The bill also permits individuals to apply for Medicaid while incarcerated and directs correctional facilities to inform the state Human […]
Colorado: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Colorado Behavioral/Mental Health and SUD, Chronic and Complex Populations, Essential Health Benefits, Health Coverage and Access /by NASHPPolicy and Process Changes State Legislation In 2008, the Colorado state legislature passed and the governor signed SB08-006, which allows for the suspension of Medicaid benefits upon incarceration (see Title 25.5-4-205.5). Specifically, if an individual enrolled in Medicaid becomes incarcerated, the state law allows for an individual’s Medicaid enrollment to be However, based on conversations […]
Community Health Workers in the Wake of Health Care Reform: Considerations for State and Federal Policymakers
/in Policy Reports Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Long-Term Care, Population Health /by Lesa RairAs states and the nation transform their health systems, many policymakers are turning to community health workers (CHWs) to tackle some of the most challenging aspects of health improvement, such as facilitating care coordination, enhancing access to community-based services, mitigating the impacts of the social determinants of health, reducing health disparities, and containing costs. In […]

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.