Behavioral Health

A Primer on Opportunities for Medicaid-Safety Net Collaboration The prevalence of substance abuse disorders in the United States has increased dramatically in the past 15 years with catastrophic consequences, especially in rural regions of the United States. Deaths and injuries from illegal opioid and heroin use are more prevalent in rural states, and death from […]

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  • State Health Policy Blog

    Nearly one in five Americans has some type of diagnosable mental health disorder. With these disorders costing $201 billion in 2013, behavioral health is a critical issue for state health policymakers. Children, including very young children, can experience mental health problems, and addressing these issues early can improve outcomes and lessen costs. Approximately 15 percent […]

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  • State Health Policy Blog

    Earlier this year, Massachusetts Governor Charlie Baker discussed his state’s opioid epidemic during his State of the Commonwealth Address. Less than two months later, on March 14, he signed omnibus legislation designed to tackle the epidemic head-on. Chapter 52 of the Acts of 2016 contains a wide range of provisions, however one specific provision is […]

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  • State Health Policy Blog

    On February 9th, 2016, Health and Human Services Department released long-awaited proposed rules on 42 CFR Part 2, the federal regulation that governs how federally-funded substance use disorder (SUD) programs may share health information; public comments are due on April 11th. The proposed changes to 42 CFR Part 2 would, among other things, make it […]

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    February 29, 2016 | Filed under: Behavioral Health, Front Page, State Health Policy Blog
  • Publications

    People with mental illnesses use more resources and are more expensive to cover than Medicaid enrollees without these disorders.  Moreover, the subset of adults with serious mental illness (SMI) has the highest per person cost of all disabled, non-dually eligible individuals enrolled in state Medicaid programs. Trained peer support specialists are well positioned to bridge the […]

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    January 26, 2016 | Filed under: Behavioral Health, Front Page, Georgia, Kansas, Oregon, Publications
  • State Health Policy Blog

    On October 19th in Dallas, NASHP brought together a diverse group of state and federal Medicaid and mental health leaders to talk about emerging issues in the world of mental health, substance use, and recovery. True to its title, the pre-conference session “Whole Person Care: Finding Shared Solutions Across Mental Health, Substance Use, and Medicaid […]

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  • Publications

    Individuals with medical and behavioral health comorbidities often receive fragmented care, resulting in higher costs and poorer outcomes. States, the federal government, and providers have all made significant investments to build and expand evidence-based integration models, such as the collaborative care model, to reduce fragmentation and improve care. However, workforce shortages and limited resources may hinder […]

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    November 10, 2015 | Filed under: Behavioral Health, Publications
  • State Health Policy Blog

    When it comes to behavioral health systems, many states struggle with the lack of “system.” Services provided are often a compilation of available Medicaid state plan options, with little in the way of unifying structures to ensure coordination of care or linkages to other systems. The Substance Abuse and Mental Health Services Administration (SAMHSA) recently […]

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    June 29, 2015 | Filed under: Behavioral Health, State Health Policy Blog
  • State Health Policy Blog

    In my previous “Walkabout Medical Home” blog posts I have highlighted the work Primary Health Care Organizations (PHCOs) in Australia (Medicare Locals) have done to connect people with mild to moderate mental health diagnoses to primary care or community-based services. This blog highlights the innovative work being done stateside by Oregon’s Health Share. Health Share […]

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    May 28, 2015 | Filed under: Behavioral Health, Oregon, State Health Policy Blog
  • State Health Policy Blog

    State policymakers have a critical role to play in how the Mental Health Parity and Addictions Equity Act (MHPAEA) is operationalized in state programs, including Medicaid managed care organizations, alternative benefit plans, and the Children’s Health Insurance Program (CHIP). Now that CMS has released long-awaited proposed rules on implementation of the MHPAEA in these programs, […]

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    May 20, 2015 | Filed under: Behavioral Health, State Health Policy Blog