Behavioral Health

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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  • 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
  • State Health Policy Blog

    Several primary health care organizations (PHCOs) that I have spoken with in the states and in Australia during my 10-month fellowship have established a central referral point or “one stop shop” to help primary care practices connect their patients to community-based mental health and/or substance abuse services. These referral centers can take the load off […]

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    April 27, 2015 | Filed under: Behavioral Health, State Health Policy Blog
  • Publications

    Part 3 in the Transforming the Workforce to Provide Better Chronic Care: The Role of Registered Nurses series. Click to see the rest of the series. Hennepin Health, a safety-net accountable care organization in Minnesota, has begun to integrate primary care into Hennepin County Mental Health Center through a behavioral health nurse care coordinator. The […]

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    December 31, 2014 | Filed under: Behavioral Health, Minnesota, Publications
  • Publications

    Federal and state policymakers are faced with the challenge of integrating services to address both the physical and behavioral health needs of the population. This brief summarizes key lessons and opportunities for federal and state alignment that surfaced during a meeting supported by The Commonwealth Fund of high-level federal and state leaders. Several case studies […]

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