On 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 […]
The opioid use disorder (OUD) epidemic extends beyond the boundaries of traditional state health systems, requiring evidence-based treatment and coordination between state agencies and leaders. To optimize all potential avenues to treatment and reduce overdoses, the National Academy for State Health Policy (NASHP) is working with states to develop a “no-wrong-door” approach to treatment that prioritizes cross-systems policies. NASHP is providing tools and resources with support from the Foundation for Opioid Response Efforts (FORE) and its steering committee. Read our newest blog, State Harm Reduction Services Get Creative in the COVID-19 Era.
By 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 […]
Drug 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 […]
Despite 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 […]
The COVID-19 pandemic has negatively impacted the mental health of many children and adolescents and reduced students’ access to comprehensive school mental health systems (CSMHS) as schools shifted to remote learning. In recent years, states have implemented policies that have successfully expanded access to CSMHS. Lessons learned from these initiatives can help address students’ growing […]
To reduce substance use as a key cause of children removed from their homes, Maryland implemented a Family Recovery Court program in 2004 that connects parents to intensive treatment for substance use disorder (SUD) and provides case management and incentives. Over a one-year period, program evaluations show the program produced a 25 percent higher reunification […]