{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T06:09:31Z","timestamp":1789711771860,"version":"4.0.1"},"reference-count":8,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T00:00:00Z","timestamp":1779580800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"\n Background:<\/jats:title>\n Hawaii implemented a statewide Community Palliative Care benefit in 2025 under its Section 1115 Medicaid Demonstration waiver to expand access to interdisciplinary palliative care for Medicaid beneficiaries with serious illnesses.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n This policy analysis synthesizes federal and state policy documents, implementation guidance, and relevant literature to describe the development, operational design, and implementation strategy of the benefit.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The benefit establishes standardized eligibility criteria, interdisciplinary staffing expectations, unified documentation standards, and a blended reimbursement model. Development incorporated extensive stakeholder engagement, including clinicians, managed care organizations, hospice programs, and community organizations.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Hawaii\u2019s model provides a structured statewide framework for Medicaid-covered community-based palliative care and offers lessons for other states seeking to expand access to serious illness care.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10966218261452785","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T05:37:44Z","timestamp":1779687464000},"page":"1375-1378","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Hawaii\u2019s CMS-Approved Community-Based Palliative Care Benefit: A Model for State Medicaid Innovation"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2130-6146","authenticated-orcid":false,"given":"Irwin James","family":"Chapman","sequence":"first","affiliation":[{"name":"Innovated Collaborative Solutions LLC, Honolulu, Hawaii, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rae S.","family":"Seitz","sequence":"additional","affiliation":[{"name":"Hui Pohala, Honolulu, Hawaii, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,24]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Clinical Practice Guidelines for Quality Palliative Care","author":"National Consensus Project for Quality Palliative Care","year":"2018","unstructured":"National Consensus Project for Quality Palliative Care. Clinical Practice Guidelines for Quality Palliative Care. 4th ed.. Richmond, VA: National Coalition for Hospice and Palliative Care; 2018.","edition":"4"},{"key":"e_1_3_3_3_2","volume-title":"WHO Definition of Palliative Care","author":"World Health Organization","year":"2020","unstructured":"World Health Organization. WHO Definition of Palliative Care. Geneva, Switzerland: World Health Organization; 2020."},{"key":"e_1_3_3_4_2","unstructured":"Hawaii Department of Human Services Med-QUEST Division. QI-2430A: Community Palliative Care Benefit Implementation Policy. Honolulu HI; 2024."},{"key":"e_1_3_3_5_2","unstructured":"Hawaii Department of Human Services Med-QUEST Division. Hawaii Section 1115 Demonstration Approval (11-W-00001\/9). Centers for Medicare & Medicaid Services; 2025."},{"key":"e_1_3_3_6_2","unstructured":"Centers for Medicare & Medicaid Services. Medicaid Program Guidance: Definitions and Coverage of Palliative Care Services. Baltimore MD; 2023."},{"key":"e_1_3_3_7_2","unstructured":"K\u014dkua Mau. Palliative Care Resources and Community Education Materials. Honolulu HI; 2025."},{"key":"e_1_3_3_8_2","unstructured":"Hawaii Department of Human Services Med-QUEST Division. American Rescue Plan Act Section 9817 Implementation and HCBS Capacity-Building Strategy. Honolulu HI; 2022\u20132024."},{"key":"e_1_3_3_9_2","unstructured":"State of Hawaii Department of Health. Directory of Licensed Hospice Programs in Hawaii. Honolulu HI; 2024."}],"container-title":["Journal of Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261452785","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10966218261452785","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261452785","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T05:43:56Z","timestamp":1789710236000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10966218261452785"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,24]]},"references-count":8,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10,1]]}},"alternative-id":["10.1177\/10966218261452785"],"URL":"https:\/\/doi.org\/10.1177\/10966218261452785","relation":{},"ISSN":["1096-6218","1557-7740"],"issn-type":[{"value":"1096-6218","type":"print"},{"value":"1557-7740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,24]]}}}