Children with life-limiting and life-threatening conditions rely on a fragmented care continuum that is often driven by crisis rather than prevention. Pediatric Palliative Care Centers (PPCCenters) providing Pediatric Palliative Care Respite (PPCRespite) represent a missing upstream component—supporting families earlier, reducing avoidable hospital use, and extending the impact of Medicaid investments. This section explores how PPCRespite fits within the Medicaid care continuum and why policy alignment is essential to sustaining family-centered care.