The American Rescue Plan of 2021 (ARP) – signed into law on March 11, 2021 – provides states with a one-year, 10 percentage-point increase to the federal medical assistance percentage (FMAP) for Medicaid expenditures on home and community-based services (HCBS) for children and adults. This increase provides states with a critical opportunity to address both emerging and long-standing challenges in state long term care systems – systems that have […]
Author Archive for: kitty-purington
About Kitty Purington
Kitty Purington is a senior program director at NASHP, where she leads the organization’s work on chronic care and vulnerable populations. This work includes state policy issues such as delivery system and payment reform, integrated care, behavioral health, HIV/AIDS, and the intersection of housing and health. Prior to joining NASHP, Kitty served as the Program and Policy Manager for Maine’s Value-Based Purchasing Initiative, overseeing the development of that state’s Medicaid behavioral health home model for adults with serious mental illness and children with serious emotional disturbance, as well as the implementation and expansion of its existing health home initiative for Medicaid enrollees with chronic physical health conditions. She has close to 20 years experience in state Medicaid policies that support individuals with behavioral health and other chronic care needs, and has also worked as an attorney focusing on elder law, disability, and health-related issues. Kitty has a J.D. from the University of Maine School of Law and a B.A from the University of Massachusetts, Boston.
Entries by Kitty Purington
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 […]
Family members provide significant amounts of care to relatives with complex needs, including those who are Medicaid enrollees.
Older adults, people with disabilities, and their family caregivers have been hard hit by COVID 19. As states reel from the pandemic’s human and fiscal toll, policymakers are increasingly looking to home- and community-based services (HCBS) to address the pressing need for alternatives to nursing home care and supporting family caregivers who can help loved […]
As state policymakers confront the substance use disorder (SUD) epidemic, they require a wide range of data – often found in disparate systems – to understand its impact and craft more effective treatment programs and interventions. This report explores best practices and sources for data gathering and describes how states can help communities access and […]
Update: On Jan. 27, 2021, the Office of National Drug Control Policy (ONDCP) notified stakeholders that the earlier announcement from the Department of Health and Human Services (HHS) that physicians will no longer have to obtain a federal waiver to prescribe the opioid use disorder treatment buprenorphine to patients – as described in this blog – will not […]
During the COVID-19 pandemic, states have used the Appendix K Emergency Preparedness and Response authority to amend Medicaid 1915(c) home- and community-based services (HCBS) waivers and quickly provide more flexible services and supports to Medicaid enrollees and, indirectly, their caregivers.
Palliative care helps individuals with serious illness better manage the symptoms and stressors of disease. These services are interdisciplinary, person- and family-centered, and can help people at any stage of a serious illness.
States are uniquely positioned to influence how Americans think about access, and experience palliative care.