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.
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
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.
States are the largest public payers for long-term services and supports, and family caregivers are their crucial partners. Across the country, states have launched initiatives that assist family caregivers by addressing their diverse needs. In part to support states in developing these initiatives, the National Academy for State Health Policy (NASHP) launched the RAISE Family Caregiver […]
A patient with chronic obstructive pulmonary disease who was a frequent emergency room (ER) visitor now has a plan to manage his symptoms and now avoids the ER. A family caring for a parent with Alzheimer’s was considering nursing home placement, but after learning how to address challenging behavioral symptoms now feels equipped to continue […]
Many states already leverage Dual Eligible Special Needs Plans (D-SNPs ) to better manage care for individuals enrolled in both Medicare and state Medicaid programs. Recent changes to federal regulation, stemming the Bipartisan Budget Act of 2018, are expected to make D-SNPs more attractive for states seeking to better integrate care for this population. The […]
As the country ages, states recognize the importance of caregivers and are developing new initiatives to support and sustain their critical role in helping relatives, friends, and neighbors age in place. The recent passage of the Recognize, Assist, Include, Support, and Engage Family Caregivers (RAISE) Act, a federal strategy to support family caregivers, brings new […]
A growing shortage of behavioral health workers persists across the country, posing a significant obstacle for states working to address the opioid crisis and other substance use disorders (SUDs). The National Academy for State Health Policy (NASHP) has recently completed a 50-state scan to identify the full range of strategies states are using to expand […]
State policymakers on the frontlines of the opioid epidemic understand that treating justice-involved individuals with opioid use disorder (OUD) offers a critical opportunity to expand access to treatment. While there is strong evidence that medication-assisted treatment (MAT) promotes recovery, saves lives, and reduces re-incarceration, states must surmount significant policy and financial challenges to provide MAT […]