The U.S. Interagency Council on Homelessness (USICH), the Department of Housing and Urban Development (HUD), and the Department of Health and Human Services (HHS) in partnership with national organizations are pleased to announce a new opportunity for states needing targeted program support aimed at strengthening state-level collaboration between health and housing agencies to bring to scale permanent supportive housing (PSH) by coordinating housing resources with Medicaid-covered housing-related services. The Administration is committed to bringing to scale the cost-effective, evidence-based solution known as PSH to end chronic homelessness in 2017, as well as to support the community integration for people with with long-term services and supports needs. USICH, HUD, and HHS recognize that access to affordable, stable housing and access to coordinated and comprehensive health care services will improve health outcomes for Medicaid beneficiaries and lower health care and other public services costs for states and communities.
Targeted at states with an existing foundation of collaboration between health and housing agencies, this effort will assist states to address two key challenges:
- Increasing the supply and availability of supportive housing stock targeted at low income persons with complex health needs, and
- Determining how to use Medicaid to cover services needed for achieving stable health and housing outcomes.
Intensive, 6-month Action Planning
Participating states will form teams comprised of governors’ staff and key decision makers, chief executives, or leaders of their Medicaid, housing, behavioral health, and human services agencies who will engage in an intensive peer-to-peer learning and action-planning process, guided by subject-matter experts and federal agency staff. Over a 6-month period, state teams will collaboratively learn and develop action plans around the following topics:
- Strengthening interagency, cross-sector partnerships and planning;
- Using data to identify members of the target population;
- Identifying supportive housing needs and unit creation/housing placement goals;
- Identifying, coordinating, and leveraging federal and local resources for housing (rental assistance and capital);
- Identifying Medicaid benefits and services and approaches for coordinating behavioral health resources, to provide housing-related, supportive, and health services; and
- Developing processes to ensure the quality and experience of providers who deliver benefits to the eligible population.
To apply, state Medicaid, housing, and behavioral health agencies should work collaboratively to complete the Expression of Interest by December 1, 2015. The Expression of Interest form can be found in the announcement made by the Centers for Medicare & Medicaid Services (CMS) as part of coordinated program support being offered through their Medicaid Innovation Accelerator Program. Current state recipients of HUD’s Section 811 Project-Rental Assistance grants or the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Cooperative Agreement to Benefit Homeless Individuals for States are encouraged to support their state Medicaid agency to apply. Applications from Medicaid agencies will be received by the CMS and will be reviewed by teams of federal agencies. If interested states feel that additional time is needed to complete the expression of interest form, please indicate this on your form.