As state health officials and governors drive toward improved outcomes and reduced costs for their complex care populations, a common gap has quickly emerged: access to affordable housing. Homeless Medicaid beneficiaries are often the highest users of avoidable emergency services because without stable, supportive housing and reliable access to food, their behavioral, mental and physical health needs cannot be adequately addressed.
Supportive housing is a proven intervention for the chronically homeless that pairs subsidized housing with coordinated support services for residents. By leveraging Medicaid’s ability to pay for care coordination and case management alongside the creation of a supportive housing benefit, state health officials can expand capacity to provide the “support” in supportive housing. The NGA Center is currently working with states to develop sustainable supportive housing strategies, with a special focus on high-need, high-cost Medicaid enrollees.
- Housing as Health Care: A Road Map for States
- Housing as Health Care Learning Lab, February 8-9, 2016
- A Roadmap to Supportive Housing for Complex Care Individuals
- CMCS Informational Bulletin: Coverage of Housing-Related Activities and Services for Individuals with Disabilities
- Fulfilling the Dream: Aligning State Efforts to Implement Olmstead and End Chronic Homelessness
- Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field
- Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Literature Synthesis and Environmental Scan
- A Primer On Using Medicaid for People Experiencing Chronic Homelessness and Tenants in Permanent Supportive Housing
- Effect of a Housing and Case Management Program on Emergency Department Visits and Hospitalizations Among Chronically Ill Homeless Adults
- Frequent Emergency Department Visits and Hospitalizations Among Homeless People With Medicaid: Implications for Medicaid Expansion
- Formerly Homeless People Had Lower Overall Health Care Expenditures After Moving Into Supportive Housing
- Housing the Chronically Homeless: High Hopes, Complex Realities
Making the Business Case:
- Affordable Senior Housing Plus Services: What’s the Value?
- Analysis and Recommendations for Medicaid High Utilizers in New Jersey
- Connecting the Dots: Bridging Systems for Better Health
- Denver Social Impact Bond Initiative: Permanent Supportive Housing
- Health in Housing: Exploring the Intersection between Housing and Health Care
- Medicaid-Financed Services in Supportive Housing for High-Need Homeless Beneficiaries: The Business Case
- State Payment and Financing Models to Promote Health and Social Service Integration