1. S 1.05 Using Medicaid to pay for Supportive Services
July 17, 2017

2. Corporation for Supportive Housing (CSH)
The Source for Housing Solutions
Industry leader and an experienced bridge between the Housing and Health Care Sectors
1200 loans, impacting 300 communities across the country creating 200,000 homes for the most vulnerable Americans.
22 Field offices in 13 states across the country
Deb

3. But what about what is happening in Washington, DC?
Marcella
Changes are being proposed for 2020 and/or beyond. Not sure yet what will happen. Remember that the aged, blind and disabled category remains. If you want to understand more about this, please check out our recorded, “30 Minutes on Health Reform” series at …

4. FACTS
HUD/ McKinney-Vento services funding has been decreasing for the last decade.
The cost of delivering services has only been increasing.
The clients we are serving, thanks to Housing First, Coordinated Entry and targeting and prioritization practices have greater service needs than ever.
Deb

5. Administrative/ Billing Support
Partnerships
Can’t be all things to all people! Build on your agencies strengths.
Clinical Services
Landlords
Administrative/ Billing Support

6. ARE THE SERVICES MY AGENCY OFFERS IN THE STATE’S MEDICAID PLAN?
Medicaid Supportive Housing Services Crosswalk
Identifies coverage of supportive housing services under current state plan and authorities to identify coverage and gaps.
Arizona
Colorado
Connecticut
New Hampshire
New Mexico
Pennsylvania
Rhode Island
Washington

7. IF NOT, HOW DO I CONVINCE MY STATE?
Supportive Housing Medicaid Business Case
Demonstrates potential cost-savings of paying for tenancy supports instead of emergency care.
Summarize national evidence of cost savings.
Use cost data for people with the highest costs who are not stably housed.
Apply a cost reduction percentage that supportive housing can achieve.
Demonstrate state portion of cost savings.

8. 2 Days In-Person | 4 Self-Paced Online Courses | Tech Assistance
Your Agency & Medicaid
Discovering New Opportunities for Service Funding
2 Days In-Person | 4 Self-Paced Online Courses | Tech Assistance
csh.org/training

9. WHAT DO I DO NEXT?

10. Where is my state on a Tenancy Support Benefit?
Who has a tenancy Support benefit in process
1- LA
2- MA
3- MD
4- WA
5- CA
RI, IL, NJ, FL,
In process- HI, PA, MN,

11. How to get the most out of your state Medicaid Plan?
Who does your agency serve? Do you have a regular report that answers these questions?
How to get the most out of your state Medicaid Plan?
Populations
Benefits
Services

12. How to get the most out of your state Medicaid Plan
How does your agency serve them?
How to get the most out of your state Medicaid Plan
Case Management
Health Homes/ Care Coordination
Integrated Care Teams
Peer Recovery Services
Community Health Workers
What services that you offer? What are staff qualifications?
Foundational Community Supports

13. What is the benefit status of the person we want to serve?
Eligible vs Enrolled
State Requirements Documentation requirements Have the processes been completed? How do we know for sure?

14. Non Billable Activities
Billing
Always need additional funding for
Non Billable people (peppi doe)
Non Billable activities (taking care of someone’s cat when they are not there)
Non Billable people
Non Billable Activities

15. Possible Models Become a Medicaid Biller Be an Extra Special Landlord
Use an Administrative Services Organization
Need significant resources for start up
Need additional know how
Operationally likely to the least change
Find the right partner who can offer services
Develop Processes to work together
Use a contracted service to perform billing related activity
Still will need to meet state and MCO requirements.

16. Contact www.csh.org www.csh.org/health Twitter- @cella65