1. Residential Options for Consumers Maggie Dionne Spring 2014 E-mail: Margaret.Dionne@state.ma.us Margaret.Dionne@state.ma.us Tel: 617-204-3761

2. Assisted Living (ALRs) ALRs offer a combination of housing, meals and personal care services to adults on a rental basis ALRs do not provide medical or nursing services- not designed for people who need serious medical care Intended for adults who need help with activities such as housecleaning, meals, bathing, dressing and medication reminders and who would like the security of having assistance available on a 24 hour basis in a residential/non-institutional environment Market rate is approximately $3500 to $4000/month Some ALRs participate in the Medicaid Group Adult Foster Care Program

3. Supportive Housing "assisted living like" environment in public elderly/disabled housing By pooling resources that are currently available via an Aging Service Access Point (ASAP) and a housing authority in an existing development, frail, low-income elders and the disabled have an opportunity to access a model of affordable supportive housing that promotes independence and aging in place.

4. Congregate Housing Shared living environment designed to integrate the housing and services needs of elders and disabled individuals Does not offer 24-hour care and supervision Services are available based on program eligibility to aid residents in managing Activities of Daily Living in a supportive, but not custodial environment. Each resident has a private bedroom, but shares one or more of the following: kitchen facilities, dining facilities, and/or bathing facilities. Throughout the state there are many variations in size and design

5. Continuing Care Retirement Communities CCRCs are different from other types of senior housing because these communities provide housing, personal services, and health care, usually at one location and at market rate. CCRCs offer an environment and the services necessary for residents to "age in place." ….as a person’s personal and health care needs change, they are able to remain at the retirement community.

6. Continuing Care Retirement Communities CCRCs often have a variety of housing on one campus, from townhouses or "cottages" for independent living to studio apartments for people in supportive living programs. In addition to providing housing, CCRCs provide or make available some combination of the services and amenities listed below. –Nursing and other health-care services –Meals usually in a community dining area –Housekeeping –Emergency assistance –Personal care assistance –Recreational and social activities –24 hour security –Building and grounds maintenance

7. Residential Care Facilities Residential Care Facilities (rest homes) are supportive housing environments for individuals who are unable to live independently on their own, but do not need skilled services (a waiver from DPH is available by individual to allow skilled care). Although not providers of medical care, they are responsible for overseeing and coordinating the health care needs of residents

8. Residential Care Facilities Required services include: –Three meals per day –Twenty-four hour supervision –Social and recreational activities –Medication management –Housekeeping –Linen and laundry service Fees for Residential Care range from$1200 to $3000 per month. Subsidy is available through Supplemental Security Income (SSI) and the Emergency aid for Elderly, Disabled, and Children (EAEDC) programs.

9. HOUSING OPTIONS FOR INDIVIDUALS DISABLED BY MI Group residences with on-site staff Multi-bedroom apartments with flexible staffing Independent housing -SRO, studio and one-bedroom units with or without case management staff Eligibility: To be eligible for specialized services and supports through DMH, the adult must: –Be 18 years of age or older; –Have a qualifying mental disorder as the primary disorder requiring treatment, and –Meet functional impairment and illness duration criteria.

10. HOUSING OPTIONS INDIVIDUALS DISABLED BY MR Development Centers with 24 hour support services. Residential homes for people unable to live on their own. Eligibility: To be eligible for specialized services and supports through DMR the adult must: –Be 18 years of age or older; –Reside and intend to remain in Massachusetts permanently or for an indefinite period; and –Have mental retardation as defined in DMR regulations.

11. HOUSING OPTIONS FOR INDIVIDUALS DISABLED BY HIV/AIDS Rental Start Up Program, run by AIDS Action Committee, provides funds for deposits on apartments and temporary rental assistance and provides case management services. Assisted Living Program (ALP) is a scattered site housing program located in multiple regions run by the Justice Resource Institute (JRI). ALP connects participants with housing subsidies and services. Tenant-Based Rental Assistance Program provides Housing Choice Vouchers and links rental assistance with appropriate supportive services to assist individuals and families with AIDS or HIV. Project-Based Assistance AIDS Program (PBA) provides Section 8 project-based units and links consumers with appropriate services.

12. HOUSING OPTIONS FOR INDIVIDUALS DISABLED BY HIV/AIDS Many of the HIV/AIDS housing options in Massachusetts require that applicants: –Demonstrate disability due to HIV/AIDS with a physician letter; –Fall below regional income limits; –Hold U.S. citizenship or eligible resident status; and –Be homeless or at risk of being homeless.

13. Independent Apartments There are 46,300 units of public elderly/disabled housing in Massachusetts. HUD 202 program has built over 9,650 units of subsidized housing for the elderly The newly created Community Based Housing Program has over 200 units of affordable/accessible and or adaptable apartments in the development pipeline for elders and the disabled to live in integrated housing in the community.

14. Homeless Shelters In Massachusetts there are over 2900 beds for individuals and nearly 1900 units for families Intended for a transitional, short-term stay only - however some families and individuals stay a long time and others come in and out of the shelter system

15. Mass Access Housing Registry www.massaccesshousingregistry.org Funded by the Massachusetts Rehabilitation Commission, the Massachusetts Accessible Housing Registry is a free program that tracks vacancies of affordable and accessible apartments for people with disabilities. Many managers and owners of accessible apartments in Massachusetts use the Mass Access program to list their vacant, accessible units and to find tenants who need the accessible features of those units.

16. Home Modification Loan Program The state-funded Home Modification Loan program (HMLP) provides loans to make access modifications to the primary residence of elders, adults with disabilities and families with children with disabilities. These modifications allow people to remain in their homes and live independently in their communities. Contact: 617-727-5944

17. Special Housing Opportunities For: Non-elderly disabled Living in Institutions –LHAND Special Purpose Housing Vouchers –811 Demonstration

18. For Individuals and Families of Any Age The Community Based Housing Program(CBH) –CBH is a housing development program which provides capital funds to nonprofit developers who set-aside units for persons with disabilities who are residing in institutions or at risk of institutionalization to transition to the community. –Provides a housing preference for people who meet the following criteria Have a disability Not consumers of DMH and DDS Are in an institution or at-risk of institutionalization –Units are fully accessible and affordable to people of very low income

19. Housing Search Assistance Independent Living Centers Housing Consumer Education Centers: www.masshousinginfo.org www.masshousinginfo.org Listings: –www.masshousing.com www.masshousing. –www.massaccesshousingregistry.org