1. Finding Supportive Housing in Health Homes Mohini Venkatesh National Council for Community Behavioral Healthcare

2. The National Council: Serving and Leading Represent over 1,950 community organizations that provide safety net mental health and substance abuse treatment services to over six million adults, children and families National voice for legislation, regulations, policies, and practices that protect and expand access to effective mental health and addictions services

4. Making the Case Behavioral Health + Primary Care Source: Druss & Walker. “Mental disorders and medical comorbidity.” The Robert Wood Johnson Foundation Synthesis Project, February 2011.

5. New Paradigm: Treating The Whole Person Accountable Care Organizations (ACOs) Coordinated Care Organizations (CCOs) NCQA Patient-Centered Medical Homes (PCMH) Health Homes (HHs)

6. Medicaid Health Homes – Section 2703 Goal: enhanced integration and coordination of primary, acute, behavioral health (mental health and substance use), and long-term services and supports for persons across the lifespan with chronic illness Anticipated results –lowered rates of emergency room use –reduced hospital admissions and re- admissions –reduced health care costs –less reliance on long-term care facilities –improved experience quality for clients

7. Eligibility Criteria To be eligible, individuals must have: –Two or more chronic conditions, OR –One condition and the risk of developing another, OR –At least one serious and persistent mental health condition The chronic conditions listed in statute include a mental health condition, a substance abuse disorder, asthma, diabetes, heart disease, and obesity (as evidenced by a BMI of > 25). States may add other conditions subject to approval by CMS

8. States to Date…. 6 States with approved State Plans: Missouri (2) – Behavioral Health and Primary Care Rhode Island (2) – adults and children with SMI New York – chronic behavioral and physical health North Carolina - chronic behavioral and physical health Oregon - chronic behavioral and physical health Iowa - chronic behavioral and physical health Ohio – children and adults with SED and SMI 4 states have submitted State Plans and await approval: Alabama, Wisconsin, New York*, Washington 12 states are in proposal drafting/review process:

9. Health Housing Employment Status Economic Class Poverty Race Supportive Housing in Health Homes: Social Determinants of Health Adapted from Peggy Bailey, Senior Policy Analyst, Corporation for Supportive Housing

10. Supportive Housing in Health Homes: Making the Case Helps Achieve Goals of Health Homes Triple AIM – Improve Service Delivery, Better Outcomes, Control Costs Improve Discharge Planning Reduces No-Show Rates, Preventive Care and Patient Adherence to Doctor Advice Adapted from Peggy Bailey, Senior Policy Analyst, Corporation for Supportive Housing

11. What’s in it for supportive housing providers? Ability to develop partnerships/relationships with health system partners –Access to Medicaid –Better and more comprehensive services for residents –Reassurance for developers

13. Mohini Venkatesh, MPH MohiniV@thenationalcouncil.org www.thenationalcouncil.org