Health, Housing, and Service Supports for Three Groups of People Experiencing Chronic Homelessness. 4.1. Supportive Services Funding for People in Group 1


Because they are not eligible for or enrolled in Medicaid, people in Group 1 will most likely receive health care and behavioral health services that will be less intense and less comprehensive than services that are available for people covered by Medicaid. In some cases, PSH service-providers use non-Medicaid funding to offer the same services to PSH tenants regardless of whether they are enrolled in Medicaid. Because they are uninsured, PSH tenants in this group often encounter significant barriers that limit access to prescription drugs and to health care or treatment services from other providers, making it difficult for PSH case managers to make referrals and facilitate connections to needed care and support. PSH service-providers cannot obtain Medicaid reimbursement for services they provide to this group of people. Instead supportive services for these PSH tenants may be funded through some or all of the following sources:

  • HUD grants that cover supportive services, usually through the SHP.

  • State and local tax revenues, through the budgets of state and/or local governments--some of these funds may be dedicated specifically to ending homelessness, while others are designated for serving people with particular health needs, some of whom will be homeless.

  • Grant funding to HCH programs and CHCs through the U.S. Department of Health and Human Services’ (HHS’s) Health Resources and Services Administration.

  • Grant funding through HHS’s Substance Abuse and Mental Health Services Administration (SAMHSA) grant funding--including competitive grants for services in supportive housing or treatment for homeless people, resources allocated through the Mental Health and Substance Abuse Block Grants, and grants for Projects for Assistance in Transition from Homelessness.

  • Foundation grants, United Way allocations, and private fundraising.

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