Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. 1.1. Purpose and Audience for This Report


This report presents the results from six community case studies we conducted from early 2011 through early 2013. We observed as these communities designed and implemented service funding strategies such as Medicaid waivers, state plan amendments, health care delivery system reforms, and new programs and partnerships.

The report reviews these strategies and the progress communities are making. It describes innovations in accessing Medicaid to cover the care and care coordination needed to help people who have complex health and behavioral health conditions and who have been homeless a long time, with the ultimate goal of helping such people: (1) access and retain PSH; (2) improve their health; and (3) use health and behavioral health care more efficiently and effectively.

The primary audiences for this report are: (1) people who are actively engaged in or providing leadership in Medicaid administration and related programs and systems; and (2) homeless service system administrators and PSH providers and their partners who are preparing for and navigating change. The authors assume readers have a relatively advanced knowledge of the concepts and terminology used in this field.7

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