Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities. 1. Introduction


This paper describes the variety of ways that Medicaid, in combination with other funding sources, may cover the costs of health and other services for chronically homeless people, both before and after they move from homelessness to housing. Most of this paper focuses on specific service and funding mechanisms that include Medicaid, describing the service or funding structure, who is eligible, the challenges involved in using Medicaid, opportunities for federal guidance to address the challenges, and what may change with each approach as states move toward full implementation of the Affordable Care Act (ACA) in 2014. First, however, it is important that readers understand a few of the basic ways that Medicaid works.1

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