Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities. 1.6. The Rest of This Paper


Based on the results of site visits and telephone interviews conducted in early 2011,12 this paper describes several different service approaches and financing mechanisms that have already been implemented or are in development to provide Medicaid reimbursement for services for chronically homeless people and residents of PSH.

The remaining sections of the paper are organized according to the Medicaid financing mechanisms and service approaches that are most frequently used in connection with PSH:

  • Federally Qualified Health Centers (FQHCs), including Health Care for the Homeless (HCH) programs and Community Health Centers (CHCs).

  • Mental or behavioral health services, including services covered under the Rehabilitation Option and benefits that may be covered through “carve-outs.”

  • Models that integrate FQHC and mental/behavioral health financing mechanisms.

  • Substance abuse treatment.

  • Home and community-based services (HCBS) to support people in the community who would otherwise enter nursing homes or other expensive residential care.

  • Managed care.

  • The health homes option.

These financing mechanisms and service approaches are not mutually exclusive. As will be evident, the providers and programs highlighted in this paper often used more than one.

View full report


"ChrHomls2.pdf" (pdf, 1.47Mb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®