Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities. 4. Integrated Models That Combine Federally Qualified Health Center and Mental Health Financing


Combining the capacity of FQHCs and mental health service-providers and the reimbursement mechanisms available to the two types of organizations can create a more comprehensive and flexible package of services for chronically homeless people. For example, the FQHC reimbursement mechanism may be used to cover services to people who have mental health or substance use problems but do not qualify for specialty mental health services. A psychiatrist or LCSW can deliver those services in the context of comprehensive primary care, and FQHCs can use other sources of funding, including their HRSA grants, to cover some of the costs of care provided to persons who are not enrolled in Medicaid. Conversely, mental health funding under the MRO can be used for services not covered by the FQHC reimbursement mechanism.

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