Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities. 4.2. Who is Eligible for Integrated Care?


For homeless people and residents of PSH, eligibility for and access to integrated care depends in part on whether the partnership between an FQHC and behavioral health services takes place within a program that is limited to serving persons with SMI, or in a clinic or program with the capacity and funding to serve a broader population. During site visits for this study we saw both types of collaborative programs. When an FQHC partner helps to add primary care services to a mental health program that provides PSH, services are usually available only to persons with SMI who qualify to receive mental health services (as described in Section 3.1). When behavioral health services are added to and integrated with the services provided in PSH by an FQHC (as described in Section 2), usually the program serves people with a broader range of needs, including those with or without Medicaid eligibility. Depending on conditions attached to funding sources, access to the partnership’s behavioral health services may be available for people with a range of mental health and/or substance use problems, or it may be limited to those individuals with SMI.

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