Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities. 8. Health Homes


The ACA established a new state Medicaid option to provide “health home” services for enrollees with chronic conditions. A “health home” is intended to provide enhanced integration and coordination of primary, acute, behavioral health (mental health and substance use), and long-term services and supports for people with chronic illness across their lifespan. States may offer health home services to “eligible individuals with chronic conditions” who select a designated health home provider.43 The health home option become available to states on January 1, 2011, and CMS preliminary guidance was issued in November 2010.44 The usefulness of this new state option for people with chronic patterns of homelessness and residents of PSH is not yet clear.

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