Performance Improvement 2013-2014. What Innovative Strategies Exist to Serve Medicaid Beneficiaries Experiencing Chronic Homelessness?


This study examined the uses made of Medicaid and how it might be used under provisions of the Affordable Care Act of 2010 to serve individuals experiencing chronic homelessness.

Many people are trying to use Medicaid more consistently to reimburse the costs of services to address the health and behavioral health problems of formerly homeless individuals in ways that help them stay healthy and housed. Successful practices include partnerships that integrate care for medical and behavioral health problems and reduce fragmentation, adapting medical necessity criteria to recognize complex co-occurring conditions and homelessness, and establishing payment mechanisms that enable interdisciplinary teams to deliver services. In addition, the Affordable Care Act created or expanded additional options:  health homes, behavioral and primary care integration demonstrations, and Social Security Act, Section 1915(i), home and community based services.

Report Title: Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities,
Agency Sponsor: OASPE, Office of the Assistant Secretary for Planning and Evaluation
Federal Contact: Emily Rosenoff, 202-690-6443
Performer: Abt Associates
Record ID: 10055 (February 24, 2012)

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"PerformanceImprovement2014.pdf" (pdf, 671.65Kb)

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