A Primer on Using Medicaid for People Experiencing Chronic Homelessness and Tenants in Permanent Supportive Housing. 3.2. Summary


PSH is permanent housing; tenants have leases that give them the same rights to live in their apartment as any other person with a lease, for as long as they like. The housing units themselves may be apartments scattered throughout the community, in buildings where all units are dedicated to PSH, or in affordable housing developments that set aside a percentage of all units as PSH. PSH tenants have been homeless, often for long or repeated periods of time, and have one or more disabilities, often accompanied by acute and chronic medical conditions. PSH offers its tenants important supports to help them achieve stability and maintain their tenancy, including engagement, case management and care coordination, a multi-disciplinary approach, holistic integration of services for mental health and addictive disorders, attention to physical health concerns, and approaches that promote the skills needed for living in the community.


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