A Primer on Using Medicaid for People Experiencing Chronic Homelessness and Tenants in Permanent Supportive Housing. 1.2. Primary Audience for this Primer


The Primer's primary audience is State Medicaid Directors, other senior state Medicaid staff, and policy experts focused on ending chronic homelessness and using Medicaid to finance health care and behavioral health services to achieve that end. It assumes some knowledge of Medicaid policies and practices as they have operated in the past and strives to augment this knowledge with examples of innovative practices that states and providers have developed within traditional frameworks to meet the needs of people experiencing chronic homelessness. In addition, it describes new opportunities available under the Affordable Care Act for states to shape benefits in ways that maximize impacts on people with histories of chronic homelessness who are new to Medicaid. For each approach, this Primer describes the authorities under which Medicaid is able to provide funding support for these benefits, the specific services it provides, the providers who may deliver the services, the settings in which the services may be delivered, and the eligibility criteria required for Medicaid beneficiaries to receive the services.

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