Content by Keyword: Homelessness

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Roundtable on Homeless Children Discussion

Roundtable on Homeless Children Discussion Synthesis

  Roundtable on Homeless Children Discussion Synthesis July 2010 Homeless Children Roundtable:  Conference Page This synthesis is available on the Internet at: http://aspe.hhs.gov/hsp/10/HomelessChildren/Synthesis/
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Potential Analyses with Homelessness Data:

Potential Analyses with Homelessness Data: Ideas for Policymakers and Researchers

Potential Analyses with Homelessness Data: Ideas for Policymakers and Researchers Report to the Office of the Assistant Secretary for Planning and Evaluation (ASPE) and Health Resources and Services Administration (HRSA) U.S. Department of Health and Human Services (HHS) Winter 2009 Prepared by: Michelle Wood and Jill Khadduri Abt A
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Housing Status Assessment Guide for State TANF

Housing Status Assessment Guide for State TANF and Medicaid Programs

Housing Status Assessment Guide for State TANF and Medicaid Programs Report to the Office of the Assistant Secretary for Planning and Evaluation (ASPE) and Health Resources and Services Administration (HRSA) U.S. Department of Health and Human Services (HHS) Winter 2009 Prepared by: Tom Albanese, Michelle Wood, and Brooke Spellman A
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Homelessness Data in HHS Mainstream Programs

Homelessness Data in HHS Mainstream Programs

Homelessness Data in Health and Human Services Mainstream Programs Final Report Winter 2009 Prepared for: Office of Human Services Policy Office of the Assistant Secretary for Planning and Evaluation Health Resources and Services Administration U.S. Department of Health and Human Services Prepared by: Michelle Wood, Lauren Dunton,
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Evaluation of the Collaborative Initiative to

Evaluation of the Collaborative Initiative to Help End Chronic Homelessness

Prepared for: U.S. Department of Health and Human Services U.S. Department of Veterans Affairs U.S. Department of Housing and Urban Development
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NOTES

Establishing Eligibility for SSI for Chronically Homeless People. Notes

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REFERENCES

Establishing Eligibility for SSI for Chronically Homeless People. References

Baumohl, J., J.A. Swartz, and R.D. Muck (eds.). 2003. The multi-site study of the termination of Supplemental Security Income benefits for drug addicts and alcoholics. Contemporary Drug Problems , 30(1-2): 1-537.
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4. CONCLUSIONS AND IMPLICATIONS

Establishing Eligibility for SSI for Chronically Homeless People. 4. Conclusions and Implications

SSI is extremely important for chronically homeless people now and will continue to be so even after the vast majority of chronically and other homeless people become eligible for Medicaid in 2014. SSI provides income that lets people contribute to rent, thereby greatly increasing the odds that they will become stably housed.
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3.3. Legal Advocacy

Establishing Eligibility for SSI for Chronically Homeless People. 3.3. Legal Advocacy

It sometimes takes a lawyer to move a chronically homeless person’s SSI application through to approval. Advocacy organizations such as Health and Disability Advocates (HDA) in Chicago take on the more complicated SSI application cases, often involving appeals and hearings. Even organizations that routinely help clients with their initial applica
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3.2. System Change

Establishing Eligibility for SSI for Chronically Homeless People. 3.2. System Change

We noted above that, for facilitating application review, it is better to have formal agency commitments to cooperation, rather than just personal relationships between case workers and eligibility technicians, although such relationships can be helpful as well. Not only will formal commitments survive staffing changes, but agencies that have form
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3.1. Case Worker Training and Specialization

Establishing Eligibility for SSI for Chronically Homeless People. 3.1. Case Worker Training and Specialization

Staff of homeless assistance agencies who work with chronically homeless people are often expected to help them apply for SSI. Without special training, such staff may be only slightly more successful than homeless people themselves in completing an application that SSA will approve on initial submission. Case workers need to know precisely wha
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3. APPROACHES TO INCREASING THE SUCCESS OF

Establishing Eligibility for SSI for Chronically Homeless People. 3. Approaches to Increasing the Success of Supplemental Security Income Applications

Agencies that serve chronically homeless people might be able to cover many of their health-related costs if their clients were on Medicaid, so one would expect them to routinely help clients qualify for SSI. However, quite a few agencies serving homeless people, including major health care providers such as hospitals, do not mount active campaign
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2.3. Substance Use and "Material

Establishing Eligibility for SSI for Chronically Homeless People. 2.3. Substance Use and "Material Contribution"

Disabling conditions wholly or partly attributable to drug addiction and alcoholism (DA&A, in SSA terminology) have been controversial since Congress established the SSI program in 1972. Over the more than two decades--from program inception to the end of benefits on January 1, 1997 for people whose substance use was “material” to their disa
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2.2. Adequacy of Existing Information

Establishing Eligibility for SSI for Chronically Homeless People. 2.2. Adequacy of Existing Information

Even if successfully retrieved and assembled, existing documentation may not provide the information needed. Basic problems include: Doctors do not know what information SSA needs to see in order to make a determination of disability and approve an application. Doctors do not habitually focus on the impact of a patient’s condition(s) o
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2.1. Accessing Existing Information

Establishing Eligibility for SSI for Chronically Homeless People. 2.1. Accessing Existing Information

SSA requires that the documentation to establish diagnosis, duration, and disability come from acceptable medical sources, which are usually charts or records made by doctors or letters from doctors detailing the contents of those charts and records. If such evidence is not readily available--and it usually is not to chronically homeless people ac
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2. THE CHALLENGE OF ESTABLISHING SUPPLEMENTAL

Establishing Eligibility for SSI for Chronically Homeless People. 2. the Challenge of Establishing Supplemental Security Income

To qualify for SSI on the basis of disability, one must be able to document a diagnosis that fits into one of SSA’s medical listings of impairments. Further, a person must have had the condition associated with the diagnosis for at least a year or be anticipated to have it for at least a year ( duration ). In addition, the condition must meet S
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1. INTRODUCTION

Establishing Eligibility for SSI for Chronically Homeless People. 1. Introduction

Homeless people have two compelling reasons to seek enrollment in Supplemental Security Income (SSI): (1) obtaining a reliable income source that will help them afford housing; and (2) increasing their access to appropriate health care through "categorical" eligibility for Medicaid for people who participate in SSI. 1 Housing and health care pr
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Second Phase: Case Studies of New Strategies

Establishing Eligibility for SSI for Chronically Homeless People. Second Phase: Case Studies of New Strategies

The second phase of this study involves case studies of six communities that are on their way toward early implementation of the ACA’s Medicaid provisions or other Medicaid-related policies and practices designed to deliver care to chronically homeless people. The study will follow the six communities through fall 2012, watching as they design an
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The Study's First Phase: Literature

Establishing Eligibility for SSI for Chronically Homeless People. The Study's First Phase: Literature Synthesis, Environmental Scan, and Site Visits

The chronically homeless people on whom this study focuses have multiple, complex, and interacting physical and behavioral health conditions. Achieving the best results for these clients and the public institutions and systems from which they get care requires effective engagement, service delivery, and care coordination. To understand how this ca
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PREFACE TO THE ISSUE PAPERS

Establishing Eligibility for SSI for Chronically Homeless People. Preface to the Issue Papers

In 2014, most homeless people will become Medicaid-eligible under the Affordable Care Act (ACA) of 2010 based on their low incomes. Many homeless people have complex physical and behavioral health conditions for which they seek care through frequent use of emergency rooms and inpatient hospitalization, at considerable cost in public resources.

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