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MRT Affordable Housing Work Group

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Title: Slide 1 Author: kshure Last modified by: Stefan Kidalowski Created Date: 2/7/2011 5:11:06 PM Document presentation format: On-screen Show (4:3) – PowerPoint PPT presentation

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Title: MRT Affordable Housing Work Group


1
MRT Affordable Housing Work Group
Redesign Medicaid in
New York State
  • January 10, 2013 - 10 AM to 3 PM New York State
    Department of Health Metropolitan Regional
    Office New York City

2
Goals for Today
  • Update the MRT Work Group on the progress of the
    three Sub Workgroups.
  • The 3 Workgroups met in December and January.
  • The ideas were developed by Members of the Sub
    Workgroups.
  • Facilitate discussion on the presentation.
  • Encourage Members to provide comments and
    questions throughout the presentation.
  • Gather Feedback which can be incorporated into
    final Sub Work Group recommendations.

Medicaid Redesign Affordable Housing Work Group
2
3
MRT Affordable Housing Work Groups
  • Program Model and Development
  • Brenda Rosen, Chair
  • Tony Hannigan, Co-Chair
  • Funding
  • Ted Houghton, Chair
  • Planning and Service Coordination
  • Constance Tempel, Chair

Medicaid Redesign Affordable Housing Work Group
3
4
Program Model and Development Workgroup
5
Program Model and Development Work Group
  1. Identify barriers to moving high-need individuals
    into supportive housing.
  2. Identify New Affordable/Supportive Housing
    Models.
  3. Define Supportive Housing.

Medicaid Redesign Affordable Housing Work Group
5
6
Define Supportive Housing
  • Adapted from The Seven Dimensions of Quality for
    Supportive Housing by CSH.
  • Intended to represent all populations w/o
    specifying individual groups.

Medicaid Redesign Affordable Housing Work Group
6
7
Define Supportive Housing1
  • Supportive housing is defined as affordable
    rental housing operated by non-profit
    organizations, in which all members of the tenant
    household have easy, facilitated access to a
    flexible and comprehensive array of supportive
    services designed to assist the tenants to
    achieve and sustain housing stability and to live
    more productive lives in the community.
    Supportive housing units are intended to meet the
    needs of people with special needs who are
    homeless or would be at-risk of homelessness-or
    cycling through institutional care-were it not
    for the integration of affordable housing and
    supportive services.
  • Should we include other models or definitions?

Medicaid Redesign Affordable Housing Work Group
7
8
Barriers Moving High-Need Individuals Into
Supportive Housing
  • Limited housing stock to accommodate individuals
    with mobility impairments.
  • Lack of flexibility in service delivery
  • Residents eligible to move on require/want
    minimal services, but services tied to units not
    individual.
  • Transitional support needed for individuals
    moving from institutions to community settings.
  • Residents need enhanced services at specific
    intervals during tenancy to maintain housing and
    avoid institutions.

Medicaid Redesign Affordable Housing Work Group
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9
(continued) Barriers Moving High-Need
Individuals Into Supportive Housing
  • Current funding limits to head of household
  • Fear of admittance of having mental illness, SA
    issues etc. (i.e. victims of DV).
  • At-risk of becoming high need users do not
    currently qualify.

Medicaid Redesign Affordable Housing Work Group
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10
New Affordable/Supportive Housing Models
  • Sub-group focused on Individuals with Multiple
    Health Problems.
  • Wide range of recommended target populations.
    (seniors aging in place, individuals
    transitioning from nursing homes, disabled
    individuals that are not head of household,
    chemically dependent individuals not ready for
    abstinence, etc.)

Medicaid Redesign Affordable Housing Work Group
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11
New Affordable/Supportive Housing Models
  • RFP Directly Linking Health Homes to Housing
  • Covers services and rental subsidy in scattered
    site setting Capital funding for congregate in
    this year's round w/ operational and services
    funding attached.
  • Funding for operating and services would be RFPd
    to housing providers applying in partnership with
    Health Homes.
  • Contracts would be held by housing providers.
  • RFP needs to provide flexibility with regards to
    who should deliver care coordination.

Medicaid Redesign Affordable Housing Work Group
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12
New Affordable/Supportive Housing Models
  • Care coordination either conducted directly by
    the housing provider, or through explicit
    agreements spelling out how care coordination
    will be integrated with housing based services.
  • Government agency (i.e. HRA) would act as
    gatekeeper to determine eligibility determined by
    DOH criteria.
  • Health Homes would oversee the referral process
    and prioritize clients for housing.

Medicaid Redesign Affordable Housing Work Group
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13
New Affordable/Supportive Housing Models
  • Promote flexibility of services and adjustment to
    dollar amounts (i.e. flexible contracts, etc.).
  • Focus on prevention of future high-cost users.
  • Refine categories to include individuals with
    undocumented health problems (i.e. victims of DV
    who may lose child custody if diagnosed).
  • Explore various models for seniors aging in
    place.

Medicaid Redesign Affordable Housing Work Group
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14
Next Steps
  • Profile senior populations not served/included in
    current supportive housing models.
  • Discuss what supports essential for this senior
    population.
  • Follow up discussion based on feedback from
    larger group finalize supportive housing
    definition.
  • Define models not targeted to Individuals with
    Multiple Health Problems.
  • Develop a Moving On Initiative.

Medicaid Redesign Affordable Housing Work Group
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15
Funding Workgroup
16
Funding Workgroup
  • Develop principles for a new supportive housing
    initiative (to follow NY/NY III).
  • Advise the State on appropriate set-asides and
    incentives for supportive housing.
  • Advise the State on how to allocate 2013-14 MRT
    Supportive Housing funds.
  • Develop a plan to create social impact
    investment bonds.
  • Identify ways to leverage federal and private
    funds.

Medicaid Redesign Affordable Housing Work Group
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17
Develop Principles for a new Supportive Housing
Initiative
  • Statewide Supportive Housing Partnership
    Initiative
  • Build on the success of 3 previous NY/NY
    City-State supportive housing development
    collaborations
  • Expand statewide
  • Broaden target population to include both
    high-cost Medicaid recipients, as well as other
    homeless, vulnerable and at-risk individuals and
    families who require support to remain housed
  • Favor residences that mix special needs tenants
    with low income individuals and families
  • Single RFP for capital, service and operating
    funds.

Medicaid Redesign Affordable Housing Work Group
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18
Statewide Supportive Housing Partnership
Initiative Key Components
  • Broader, more flexible target population
    categories, high-cost Medicaid recipients
    homeless individuals with behavioral health
    issues homeless and at-risk families with
    special needs homeless and at-risk youth
  • Coordination of housing-based services with
    behavioral health and medical care to decrease
    Medicaid and other public costs
  • Multiple referral sources, including homeless
    systems, outreach programs and health homes
  • Tenant eligibility approvals made by government
  • Prioritization for housing determined by Health
    Homes (for units reserved for high-cost Medicaid
    recipients) and local homeless service agencies
    (other pops).

Medicaid Redesign Affordable Housing Work Group
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19
(continued) Statewide Supportive Housing
Partnership Initiative Key Components
  • Adequate service and operating funds
  • Explicit coverage of front-desk security and
    general case management (OTDA NYSSHP)
  • Annual budget adjustment to reflect changes in
    rental costs
  • Service funding levels to reflect needs of new
    MRT populations
  • The Health Homes Housing Pilot Program
    evaluation will inform model principles and
    implementation strategies.

Medicaid Redesign Affordable Housing Work Group
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20
2. Advise the State on Appropriate Set-Asides
and Incentives for Supportive Housing
  • Fully fund HCRs QAP NOFA 4 million set-aside
    for supportive housing projects that designate at
    least 30 of units for people with special needs
  • Set goal to make supportive housing 25 of all
    HCR tax credit-funded units produced
  • Direct HCR Section 8 vouchers to fund supportive
    housing for high-cost Medicaid recipients
  • Increase OMH and HHAP capital development funds
  • Review HCR housing stock to identify
    underutilized units set aside for persons with
    special needs.

Medicaid Redesign Affordable Housing Work Group
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21
3. Advise the State on SFY2013-14 MRT supportive
housing funds
  • SFY 2013-14 Supportive Housing Fund - 75
    million
  • 28 million for SFY2012-13 scattered site
    programs
  • 47 million available for new initiatives
  • Additional dollars from hospital and nursing home
    bed closures.

Medicaid Redesign Affordable Housing Work Group
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MRT Supportive Housing Capital Questions
  • How much goes to capital, how much to service and
    operating? last year
  • 25 million NYS HCR MRT RFP targeted to NY/NY
    III high cost Medicaid recipients
  • 14.4 million NYS OTDA HHAP targeted to upstate
  • Consensus that MRT capital dollars should not be
    used to pay for prior capital commitments made
    under NY/NY III.
  • Which development agencies are best situated to
    build effective housing?
  • HCR, HHAP, OMH or HPD?

Medicaid Redesign Affordable Housing Work Group
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23
MRT Supportive Housing Capital Questions
  • Which developers?
  • How to speed development?
  • Acquisition pre-development funds
  • Operating funds available for underwriting

Medicaid Redesign Affordable Housing Work Group
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Proposed New Pilot Programs
  • Health Homes Housing Scattered Site RFP
  • New Senior Supportive Housing Model
  • Deinstitutionalization Demonstration Initiative
  • Crisis Residence/Step-down Bed Pilot

Medicaid Redesign Affordable Housing Work Group
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25
Health Homes Housing Scattered-Site RFP
  • Enhanced housing first harm reduction,
    supportive housing model administered by
    experienced supportive housing providers to house
    and serve persons referred by Health Homes.
  • Services will be offered in an ongoing effort to
    link and transition tenants to community-based
    care, services and supports.
  • Person-centered, wrap-around services aimed at
    increasing independence and housing stability
    augmented with Health Home Care Coordination to
    provide a new overlay of assistance aimed at
    helping tenants re-organize medical care to
    reduce use of emergency systems and improve use
    of preventive and primary care.

Medicaid Redesign Affordable Housing Work Group
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(continued) Health Homes Housing
Scattered-Site RFP
  • Key program components include
  • Scattered Site units available to Health Homes
    across state
  • Funding for operating and services would be RFPd
    to housing providers applying in partnership with
    Health Homes
  • Contracts would be held by housing providers,
    managed by OTDA
  • Government agency would determine eligibility
  • Health Homes would manage the referral process
    and prioritize clients for housing
  • Health Home care coordination is conducted
    directly by the housing provider, or through
    explicit agreements that spell out how care
    coordination will be integrated with
    housing-based services
  • Population neutral
  • Active, collaborative, real-time evaluation and
    data collection.

Medicaid Redesign Affordable Housing Work Group
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27
New Senior Supportive Housing Model
  • Flexible grant project to fund capital and
    services projects that will save Medicaid
    dollars.
  • Eligible applicants are nonprofit entities that
    operate public or publicly assisted multi-family
    housing projects administered or regulated by
    HUD, HCR or HPD.
  • Targets low-income seniors (62 years or older)
    who are high-cost Medicaid users, and/or at risk
    of institutionalization paid for by Medicaid.
  • Can be used to fund a resident services advisor,
    security, transportation, meal planning,
    technology, entitlements advocacy and other
    non-medical services.
  • Funding can also cover capital renovations not
    funded through the Access to Home program, which
    can be coordinated with this funding.
  • Funded projects must address gaps in service or
    financing, and would not replicate existing
    services.

Medicaid Redesign Affordable Housing Work Group
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Deinstitutionalization Demonstration Initiative
  • Transition individuals with mobility impairments
    and chronic illness now in nursing homes into
    accessible, affordable apartments.
  • Key program components include
  • Outreach component to nursing homes
  • Comprehensive assessment plan
  • Customized services that are person-centered to
    meet each individuals needs
  • Some funding available for accessibility
    modifications after maximizing other options
  • Ongoing rental assistance.

Medicaid Redesign Affordable Housing Work Group
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Crisis Residence/Step-Down Bed Pilot
  • Hospital stays (psychiatric medical) could be
    significantly shortened or avoided if individuals
    could transition or be diverted to a short-term
    residential program enhanced with clinical staff
    and peer supports.
  • This program can be a step down from inpatient
    services in a secure setting to crisis and
    prevention programs to reintegrate individuals
    into the community and avoid costly admission and
    readmission to hospitals, enhanced staffing
    patterns and designated residential treatment
    slots.
  • This model will be less expensive to operate than
    care provided at inpatient facilities and
    emergency rooms.

Medicaid Redesign Affordable Housing Work Group
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Crisis Residence/Step-Down Bed Pilot Options
  • Convert some number of existing community
    residences to crisis/step-down/hospital diversion
    beds
  • Requires some one-time capital for renovation to
    downsize the beds and reconfigure the spaces
  • Requires some recurring supported housing to
    replace lost beds
  • Requires recurring dollars to pay for enhanced
    staff including psychiatry and nursing or
  • Set aside some beds in a number of CRs around the
    state for crisis/step-down/hospital diversion
  • Requires recurring dollars to pay for enhanced
    staff including psychiatry and nursing
  • Pay providers at a minimum level to hold the beds
    even if vacant.

Medicaid Redesign Affordable Housing Work Group
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31
4. Develop a plan to create social impact
investment bonds
  • Recommendation Set up a subcommittee to identify
    where Social Impact Investment Bonds (SIBs) have
    potential to add value and recommendations for a
    pilot program targeted at high-cost Medicaid
    users
  • SIBs, also known as pay for success contracts,
    are a tool for scaling up the social
    interventions that have potential to result in
    considerable cost savings to government

Medicaid Redesign Affordable Housing Work Group
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(continued) Develop a plan to create social
impact investment bonds
  • Examples of promising interventions and programs
    which could be well suited for a Medicaid savings
    SIB include
  • Housing for undocumented  persons in nursing
    homes, with long hospital stays, or frequent ED
    and inpatient utilization
  • Implement the FUSE model to reduce crisis health
    care costs of frequent users of criminal justice
    and shelter systems and/or
  • Provide technology-driven, housing-based services
    to seniors to improve their health outcomes and
    allow them to successfully age in place.
  • SIBs are currently being tested in a number of
    applications in NY State, New York City,
    elsewhere in the US, and abroad.  The MRT
    Affordable Housing Work Group should continue to
    investigate this promising tool for bringing
    private investment to bear in bending the cost
    curve on Medicaid.

Medicaid Redesign Affordable Housing Work Group
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5. Identify ways to leverage federal and private
funds
  • Redirect State and local Section 8 Resources to
    high-cost Medicaid recipients.
  • Maximize bed closure dollars.
  • Leverage local capital contributions of HOME,
    CDBG, McKinney-Vento and other resources.
  • Ensure that Health Home Care Coordination dollars
    can flow to, and be integrated with,
    housing-based services.

Medicaid Redesign Affordable Housing Work Group
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Next Steps
  • Finalize Details of Allocation Plan
  • Finalize Model Design Elements of Pilot Programs
  • Explore SIB possibilities

Medicaid Redesign Affordable Housing Work Group
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Planning and Service Coordination Workgroup
36
Planning and Service Coordination Work Group
  • Improve Interagency Coordination.
  • Improve the Capital Development Process.
  • Evaluate perceived barriers to utilization of
    supportive housing.
  • Provide advice on overall coordination and
    implementation of supportive housing policy.
  • Improve the coordination and timing of the
    availability of housing.

Medicaid Redesign Affordable Housing Work Group
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Charge of Subgroup
  • Make short/long-term recommendations to the
    larger group to
  • Plan to improve interagency coordination of
    supportive housing policy and implementation.
  • Identify and improve supportive/affordable
    housing capital development process.
  • Evaluate and provide advice to barriers in
    utilization of existing SH.


Medicaid Redesign Affordable Housing Work Group
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Charge 1
  • Plan to improve interagency coordination of
    supportive housing policy and implementation.

Medicaid Redesign Affordable Housing Work Group
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Guiding Principles for Interagency Coordination
  • Coordinate around a person, not an agency.
  • No wrong door to SH for high need/cost Medicaid
    recipient with inappropriate or no housing.
  • Build upon MRT inclusive and constructive
    process.
  • Coordinate/streamline state policy and resources
    among agencies.
  • Need constant and predictable intake/placement
    process that is yet flexible based on location
    or as target populations or needs change.
  • Capture learning and make mid-course corrections.
  • Solicit tenant feedback.

Medicaid Redesign Affordable Housing Work Group
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Recommendation Create State Coordinating
Mechanism
  • Purpose
  • Coordinate statewide planning, policy development
    and implementation.
  • Maximize state resources and expertise targeted
    to high need/cost Medicaid recipients that are
    inappropriately housed/institutionalized/homeless.
  • Ensure implementation based on advancing policies
    and plans created through the MRT process.

Medicaid Redesign Affordable Housing Work Group
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Mechanisms Responsibilities
  • Implement housing and services plan, budget and
    timeline.
  • Coordinate housing development process.
  • Consolidate tenant identification, assessment and
    placement system.
  • Monitor and evaluate annual goals, benchmarks and
    outcomes.
  • Commission ad hoc work groups to advise on
    implementation issues.

Medicaid Redesign Affordable Housing Work Group
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Option 1 Council
  • Option 1 Create Interagency Coordinating
    Council
  • Executive Order/Legislature creates Council
  • Members including Governors Office, DOB, O
    agencies, health, housing, corrections, aging
  • Memorandum of Understanding signed by all member
    agencies
  • MRT Affordable Housing Work Group representatives
    monitor for accountability and oversight

Medicaid Redesign Affordable Housing Work Group
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Pros and Cons of Council Option
  • Pros
  • Governors authority and priority
  • Creates a spotlight and priority on needing to
    work together
  • Agencies have equal standing and accountability
  • Could create both policy and implementation
  • Cons
  • May create another bureaucracy that is not nimble
  • May not be as results-oriented

Medicaid Redesign Affordable Housing Work Group
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Option 2 Implementation Work Group
  • Option 2 Formalize State Agency MRT
    Implementation Work Group on Supportive Housing
  • Governors Office creates and leads
  • Joint agency design, review, and sign-off
    processes and projects
  • Transparency in reporting
  • Others brought in if issues arise to make
    mid-course corrections.

Medicaid Redesign Affordable Housing Work Group
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Pros and Cons of Work Group Option
  • Pros
  • Leaner, less layers
  • More implementation-focused, tactical
  • Governors office still leads, so still a
    priority
  • Modeled after successful NYC NY/NY 3 coordination
  • Cons
  • Less high profile
  • Staff still need to go up the ladder for final
    signoffs
  • Goes against national best practice of creating
    interagency councils

Medicaid Redesign Affordable Housing Work Group
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Charge 2
  • Identify and improve supportive/affordable
    housing capital development process

Medicaid Redesign Affordable Housing Work Group
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Principles to Improving Development Process
  • Build upon development processes and efficiencies
    that work
  • Preserve SH models that work while
    updating/creating others with appropriate level
    of services
  • Ensure an active role for nonprofits
  • Create least expensive and quickest way to get
    housing to high cost/need users
  • Process needs to facilitate leveraging federal,
    state and local resources and reinvest Medicaid
    savings into SH

Medicaid Redesign Affordable Housing Work Group
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Challenges to Development Financing
  • Several state agencies currently finance SH/AH
  • HCR capital and tax credits
  • HHAP capital for homeless or at-risk often in
    combination with other capital and tax credits
  • OMH capital, operating and services for
    mentally ill only often in combination with other
    capital and tax credits
  • OASAS operating and services tied to capital
  • OPWDD capital, operating and services
  • Various sources for assisted living

Medicaid Redesign Affordable Housing Work Group
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Challenges to Development Coordination
  • Difficult to coordinate funding streams into one
    integrated project because each agency has
  • Own application
  • Own timetable for receipt of application, review
    and award
  • Different underwriting standards
  • Different point system for awards
  • Different design standards
  • Different construction documents, requirements,
    processes.
  • Difficult to leverage federal resources
  • Conflicting eligibility requirements

Medicaid Redesign Affordable Housing Work Group
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Recommendation Consolidate Development Function
  • Consolidate State unit production that creates
    SH.
  • Create standardized development processes
    including RFPs, underwriting, design, timetables,
    legal docs.

Medicaid Redesign Affordable Housing Work Group
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Option 1 Consolidate Development Function into
Two Agencies
  • Option 1 Two Agencies
  • Combine unit production functions and dollars of
    HHAC, O agencies, health and aging agencies
  • Work with HCR to leverage other capital sources.

Medicaid Redesign Affordable Housing Work Group
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Pros and Cons Two Agencies
  • Pros
  • Retain expertise of human service agencies
  • Could build upon existing infrastructure, such as
    HHAC
  • Ensure human service agencies still have
    ownership of the process and product
  • Can tie in with services and operating
  • Cons
  • Less constituent agencies
  • Housing may become less specialized for
    particular populations

Medicaid Redesign Affordable Housing Work Group
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Option 2 Consolidate Development into One Agency
  • Option 2 Consolidate all supportive housing
    capital into one agency, HCR
  • Create a supportive housing unit within HCR that
    reviews and monitors any special processes needed
    for SH.

Medicaid Redesign Affordable Housing Work Group
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Pros and Cons to Development Recommendations
  • Pros
  • Predictable timeframe, process, standards
  • Cons
  • One big roadblock if denied
  • Total resources may be reduced

Medicaid Redesign Affordable Housing Work Group
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Pros and Cons to One agency
  • Pros
  • Know where to go
  • Predictable timeframe, process, standards
  • Easier to leverage affordable housing resources
  • Modeled after effective NYC HPD
  • Cons
  • Less constituent agencies
  • One big roadblock if denied
  • Less SH expertise in HCR
  • Could be more competition with for-profits
  • Total resources could be reduced

Medicaid Redesign Affordable Housing Work Group
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Charge 3
  • Evaluate and provide advice to barriers in
    utilization of existing SH, specifically
  • States interpretation of Section 504
    requirements for accessible housing
  • Whether providers are maximizing opportunities
    for accessible units
  • Whether compliance reviews are included in
    regulatory agreements and monitored for set aside
    projects.

Medicaid Redesign Affordable Housing Work Group
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Principles to Utilization of Existing Supportive
Housing
  • No wrong door to SH for high need/cost Medicaid
    recipient with inappropriate or no housing.
  • Need constant and predictable intake/placement
    process that is yet flexible based on location or
    as target population or needs change.
  • Solicit tenant feedback.
  • Promote tenant mobility and choice.

Medicaid Redesign Affordable Housing Work Group
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Barriers to Utilization of Existing SH
  • Current housing is tied primarily to chronically
    homeless.
  • No master data system provides for identification
    and sharing of high need/high cost persons in
    need of SH.
  • No master vacancy list or mechanism to identify.
  • Supportive housing and Section 504 set aside
    units are not monitored for compliance in filling
    vacancies.
  • Tenant mobility and choice are not fully realized
    given system rules and capability.
  • Not all units are accessible.
  • Accessible units not always occupied by intended
    tenants.

Medicaid Redesign Affordable Housing Work Group
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Recommendation Facilitate Targeting High
need/cost Medicaid Users
  • Create standardized eligibility and assessment
    process modeled on Money Follows the Person
  • Data driven identifying high cost Medicaid users
    through data matching and/or case finding
    predictive algorithms that look at multiple years
    of data
  • Matched with homeless or inappropriately housed
  • Assessment of type of housing needed by person.
  • Assist providers in accepting high need referrals
  • Review intake criteria
  • Provide training and resources, as needed.

Medicaid Redesign Affordable Housing Work Group
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Recommendation Improve Targeting and Intake
Process
  • Create shareable real time master list through
    data sharing agreements.
  • Learn from CDIP and MATs programs.
  • Create single point of entry/eligibility modeled
    on NYCs HRA process while ensuring no wrong
    door
  • from health homes, clinics and hospitals,
    shelters and correctional health facilities,
    nursing homes, adult homes, assisted living, MCOs
  • Consider use of Patient Navigators and Peer
    Supports for difficult to engage.
  • Create incentives for county/regional
    coordination.

Medicaid Redesign Affordable Housing Work Group
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Recommendation Track Housing Inventory and
Vacancy
  • Create web-based master housing and vacancy
    inventory mechanism at county/regional or major
    city level for all SH including Section 504 and
    tax credit units
  • Provides applicant ranked list of housing options
    by eligibility
  • Provides application forms, housing contact
    information
  • Provides funder notice of vacancy rates.

Medicaid Redesign Affordable Housing Work Group
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Pros and Cons to Targeting Recommendations
  • PROS
  • Maximizes targeting to intended recipients
  • Enables more tenant choice
  • CONS
  • Less provider/developer independence in selecting
    tenants
  • Tracking is time consuming

Medicaid Redesign Affordable Housing Work Group
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Next Steps
  • Further refine proposals based on feedback from
    Affordable Work Group and subgroups
  • Review in detail effective targeting and data
    matching strategies
  • Review web based placement and vacancy control
    systems
  • Conduct thorough analysis of state unit
    production processes and make specific
    recommendations for streamlining and
    consolidating.

Medicaid Redesign Affordable Housing Work Group
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Questions?
  • Comments or questions?
  • Goal Achieve general consensus on a series of
    policy recommendations for how to move forward on
    Supportive Housing in Medicaid.
  • Meeting Schedule
  • February 22, 2013
  • March (TBD)

Medicaid Redesign Affordable Housing Work Group
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