Briefs & Reports

Medicaid-Financed Services in Supportive Housing for High-Need Homeless Beneficiaries: The Business Case

Robert Wood Johnson Foundation/Center for Health Care Strategies/Corporation for Supportive Housing

Mike Nardone

The Medicaid expansion under the Affordable Care Act will provide coverage to most of the estimated 1.2 million people who are homeless, including the roughly 110,000 individuals who are chronically homeless and more likely to suffer chronic, complex health conditions. This policy brief makes a case for states to explore the use of new Medicaid financing options available under ACA (e.g., health homes), as well as flexibilities afforded through Medicaid managed care, to support the funding of housing-based care management services in supportive housing for formerly homeless individuals. The research suggests that such an approach can improve care for these beneficiaries while lowering costs associated with avoidable hospitalizations and other crisis services.