The District of Columbia (DC) has a goal of achieving a whole-person, population-based, integrated Medicaid health system that is comprehensive, coordinated, high quality, culturally competent, and equitable. DC plans to leverage coaching and peer learning through the Accelerator to enhance and expand housing supports and services to Medicaid-eligible older adults and people with disabilities, under their1915(i) State Plan Benefit. DC has substantially reduced homelessness after implementing several multiyear strategic plans focused on ending homelessness, addressing the opioid epidemic, and improving access to care and services for individuals with complex needs, older adults, and people with disabilities.

DC’s Medicaid agency, the Department of Health Care Finance, leads a diverse team that was formed and tested through years of partnership. The team includes representatives from the Department of Human Services, the Interagency Council on Homelessness, and other District of Columbia government health and human service agencies and will work in partnership with DC managed care, healthcare, and supportive housing providers.