Round Table Assignments

TOPIC	MEETING ROOM
Braiding Medicaid Housing Services	Great Falls
Working with Homeless CoCs & Coordinated Entry Systems	Forest Glen
Engaging Stakeholders	Cabin John
Approaches to developing Adequate Provider Networks	Timberlawn
Managed Care Contracting for Housing-Related Service Delivery	Brookside A
Strategies for Engaging PHA Resources	Brookside B
Opportunities to Align Tenancy support Services Delivery	Seneca
Operationalizing & Integrating New Medicaid HRSN Benefits	Glen Echo
SOAR	Middlebrook

 

Round Table Descriptions

Braiding Medicaid housing services within non-PSH housing models (e.g., medical respite, shorter-term housing models) (Great Falls)

Potential areas to explore may include:

·       Features of successful medical respite models to build upon

·       Types/need for short-term housing models, e.g., post hospitalization, recuperative care, rapid rehousing

·       How these models fit along the housing continuum, where Medicaid & other resources are needed

·       How to connect services (HCBS) to respite/recuperative models

 

Working with homeless CoCs & Coordinated Entry Systems to develop PSH strategies for Medicaid beneficiaries (Forest Glen)

Potential areas to explore may include:

·       Overlap in eligible target populations for CoC PSH & Medicaid housing services

·       CES implementation & variation by CoC

·       Potential opportunities for alignment & coordination

o   Eligibility screening, service enrollment & connection

o   Medicaid provider participation in CES prioritization decisions/processes

o   HMIS or by-name-list & Medicaid data matching

 

Engaging stakeholders (especially aging & disabilities agencies) in the design & implementation of Medicaid housing services & supports (Cabin John)

Potential areas to explore may include:

·       Speaking “their” language

·       What do you bring to the table?

·       Where are the gaps in service that each can fill?

·       Where are the challenges or pain points in collaboration?

·       Setting realistic expectations for partners – building a mutual understanding and shared systems Role ILCs are playing in CA so different from other states)

 

Approaches to developing adequate provider networks for delivery of Medicaid housing-related services and supports (Timberlawn)

Potential areas to explore may include:

·       Infrastructure & experience to deliver/receive reimbursement for services under Medicaid

·       Use of third-party administrators/community care hubs/other entities to support billing infrastructure, data sharing, & other capacity needs

·       Capacity to deliver quality, best-practice, person-centered housing-based services/tenancy supports

·       Expanding the workforce to include other non-traditional providers, & overall workforce capacity issues including training and turnover

 

Lessons from the LTSS world: Managed care contracting for housing-related service delivery (Brookside A)

Potential areas to explore may include:

·       Parallels in MCP administration of LTSS benefits & Medicaid tenancy supports

·       Role of states in encouraging MCPs to develop local housing relationships/resources, support their provider networks

·       Developing standards for housing-related supports & care coordination & other in-home support services to create stable home

·       Coordinating multiple funding sources to meet individuals’ full range of housing support needs

 

Strategies for engaging PHA resources (Brookside B)

Potential areas to explore may include:

·       Barriers faced in engaging Public Housing Authorities (PHAs)

·       Engagement strategies/leverage that have worked with PHAs

·       Working with a state PHA (or a state-like PHA agreement approach) to dedicate resources to support a development pipeline of PSH

·       Open up to States on creative strategies to engage PHAs.

·       Selecting particular PHAs to engage? Implementation strategies to engage with PHAs.

 

Opportunities to align tenancy support services delivery across systems/providers/initiatives, including for individuals with high acuity behavioral health needs (Seneca)

Potential areas to explore may include:

·       Different systems/funders that offer housing-related services/supports within states (e.g., HUD CoCs, state behavioral health, aging & disability systems, Medicaid)

·       Variation across systems in provider expectations, service delivery models (including SAMHSA’s evidence-based PSH model), and/or reimbursement strategies; how this may impact service quality, outcomes

·       Opportunities to align tenancy supports across programs/funders, ensure the right level of services/supports are available to meet individual needs regardless of fund source

 

Operationalizing & Integrating New Medicaid HRSN benefits: Six months’ transitional rental assistance & housing transition/navigation costs. (Glen Echo)

Potential areas to explore may include:

·       Targeted populations for new HRSN housing benefits, rationale

·       Temporary rent assistance administration

·       Bridging options for permanent rent assistance (state-funded, PHA & CoC resources)

·       Options for homelessness prevention

·       Issues related to one-time housing/navigation costs

 

Increasing Access to Mainstream and Disability Benefits (SOAR) ) (Middlebrook)

Potential areas to explore may include:

·       Social Security disability benefit application assistance using the SAMHSA SSI/SSDI Outreach, Access, and Recovery (SOAR) model

·       Connecting with state and local SOAR programs and strengthening partnerships

·       Collaborations to connect Veterans with VA disability benefits and homelessness support

·       Increasing access to other mainstream programs, including SNAP, TANF, and employment supports