1. Medicaid Innovation Accelerator Program (IAP)
The Health & Housing Nexus Part 2:
Using Medicaid in Supportive Housing
September 26, 2016

2. Why is Supportive Housing Important for Medicaid Agencies?
Medicaid may see a Return on Investment on services and supports
Decreases in emergency department admissions
Decreases and shorter lengths of stay for medical and behavioral health inpatient stays
Access to care and quality of care improved after moving into housing
Recent home and community-based services (HCBS) regulations from the Centers for Medicare & Medicaid Services (CMS) that reinforces the focus on community integration
State Olmstead cases that require states to create housing and housing supports to “classes” of individuals—many who are eligible for Medicaid

3. Medicaid Innovation Accelerator Program (IAP)
Four year commitment by CMS to build state capacity and support ongoing innovation in Medicaid through targeted technical support
Supports U.S. Department of Health and Human Services and states’ delivery system reform efforts
The end goal for IAP is to increase the number of states moving towards delivery system reform across program priorities
One area of focus for IAP is Community Integration-Long-Term Services and Supports (CI-LTSS). Goals include: 
Increase state adoption of individual tenancy sustaining services to assist Medicaid beneficiaries
Expand housing development opportunities for Medicaid community-based LTSS beneficiaries through facilitation of partnerships with housing agencies

4. IAP CI-LTSS Program Support Related to Housing
Supporting Housing Tenancy
A three-part webinar series that provided innovative strategies to support housing tenancy services for community-based LTSS Medicaid beneficiaries
Occurred February to April 2016
Thirty-one participating states

5. IAP CI-LTSS Program Support Related to Housing (cont)
State Medicaid-Housing Agency Partnerships
An intensive track focused on building collaborations with key housing partners in their states, such as state housing finance agencies, public housing agencies, and others.
May through October 2016
Eight states: California, Connecticut, Hawaii, Illinois, Kentucky, Nevada, New Jersey, and Oregon
Federal partnership of CMS, the US Department of Housing and Urban Development (HUD), the Substance Abuse and Mental Health Services Administration (SAMHSA), the Office of the Assistant Secretary for Planning and Evaluation (ASPE) and the US Interagency Council on Homelessness (USICH)

6. State Medicaid-Housing Agency Partnerships Target Populations
Data compiled from Expression of Interest forms for IAP CI-LTSS HRSP, 2015

7. State Medicaid-Housing Agency Partnerships Goals
Data compiled from Expression of Interest forms for IAP CI-LTSS HRSP, 2015

8. Partnership States’ Key Strategies and Projected Accomplishments
Cross-agency partnerships & policy alignment (e.g., of policies related to supportive housing, of IAP efforts with other initiatives)
Develop/expand data matching (HMIS, Medicaid, etc.) to target resources, examine costs & outcomes
Pursue Medicaid coverage of housing-related services
Identify housing resources to create supportive housing opportunities
Engagement /coordination with key stakeholders (e.g., CoCs, landlords, counties, MCOs, providers)

9. For More Information
Contact the IAP mailbox at Use subject line “CI-LTSS”