1. MRT Supportive Housing
Making the Case: housing as key to education, criminal justice and healthcare reform

2. Rethinking Care for Medicaid's Highest-Need, Highest-Cost Populations
Addressing the Social Determinants of Health
Housing is Health Care!
Targeting “high-cost” Medicaid members
Demonstrating the cost-effectiveness of supportive housing

3. Over the last 5 years, the MRT has invested $503 million dollars
MRT invests in capital, and rental subsidies/pilot projects
Research and evaluation
Largest State-Only Investment in the Country!
MRT SH Allocations
SFY $75 M SFY $86 M SFY $94 M SFY $121 M SFY $127 M ($44 million in capital bonded)

4. High Need, Clinically Complex Population
HIV
Substance abuse
Mental Health
Chronic Conditions 1% 2% 1% 4% 5%
27% 4% 3% 1%
26% 9% 6% 6%

5. Capital Projects - $47 million per year HCR - $34 million
Capital funding for MRT high-cost Medicaid members
HHAP - $10 million
Expand Access to Home - $3 million
Small capital construction projects for MRT high-cost Medicaid members

6. MRT Supportive Housing Overview
Current Capacity:
42 capital projects funded (8 open)
8 active rental subsidy programs
7 operational pilot programs; 3 in contracting stage
1 program provides operating subsidies (NYSSHP)
Currently funding 10,487 units
Populations:
MRT Serves high-cost, high-need individuals
The exact eligibility varies by population and program
Populations include individuals transitioning from an institutional facility (including hospital long-stay or a nursing home) and homeless/unstably housed individuals who are elderly or who have a serious mental illness, physical disability, HIV/AIDS, substance use disorder, or other chronic condition

7. Located at East 99th Street and Second Avenue adjacent to Metropolitan Hospital
10-story new affordable housing project that includes 176 one bedroom and studio apartments.
This innovative development is a result of collaboration between HHC, HPD, NYHCR, NYCHA and was the first development in the New York State to utilize Medicaid Redesign (MRT) funds.

8. 1191 Boston Road, Bronx, NY
Designed to help improve the lives of high cost users of health care through the use of Medicaid Redesign Team financing, Boston Road provides 154 units for formerly homeless single adults - many living with HIV/AIDS or special needs - and low-income working adults from the South Bronx community. The ground floor houses building common areas, offices for supportive services, and recreational space including an exercise room, computer lab, and landscaped

9. Son House (Providence Housing Development Corporation)
21 units for homeless adults with histories of substance abuse and/or mental illness in Rochester
MRT (HHAP), HCR (HTF), City of Rochester (HOME), NYSERDA

10. Rental Subsidies/Operating - $38 M
NYSSHP - $6.2 M
OPWDD - $1.8 M
OASAS - $5 M
OMH - $10 M
NYC OTDA - $2.6 M
Olmstead Housing Subsidy Program - $5 M
Nursing Home Transition and Diversion - $5 M

11. Pilot Programs - ~$33.6 M
Health Home - $4 M
OMH Step-down Crisis - $4 M
Nursing Home to Independent Living - $4 M
OMH SH Supplement ($5,000 pmt. provider) - $3 M
Homeless Senior and Disabled Placement - $5 M
HIV +/ Health Home - $1 M
Senior Supportive Housing - $2.2 M

12. Tracking and Evaluation - $2.5 million MRT Tracking System - $1.5 M
MRT SH Allocation Plan
Tracking and Evaluation - $2.5 million
MRT Tracking System - $1.5 M
MRT Supportive Housing Evaluation - $1 M
All individuals will be tracked
Analyze pre and post Medicaid spending
Partnering with researchers
Robust tracking and evaluation
Short Term and Long Term Results

13. Next Steps…. Announcing our pre/post MRT analysis;
Working with CSM on a 1155 waiver to FFP housing tenancy support services;
Building our MRT allocation plan for next year;
Continuing to build our MRT programs and pilots.

14. Questions?
Share your thoughts with the MRT Supportive Housing Program by