1. HOUSING AND HEALTHCARE IN VIRGINIA
Housing Virginia’s Most Vulnerable 2016 Conference August 24, 2016

2. Why Focus on Healthcare?
Housing is a Key Determinant of Health
People experiencing Homelessness are at Greater Risk for Poor Health
Health Issues are Likely to Increase as the Homeless Population Ages
Homelessness is Correlated with High Healthcare Costs
PSH Improves Health Outcomes & Reduces Costs

3. Virginia’s H² Initiative
Virginia H2 Plan Objective: To improve client lives, health outcomes, and housing stability by transforming and integrating housing and healthcare delivery systems.
Target Population: Low-income people who are:
Chronically homeless; and/or
Living with HIV/AIDS and related disabilities.

4. Virginia’s H² Goals
Ensure that every person in the target population has access to housing and to the support services needed for ongoing residential stability
Enhance access to health and behavioral health services needed to maximize health, manage ongoing conditions, and facilitate housing retention
Improve coordination and collaboration between the housing and health care systems, at both the systems and service levels
Use data to inform decision-making in order to enhance system efficiency and improve quality of care and outcomes
Support H² with complementary efforts currently underway in Virginia

5. H2 Healthcare Workgroup
Members from:
DBHDS
DMAS
CSH
VAHP
VHA
Develop recommendations to Solutions Committee regarding health care opportunities for Virginians who are homeless
…without Medicaid expansion

6. Medicaid Eligibility
Also GAP for SMI up to 80% FPL is $9,416

7. Medicaid Expansion
240,000 uninsured Virginians below 100% FPL would become eligible for coverage
An additional 122,000 Virginians below 138% FPL would also become eligible coverage
100% FPL for one individual is $11,770; 138% is $16,242

8. Major Themes
Align Medicaid funding with supportive services in Permanent Supportive Housing practice
Initiatives to enroll those who are eligible but not covered under
Medicaid
Cannot create new eligibility group without an act of the General Assembly; Alignment: pilot option to explore supportive services model that packages housing supports SOAR – like presumptive eligibility; New Medicaid waiver
Pilot supportive services model
Value-adds through Medicaid MCOs in MLTSS; Single state application for SSI and Medicaid
SOAR (SSI/DI Outreach, Access, and Recovery) capacity building among partners and/or hospitals

9. Opportunities for Intersection
Edit to Medicaid online application (CommonHelp)
Outreach/Convention of public and private partners to explore projects
Support Medicaid MCOs as MLTSS contracts are developed
Medicaid Expansion Advocacy
SJ47 also has a housing workgroup with SMI population

10. Questions
Jodi Manz, MSW Policy Advisor, Office of the Secretary of Health and Human Resources (804) 663 – 7447