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By Debbie Thiele and Katy Miller
This week CSH, in partnership with the Washington Low Income Housing Alliance, published Creating a Medicaid Supportive Housing Services Benefit. In the white paper CSH lays out an easy-to-follow framework for states that want to create a Medicaid benefit to pay for the services in supportive housing. The framework consists of five action steps: 1) Determine benefit eligibility criteria; 2) Define the package of services to be delivered; 3) Align the state Medicaid plan; 4) Establish a financing and reinvestment strategy; and 5) Operationalize the benefit.
08/25/2014 - Hear from Two Community Partners about How They Are Ending Family Homelessness through Our Sept. 10 Webinar
Ending homelessness among families and children is a priority for the nation and for every community. Millions of extremely low-income households do not have access to affordable housing, putting them at-risk of housing instability and the types of crises that can result in homelessness. The challenge is clear: Our most recent data show that 222,197 people in families—an estimated 70,960 households—were experiencing homelessness on a single night in January 2013. In the first three years of implementation of Opening Doors, we have reduced homelessness among families by eight percent.
by Jamie Keene, USICH Communications Intern
Once the city with the highest rate of homelessness in the country, today New Orleans has reduced homelessness to levels that are lower than before the devastation caused by Hurricane Katrina. By overcoming incredible challenges, New Orleans has shown that ending chronic and Veteran homelessness is possible in every American city.
by Eric Grumdahl, USICH Policy Director
Ending youth homelessness means putting a system in place to do so in every community. Here, having a common purpose is a key ingredient. Luckily, at the interface of the child welfare system and the homeless response system, we should agree on a common purpose. The child welfare system wants to see successful transitions to adulthood, which includes all of the outcomes of the framework to end youth homelessness, including stable housing. The homeless response system is certainly eager to close what has been called a pipeline from child welfare to shelter, and to see youth in stable housing instead of outside a shelter door. We should not have to debate our shared purpose.
Where it seems to me that our efforts get stuck is...
By Amy Sawyer, USICH Regional Coordinator
Through the 25 Cities initiative spearheaded by the U.S. Department of Veterans Affairs, communities have been invited to convene local leaders eager to build on their successes, identify new strategies, act decisively to strengthen their coordinated response systems and, in the process, end Veteran homelessness. To get started, teams of dedicated individuals are meeting for two-day-long intensive work sessions that drive a sophisticated planning process, resulting in specific action steps that will be carried out in months – not years.
by Laura Green Zeilinger, USICH Executive Director
Yesterday marked the fourth Anniversary of the launch of Opening Doors, the first-ever Federal Strategic Plan to Prevent and End Homelessness. In four years, we have changed the trajectory of homelessness in America. In just the first three years of implementation, Opening Doors led to significant reductions in homelessness, including an eight percent reduction in homelessness among families, a 16 percent reduction in chronic homelessness, and a 24 percent reduction in homelessness among Veterans. And we are hopeful that we will be able announce even greater reductions when the 2014 Point-In-Time Count data are available later this year.
The progress we are making across the nation has proven that Opening Doors is the right plan with the right set of strategies. Opening Doors also provides a foundation and scaffolding upon which we can continue to innovate and refine the solutions that will end homelessness in this country.
This year, we’re considering amending the plan again to include more of what we’ve learned from our progress.
Yesterday, more than 600 providers and stakeholders from across the country joined us for a great discussion about what ending homelessness among families means and what achieving it will require. We were joined by Laura Zeilinger, USICH Executive Director; Ann Oliva, Acting Deputy Assistant Secretary for Special Needs and Director of the Office of Special Needs Assistance Programs at the Department of Housing and Urban Development (HUD CPD/SNAPS); Ali Sutton, Policy Advisor at the Department of Health and Human Services Administration for Children and Families (HHS ACF); and Debra Rog, Associate Director at Westat.
At the end of our discussion, we received a lot of really great questions, many of which we didn’t have time to answer. In this post, we provide responses to two of these questions and will be responding to more of these questions over the next few weeks.
By Richard Cho, USICH Policy Director
President Obama has requested an increase of $301 million in HUD’s Homeless Assistance Grants. At a time of budgetary and fiscal challenges, $301 million sounds like a lot of money. In my view, it’s a small price to pay to achieve an end to chronic homelessness and save the lives of roughly 100,000 people. It’s especially small when compared to the cost of doing nothing, not only in terms of human lives, but also in real taxpayer dollars.
The cost of doing nothing is simply too high.
The expansion of Medicaid coverage under the Affordable Care Act (ACA) will mean that millions of currently uninsured adults will be eligible for coverage, including many formerly homeless individuals residing in supportive housing.
Many states are still opting out or remain undecided about whether to participate in Medicaid expansion. One factor these states might consider in evaluating or re-evaluating their decision to participate is the impact of Medicaid expansion on homelessness in their state. But the benefits don’t stop there. State budgets, hospitals, health care providers, and Americans in general also stand to gain from Medicaid expansion.