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Medicaid and Housing: State Strategies to Support Housing-Related Services

A sign reading "Home Sweet Home" hangs from a door along with some house keys

As the U.S. faces a housing crisis, states across the nation are leveraging Medicaid to support housing and housing-related services for Medicaid beneficiaries. States can use a variety of Medicaid authorities to cover these services, including state plans, waivers, and managed care arrangements.

This toolkit provides state officials with details on state supportive housing programs, including payment approaches, Medicaid authorities, and a crosswalk of housing programs in 18 states.

Medicaid Authorities and Payment Approaches for Housing-Related Services

This brief provides a high-level summary of some of the most frequently used Medicaid authorities to address the housing needs of Medicaid beneficiaries, including the associated eligibility requirements, services that may be covered, and additional considerations that may inform a states’ decision-making.

States can leverage a variety of Medicaid authorities to address the housing needs of Medicaid beneficiaries. As states begin to implement those programs, key operational decisions are needed, including reimbursement approaches. This brief describes how states have structured their payment policy for housing support services under Medicaid.

This resource guide highlights examples of how state Medicaid programs are leveraging their managed care contracts and policies to pursue health and housing alignment and address the housing needs of beneficiaries.

Crosswalk: Supportive Housing Programs through Medicaid in 18 States

This interactive chart provides a detailed look at supportive housing programs in 18 states, including the Medicaid authority/mechanisms used, target populations, in-depth information on included services and service descriptions, and reimbursement approaches for each covered service.

This brief provides a summary of state approaches covered in the crosswalk. Check it out for an overview of common target populations, services, and reimbursement approaches for Medicaid programs addressing housing-related needs.

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