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Service Definitions and Reimbursement Approaches for Housing-Related Services under Medicaid

States can leverage a variety of Medicaid authorities to cover housing-related services for Medicaid beneficiaries, including state plans, waivers, and managed care arrangements.[1] States considering creating or amending covered housing-related services can draw from numerous approaches.

The table below provides an overview of 18 states’ supportive housing programs under Medicaid, including the Medicaid authority/mechanisms used, the target population(s), in-depth information on included services and service descriptions, and reimbursement approaches for each covered service.

To explore the information in this table, pick the topic you’re interested in from the dropdown above the table. The first tab provides an overview of each state’s program. The remaining tabs provide service definitions and reimbursement approaches for pre-tenancy and tenancy support, housing deposits and rental assistance, wrap-around support, and other social determinant support. 

Table: Service Definitions and Reimbursement Approaches for Housing-Related Services

Note: States may offer additional related services under other authorities not reviewed here. 

Pilot programs also exist in:

 

Endnotes

[1] Effective health and housing approaches braid funds together to achieve the “three-legged stool” of supportive housing: affordable housing stock, rental assistance or subsidies, and supportive services to help an individual find a home and remain in their home. This resource primarily focuses on the supportive services and hones in on Medicaid as just one potential resource.

NASHP is thankful for support of this project by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under the National Organizations of State and Local Officials co-operative agreement.

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