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Child Welfare and Housing RFP Opens
Funding and technical assistance opportunity for initiatives that reduce housing instability and involvement with the child welfare system.
Now Accepting Applications for the Illinois Supportive Housing Institute 2024
Teams will receive targeted training and technical assistance to help them build their supportive housing project proposal.
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Program Name
Housing and Health Opportunities (H2O)
Status
State Planning Post CMS approval
Health-related Social Needs (HRSN) Waiver approved October 14, 2022.
Services Include
Pre and Post tenancy services, 6 months housing costs including enhanced shelter and outreach
Key Administrative Details
The state is using a Third-Party Administrator.
Delivery System
Third Party Administrator (TPA). Statewide TPA expected to be on board as of 7/1/2024.
Provider Type:
TBD
Payment Methods and Rates
TBD
Program Name
MediCal Transformation
Services Include
Pre and Post tenancy services, 90 days of recuperative care, 6 months housing costs
Key Administrative Details
State using In Lieu of Services (ILOS) in which MCPs decide what services to offer and to whom.
Deliver System
Managed Care Plans (MCPs).
Provider Type:
Agencies can now enroll as a Community Based Organization (CBO) provider type. Providers will submit enrollment applications through the PAVE Provider Portal (ca.gov) online portal.
Payment Methods and Rates
State Non-Binding ILOS Pricing Guidance
Determined by MCPs.
Most plans are using Per Diem or PMPM but that is decided by MCPs.
Program Name
State Wide Supportive Housing Expansion (SWSHE)
Services Include
Pre and Post Tenancy Support Services
Key Administrative Details
The program is currently grant funded via HCBS ARPA funds with the state planning for a Medicaid financing method when grant funds run out in 2024.
Delivery System
Provider Type
Payment Methods and Rates
Web Resources
Program Name
The CT Housing Engagement and Support Services (CHESS) Initiative
Services Include
Pre and post tenancy support services
Key Administrative Details
Administered by Carelon Behavioral Health of Connecticut (ctbhp.com)
Delivery System
Carelon Behavioral Health of Connecticut (ctbhp.com) manages the benefit.
Provider Type
Payment Methods and Rates
Web Resources
Program Name
Housing Supportive Services | dhs (dc.gov), including Housing Stabilization Services and Housing Navigation Services
Services Include
Pre and post tenancy support services
Key Administrative Details
Assessment for the services is integrated into the Coordinated Entry process.
Providers are paid by DC Medicaid on a Per Member, Per Month (PMPM) basis. Rate raised to $770.31 in FY 2023.
Taxonomy Code- Case Management, 251B00000X
Procedures Codes
H00044 U1- Housing Navigation Services
H00044 U2- Housing Stabilization Services
Delivery System
Coordinated Entry is the access point to the benefit.
Coordinated Entry is the system by which all housing referrals are processed within a local Homeless Continuum of Care.
Provider Type
DC created a new Provider Type, Housing Supportive ServicesHousing Supportive Services
Payment Methods and Rates
Taxonomy Code Case Management, 251B00000X
Procedures Codes Housing Navigation H0044 U1; Housing Stabilization Services H00044 U2;
Web Resources
Housing Supportive Services | dhs (dc.gov)
Services Include
Pre and post tenancy support services
Key Administrative Details
Administered by the Managed Care Organizations (MCOs) in the pilot regions.
State Snapshot of MCOs
Delivery System
Community Mental Health Providers either offer services directly or subcontract with other agencies.
Provider Type
Unclear. State Medicaid provider manual has not been updated online since before the program started.
Payment Methods and Rates
Web Resources
Program Name
Community Integration Services (CIS)
Services Include
Pre and post tenancy support services
Key Administrative Details
Administered by state’s Medicaid Managed Care Organizations (MCOs). State MCO listing
State modifying implementation guidelines to improve access for target population.
Delivery System
Delivered via MCO health plans: AlohaCare, HMSA, Kaiser Permanente, ‘Ohana Health Plan, and UnitedHealthcare Community Plan
Provider Type
Atypical Provider Enrollment is allowed and No NPI is required per
CIS PROVIDER ENROLLMENT Training.
Facility, Agency, or Organization (FAO) enrollment is also allowable for CIS services.
CIS Provider Types:
• PT A3 Community Service Agency
• PT 77 Mental Health Rehab Option (MRO)
-CCS provider
• PT 02 Hospital
Hawaii Online Kahu Utility or HOKU Provider Enrollment System
Payment Methods and Rates
Recommended CIS NPI Taxonomy Codes:
Primary 251S00000X Community/Behavioral Health Secondary 251B00000X Case Management
Outreach- T1023
Support- H0044
Web Resources
Program Name
Permanent Supportive Housing (PSH) Initiative
Services Include
Pre and post tenancy support services
Key Administrative Details
State plan process integrated across housing and services sectors.
Delivery System
A mix of providers and the state. The state web site explains how to apply.
Provider Type
Permanent Supportive Housing Agency. Provider requirements include that the agency must be a Medicaid enrolled provider of CPST and Psychosocial Rehabilitation services
Payment Methods and Rates
No specific taxonomy Code is recommended.
Under HCBS waivers, tenancy supports bill under G9012
State BH plan services
Tenancy Services under CPST- H0036, TG; Tenancy Services under Psychosocial Rehab – H2017, TG;
Web Resources
Program Name
Assistance in Community Integration (ACIS) program
Services Include
Pre and post tenancy support services
Key Administrative Details
Administered by the counties who are responsible to align with housing resources.
Delivery System
Counties/ Lead Entities to administer the program. Only Baltimore City, Cecil, Montgomery and Prince George’s counties are participating.
Provider Type
Providers are not required to enroll in Medicaid, so provider type not required.
Payment Methods and Rates
Providers are not required to enroll in Medicaid, so taxonomy codes are not required.
HCPS codes are also not required in the billing between the providers and the lead entities. Providers are submitting invoices to the LE not claims.
Website Resources
Program Name
- Community Supports Program for Homeless Individuals (CSP-HI)
- Flexible Services to evolve to Health-Related Social Needs (HRSN) services
Opertaing
For CSP-HI- Code- H2016 Modifier HK and rate is a per diem of rate of $27.72
CSPECH Cost Savings Report- 2017
New Waiver approved 9/28/2022.
Services Include
Key Administrative Details
- Administered by state’s MCOs
- Administered by ACOs to members of their choosing to reduce costs and improve health
Delivery System
Administered by MCOs
MA ACO (Accountable Care Organization) and MCO (Managed care organizations) listing
Administered by state’s Accountable Care Organizations
Provider Type
Unclear till HRSN implementation plan is approved if CBOs will need to enroll as Medicaid providers, which requires a provider type.
Payment Methods & Rates
No specific taxonomy Code is recommended.
HCPCS code- H2016 HK
Unclear till HRSN implementation plan is approved, if CBOS need to enroll in Medicaid and what information CBOs will need to submit for payment including HCPCS codes.
Web Resources
Program Name
Housing Assistance
SDOH In Lieu of Services
Status
Opertaing
MDHHS issues award recommendation for Michigan’s Medicaid Health Plans
Services Include
TBD
Key Administrative Details
Services are a component of the state’s Behavioral Health Transformation Plan. The benefit is offered through the Prepaid Inpatient Health Plans or PIHPs that manage community behavioral health provider network.
Addressing SDOH needs including potentially Housing Related Services
Delivery System
Administered by the Prepaid Inpatient Health Plans (PHIPs) and in some cases by the Community Mental Health (CMH) clinics
Provider Type
Provider type is Community Mental Health Center
Payment Methods and Rates
No Taxonomy code is recommended in the State Medicaid Provider Manual
HCPCS codes
Housing Assistance is T2038
Community Living Supports is H2015
Web Resources
Program Name
Housing Stabilization Services
Services Include
Pre and Post tenancy services
Key Administrative Details
Benefit administered by MCOs, approved by the state.
Housing Transition reimbursed at $17.17 per 15-minute increment. The code is H2015 U8.
Housing Sustaining reimbursed at $17.17 per 15-minute increment. Code- H2015 U8/TS.[1]
Delivery System
Services are authorized by DHS and managed and paid for by the MCOs.
Provider Type
Provider Type 18- HCBS provider
Payment Methods and Rates
Taxonomy code: 251B00000X – Case Management
Housing Transition code is H2015 U8.
Housing Sustaining Services code- H2015 U8/TS.
Housing Stabilization Services (state.mn.us)
Program Name
Services Include
Pre and Post tenancy services
Key Administrative Details
TBD- Montana is one a few states that does not have Medicaid Managed Care
Delivery System
Provider Type
Provider Type
Payment Methods and Rates
Program Name
Housing Support Services
Status
Opertaing
For a Medicaid funded tenancy support services benefit.
Services Include
TBD
Key Administrative Details
Delivery System
Provider Type
TBD
Payment Methods and Rates
Web Resources
Program Name
Housing Stabilization Services
Status
State Planning post CMS approval
The State Plan Amendment is approved and the state is developing regulations to govern operations
Services Include
TBD
Program capped at 50 people
Key Administrative Details
Administration is TBD but the state’s current Home and Community Based Services programs is administered by Managed Care
Delivery System
State Medicaid Office, Department of Health and Human Services (DHHS)
Provider Type
Payment Methods and Rates
Web Resources
Program Name
Housing Transition and Tenancy Sustaining Services as part of a Health-Related Social Needs program
Status
State Planning post-CMS approval
The HRSN 1115 waiver is approved as of 3/30/2023 and the state is developing regulations to govern operations.
Services Include
TBD
Key Administrative Details
TBD
Delivery System
Managed Care
Provider Type
TBD in the implementation Plan
Payment Methods and Rates
TBD in the implementation Plan
Web Resources
Program Name
Supportive Housing Units, including capital funds
Status
Operating
Program is called Linkages and provides state funded rental assistance with Medicaid services for those with Behavioral health Challenges
Updated Centennial Care 2.0 waiver includes growing the program
Services Include
Pre and post tenancy services
Key Administrative Details
The Services are administered by Managed Care
Delivery System
Managed care
Provider Type
Limited to Behavioral Health Services Division and state approved providers
Payment Methods and Rates
State Linkages Policy Manual recommends Certified Peer Support Workers (CPSW) using a H0044 code but the Behavioral Health Billing Manual uses H00043.
Web Resources
Program Name
Social Determinants of Health (SDOH) Initiatives can include Housing Support Services.
Services Include
Key Administrative Details
Lead Pilot Entities (LPE) are operating as Community Care Hubs supporting CBOS administratively.
Delivery System
Pilot program administered by regional Healthy Opportunities Network Leads
Provider Type
Payment Methods and Rates
Taxonomy and HCPCS codes not included in the state’s Service Definition and Fee Schedules
Web Resources
Program Name
Housing Support Services
Status
Operating
The state has an approved 1915(i) SPA. Services began on February 2, 2021.
The rate is $10.49 per 15-minute increment. The code is H2021 U4.
Services Include
Pre and post tenancy services
Key Administrative Details
Providers bill the state for the traditional Medicaid population or an MCO for those who are part of the Medicaid Expansion population.
Delivery System
Administered by the state for the Traditional Medicaid population and the MCO for the expansion population
Provider Type
Provider type 25, Provider Type 25- Agency
Payment Methods and Rates
Web Resources
Program Name
Health-related services can include housing services. Housing services are optional for Coordinated Care Organizations (CCOs) to fund.
Health Related Social Needs (HRSN) services including Housing Support Services
Status
Operating
The state is working to incentivize CCOS to offer tenancy supports to pair with new housing-related resources that are coming online.
State Health-Related Services Overview
State Planning post CMS approval
Housing Services GO LIVE, November 2024 for those at risk of Homelessness.
State submitted Implementation Plan in August 2023
Services Include
TBD by the CCOs
Pre and post tenancy services
Rental Assistance
Housing Transition Costs
Key Administrative Details
Coordinated Care Organizations or CCOs are Oregon’s community focused evolution of Managed Care.
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State working with CCOs to implement and TPA for individuals who are not CCO members
Delivery System
Via Oregon’s Coordinated Care Organizations (CCOs)
Provider Type
TBD, needs additional state/CMS plans to be approved.
Payment Methods and Rates
TBD, needs additional state/CMS plans to be approved.
HCPCS codes- H0043 U1
$20.24 for a 15 minute increment
Program Name
Tenancy Support Services for intellectual or developmental disability/developmental disability (IDD/DD) populatio
Status
Operating
The state has added tenancy support services to the menu of services for persons eligible for the IDD waiver.
Services Include
Key Administrative Details
Delivery System
Via Managed Long-Term Services and Supports
Payment Methods and Rates
HCPCS codes- H0043 U1
$20.24 for a 15 minute increment
Web Resources
Program Name
Home Stabilization Services
Services Include
Home FIND and Home Stabilization Services
Key Administrative Details
The per month rate per member is $331.84 and the code is H0044
Delivery System
Services are provided in a Fee for Service System and providers bill the state.
Provider Type
Not required.
Payment Methods and Rates
The per month rate per member is $331.84
Program Name
Supported Home Living
Services Include
Supported home living services that could be used in Supportive Housing
Key Administrative Details
Delivery System
Provider Type
Payment Methods and Rates
TBD
Web Resources
Program Name
Housing Related Services and Supports
Status
Operating
Waiver Approved 6/30/2022
Services Include
Tenancy Support Services, Community Transition Services and Supportive Living Services
Key Administrative Details
Services are authorized by state HRSS staff
HCPCS Billing Code: T2024 – Tenancy Support Service – $18.37 per 15 minutes
HCPCS Billing Code: T2038 – Community Transition Services, 2 episodes per 5-year period per person up to $2,000 per each occurrence
HCPCS Billing Code: T2017 – Supportive Living Service – $18.37 per 15 minutes
Delivery System
Provider Type
TBD
Payment Methods and Rates
TBD
Web Resources
Program Name
Supportive Housing Assistance Pilot Program
Services Include
Key Administrative Details
Delivery System
TBD- state operates most of the Medicaid program with a single state controlled MCO.
Provider Type
TBD
Payment Methods and Rates
TBD
Web Resources
Special Terms and Conditions for VT’s 1115 waiver including the PSH Pilot
Program Name
High Needs Support Benefit
Status
Planning
CMS approved the waiver as of July 9, 2020.
The state timeline for implementation is TBD.
Services Include
Key Administrative Details
Delivery System
Provider Type
Program Name
Foundational Community Supports (FCS) for supportive housing and supportive employment services.
Status
Operating
The waiver was approved and implemented as of January 1, 2018.
State Planning post-CMS approval
Waiver renewal approved June 30, 2023
Services Include
Pre and Post tenancy services and supported employment services
A variety of Health-Related Social Needs services including pre and post tenancy services, housing transitional costs and rental assistance
Key Administrative Details
The state is using a Third-Party Administrator to simplify administrative processes.
Wellpoint (formerly Amerigroup) Provider Manual
Using Billing Codes H0043 Community Support services: daily rate of $112 with a benefit limitation of 30 days over 180 days.
Delivery System
The state is using a Third-Party Administrator to manage the program. Amerigroup won a competitive bid for this contract. Amerigroup is now called Wellpoint.
Wellpoint Provider Manual
Provider Type
Provider One Enrollment Guide
FCS Providers enroll as a facility, agency, organization or institution (FAOI) provider
The state’s third party administrator has a FCS Provider Application that that does not require a Provider Type but does require a Washington Medicaid Provider ID
Payment Methods and Rates
Per Diem rate of $112 with a benefit limitation of 30 days over 180 days.
Web Resources
Program Name
CHIP Housing Support Initiative
Housing Support Services
Services Include
-Housing Consultation
-Transition Supports
-Sustaining Supports
-Relocation Supports
-Housing Consultation
-Transition Supports
-Sustaining Supports
-Relocation Supports
Key Administrative Details
State is granting funds to8 family supportive housing agencies in 4 COCs
Delivery System
Provider Type
Payment Methods and Rates
Web Resources
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