Essential Resources for Underwriting Medicaid-Funded Supportive Services in Housing
Communities investing in supportive housing know it is a cost-effective and long-term solution to homelessness. The key to its success is tenancy support services and the need for them has never been greater.
Our curated guides are designed to help lenders, investors, and underwriters confidently evaluate and support service funding in supportive housing—especially tenant-based programs like Medicaid.
Housing is just the start. Services make it supportive.
Understanding the Essentials of Supportive Services Funding
Supportive housing is more than just a roof. It is a foundation for stability and recovery. But without sustainable service funding, supportive housing risks falling short for tenants who need more than housing to thrive. Our resources provide:
- An overview of supportive services funding models.
- Key distinctions between tenant-based and project-based funding.
- Insights into Medicaid and other critical funding streams.
Use the Right Tools to Strengthen Your Underwriting Process
Whether you’re a lender, investor, or underwriter, these guides will help you:
- Ask the right questions during the underwriting process.
- Evaluate the sustainability of service funding sources.
- Identify risks and opportunities in tenant-based funding models.
Quantify Tenant-Based Funding Like Medicaid with Confidence
Medicaid can be a powerful source for sustaining supportive services—but it is complex. Our resources break down:
- How Medicaid funding flows to tenants and providers.
- What underwriters need to know to assess reliability.
- Best practices for incorporating Medicaid into services budgets.
Webinar: Underwriting Services in Supportive Housing
CSH held a webinar designed to equip supportive housing funders, developers, and stakeholders with the tools and insights needed to evaluate and strengthen tenant-based services funding.
This webinar covered:
- How to build lender capacity to underwrite supportive services budgets using key metrics related to staffing and targeted tenancy
- How to assess and evaluate services budgets, including those with Medicaid funding
- Key distinctions between tenant-based and project-based service funding models
Explore the Guides Developed by Our Experts in Supportive Housing and Finance
These resources are brought to you by CSH in collaboration with Bank of America. With our decades of experience, we bridge the gap between housing developers, service providers, and financial institutions to ensure
GUIDE: Considerations for Underwriting Tenant Based Service Funding
This guide helps underwriters assess the sufficiency of services funding, and understand how to evaluate Medicaid as a services funding source.
CASE STUDY: Using the CSH Services Budget Tool to Examine Tenant-Based Service Funding
This companion guide and the CSH Services Budget Tool offers a deeper dive into underwriting services in supportive housing and covers funding sources, like Medicaid, that are tenant- vs. project-based.
Does My State Medicaid Program Allow Housing Related Services?
Our Policy Brief summarizes which states have in place some supportive services benefits and what lessons your state can leverage to replicate how states are implementing Medicaid for housing related services.
