Supportive housing offers whole person care coordination to assist the most vulnerable members of our community
Supportive housing is a community living option that combines affordable housing with whole person care coordination and other essential supportive services, including health and health-related services. Scaling supportive housing requires collaboration at both the system and program levels between the health and housing sectors. CSH leads the national dialogue on achieving this cross-sector goal.
Housing is Healthcare
Stable, Quality Housing is the Key to Improving Health Outcomes and Achieving Health Equity
Affordable, high-quality, and stable housing promotes good health. Lack of access to housing and exposure to the elements is traumatic and leads to deteriorating health over time. Children, seniors, and individuals with multiple chronic health conditions, experiencing homelessness, living in substandard housing, or facing housing instability are especially vulnerable to chronic poor health. Addressing the deep health inequities in our country requires tackling Social Drivers of Health (SDOH) needs, including expanding affordable and supportive housing options.

Our Solutions for Integrating Housing with Health Services
CSH is at the forefront, offering vision, policy and implementation support to create practical, data-driven solutions for health care sector leaders. Our solutions are designed to address the complex challenges of housing and health, providing a roadmap for effective action tailored to national, state and local context.
Governor’s Offices
As governor’s offices lead efforts to address homelessness and housing instability, they can leverage CSH’s cross sector expertise in health and housing. CSH supports the design of cross-sector systems that address Social Drivers of Health (SDOH) for their Medicaid populations and improve public health while offsetting or reducing costs.
State Medicaid Agencies
CSH’s experience, tools, and resources can help state Medicaid agencies who are committed to improving the health of their communities, building integrated health and housing systems and using Medicaid to address health related social needs.
Managed Care Organizations (MCOs)
CSH works with Managed Care partners, who are being asked by states to screen, refer and offer housing related assistance to their members. CSH supports MCO efforts to develop and implement strategies addressing the Social Drivers of Health for their members. MCOs, as critical partners in creating shared data platforms and integrated systems of housing and services can also benefit from CSH’s expertise. CSH supports MCOs that are tasked with addressing housing needs of members who are living in institutions, or transitioning to community settings to ensure they have the housing and services needed to thrive in their communities.
Behavorial Healthcare Providers
CSH, in partnership with the National Council for Mental Wellbeing, is pioneering collaboration between behavioral health providers and the supportive housing industry. In particular, Certified Community Behavioral Health Clinics (CCBHCs) in their standards and financing model are well positioned to assist, develop and serve potential and current supportive housing residents and programs. CSH can support these agencies at the local and state level to more effectively serve those with behavioral health needs.
Supportive Housing Providers
CSH has worked in communities nationwide where Medicaid is funding services. We have created various tools and learnings to assist supportive housing providers and their teams in transitioning to billing Medicaid for services connected to supportive housing based on their state’s delivery system.
Housing Agencies or Healthcare Providers
With our vast network across sectors, CSH can help CoC’s, PHA’s, HFA’s, MCO’s, community health centers, and other healthcare providers in linking their services to housing.
Quick Access to Our Latest Resources

Using Medicaid’s Housing Related Services (HRS) to Create New Supportive Housing
An increasing number of states are including coverage of Housing Related Services (HRS) in their Medicaid programs. These new services aim to provide more units of supportive housing and higher quality services. CSH has found that states who include these six strategies in their efforts are more likely to be successful. Learn more about these efforts, examples and concrete next steps your state can take to ensure these programs lead to greater supportive housing capacity and higher quality supportive housing statewide

Medicaid Unwinding: How to Help Residents Keep Their Health Care Coverage
With new laws and the winding down of the COVID emergency, states are now reviewing all the persons who have Medicaid health care coverage to ensure they still qualify for the program. This process is called redetermination. CSH’s brief and webinar, created in partnership with the National Health Care for the Homeless Council and the National Alliance to End Homelessness, will help providers learn how to support Medicaid beneficiaries through this process and ensure that they maintain continuous health care coverage. Learn what you and your agency need to know by reading the brief and watching the webinar.

CSH Unveils An Updated Policy Brief and New Map That Shows States’ Progress In Using Medicaid to Fund Services in Supportive Housing
States are looking to both increase supportive housing capacity and supportive housing quality. One component of improving quality could be developing more intensive supportive services. Many barriers exist to increasing supportive housing capacity for most communities, including a lack of a Medicaid Authority. Over a dozen states already have in place some supportive housing services benefit, and CSH’s map can help you find where your state is in the process. This brief provides a detailed summary of state actions and lessons that could be replicated in your state.

Reframing Homelessness as a Public Health Crisis
This paper by CSH outlines many of the commonalities between the public health field and those who work to align housing and services and offers suggestions on how we can all collaborate effectively. This work was generously supported by a grant from the Bank of America Foundation.

Health System Investments in Housing: A Development Guide
This guidebook explores why and how health systems and hospitals can and should invest in supportive and affordable housing, including an Introduction to Housing Finance and Development for health partners motivated to learn more about the process and get step-by-step instruction on the “how,” this section covers the steps needed to put you in the position to take concrete action.

Health Care Benefits for Older Adults
The public healthcare coverage, services and benefits discussed in this brief can make the difference between a life in the community or a life bouncing between homelessness and various institutions. While a variety of services may be available in your community to assist older adults, if the potential service recipient does not have the public healthcare coverage that funds these services, then either the individual is paying out of pocket, or cannot access the services. Therefore, a basic understanding of public healthcare coverage and benefits for older adults is crucial to accessing and maintaining needed services.

Administrative Models for Medicaid Funding Services
This review of Medicaid funding models is designed to assist supportive housing providers and homeless service organizations consider strategies to enhance their services (and services funding) through partnerships or through securing new resources. The three models this paper reviews are: Becoming a Medicaid Billable Agency; Collaborating to Increase Services and Capacity; and Contracting with an Administrative Services Organization.
Housing is Healthcare
We help communities integrate healthcare and community-based services systems to address patients’ social drivers of health, recognizing that stable housing is crucial for overall well-being. Collaborations between healthcare providers and housing organizations and common-sense policies can create solutions for people experiencing complex barriers to housing and healthcare, including those with chronic illnesses or disabilities.
Policy
Read the latest in what states are doing states to improve service delivery, financing of the services delivered by supportive housing providers and expand capacity in their communities.
Research
Key research and papers regarding the intersection of Housing and Health Care, and relevant information about the healthcare system for people with the greatest needs and residents of supportive housing.
Resources
Profiles and examples of the work states and communities are doing that can inform your efforts. As always, CSH will strive to be an essential bridge between the realms of housing and health care.
Health Centers
CSH is funded by the Health Resources and Services Administration (HRSA) to provide training and technical assistance to health centers and supportive housing providers looking to partner to serve vulnerable frequent users of health systems.