Medicaid
Service providers need stable, reliable funding to meet the growing need for services in communities. Many states are using a mechanism known as Medicaid waivers to fund services that address health needs. At CSH, we work with our partners to make the case for state-level policy changes that safeguard Medicaid health insurance coverage and secure appropriate payment rates for services that promote stability and improved health.
Through smart policy changes, states can use Medicaid to fund services that improve health and housing stability.
States can implement Medicaid waivers, which allow states to use Medicaid to fund services that address people’s health needs. Funding health-related services through Medicaid has been shown to improve health while reducing reliance on expensive emergency health care.
Medicaid can support housing stability.
States have new opportunities to use Medicaid to fund services that help people with disabilities experiencing homelessness or housing instability access and maintain housing, improving health outcomes and reducing reliance on crisis systems.
Housing and healthcare systems work better together.
CSH helps states, Medicaid agencies, healthcare organizations, and housing providers align policies and programs so people can access the services they need to remain stably housed.
Effective services require sustainable reimbursement.
CSH works with states and providers to understand the actual cost of delivering housing-related services and develop payment structures that support high-quality implementation.
State systems need practical implementation tools.
CSH develops state-specific strategies, technical assistance, and implementation resources that help housing and healthcare systems work together more effectively.
Community providers need support to participate in Medicaid.
Training and technical assistance can help community-based organizations navigate Medicaid requirements and expand access to housing-related services.
How CSH Helps States Leverage Medicaid
CSH works with state Medicaid agencies, housing agencies, healthcare organizations, and community providers to design and implement Medicaid policies that improve housing stability and health outcomes for people with disabilities who are experiencing homelessness or housing instability.

Related Resources
Summary of State Actions: Medicaid and Housing Services
This brief provides a detailed summary of state actions and lessons that can be replicated in your state.
Summary of State Actions: Payment Mechanisms and Rates for Housing Related Services
Highlights the states approved to cover Housing Related Services and their choices regarding payment mechanisms and rates.
Using Medicaid’s Housing Related Services (HRS) to Create New Supportive Housing
This brief highlights six strategies that states can use to grow supportive housing with Medicaid HRS.
The National Center for Housing + Health
Visit the National Center for Housing + Health, powered by CSH, to learn more about our Medicaid and state-policy work.

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