Texas Crosswalk: Improving Medicaid Financing of Supportive Housing Services

This paper, with support from the Hogg Foundation for Mental Health and Enterprise Community Partners, details opportunities to improve Medicaid reimbursement for services in supportive housing. This investment would not only address the needs of vulnerable people, especially those experiencing chronic homelessness, but also reduce health system costs by directing people away from expensive emergency room, mental health crisis interventions, and inpatient care. We explore how Medicaid reimbursement is currently being used in Texas for supportive housing and identify opportunities to strengthen this connection. CSH contracted with Health and Disabilities Advocates to assist with conducting a Medicaid ‘crosswalk’ analysis which involved interviewing local supportive housing providers on their utilization of Medicaid billing and identifying opportunities for improvement.