Finding Supportive Housing in Health Homes

www.TheNationalCouncil.org

Finding Supportive Housing in Health Homes

Mohini VenkateshNational Council for Community Behavioral Healthcare


The National Council: Serving and Leading• Represent over 1,950 community organizations that

provide safety net mental health and substance abuse treatment services to over six million adults, children and families

• National voice for legislation, regulations, policies, and practices that protect and expand access to effective mental health and addictions services



Making the CaseBehavioral Health + Primary Care

Source: Druss & Walker. “Mental disorders and medical comorbidity.” The Robert Wood Johnson Foundation Synthesis Project, February 2011.


New Paradigm: Treating The Whole Person

Accountable Care

Organizations(ACOs)

Coordinated Care

Organizations(CCOs)

NCQA Patient-Centered Medical Homes

(PCMH)

Health Homes(HHs)


Medicaid Health Homes – Section 2703• Goal: enhanced integration and coordination of primary, acute, behavioral health (mental health and substance use), and long-term services and supports for persons across the lifespan with chronic illness

• Anticipated results– lowered rates of emergency room use

– reduced hospital admissions and re-admissions

– reduced health care costs

– less reliance on long-term care facilities

– improved experience quality for clients


Eligibility Criteria

• To be eligible, individuals must have:– Two or more chronic conditions, OR– One condition and the risk of developing another, OR– At least one serious and persistent mental health condition

• The chronic conditions listed in statute include a mental health condition, a substance abuse disorder, asthma, diabetes, heart disease, and obesity (as evidenced by a BMI of > 25).

• States may add other conditions subject to approval by CMS


States to Date….

• 6 States with approved State Plans:• Missouri (2) – Behavioral Health and Primary Care• Rhode Island (2) – adults and children with SMI• New York – chronic behavioral and physical health• North Carolina - chronic behavioral and physical health• Oregon - chronic behavioral and physical health• Iowa - chronic behavioral and physical health• Ohio – children and adults with SED and SMI

• 4 states have submitted State Plans and await approval:• Alabama, Wisconsin, New York*, Washington

• 12 states are in proposal drafting/review process:


Supportive Housing in Health Homes: Social Determinants of Health

Adapted from Peggy Bailey, Senior Policy Analyst, Corporation for Supportive Housing


Supportive Housing in Health Homes: Making the CaseHelps Achieve Goals of Health Homes •Triple AIM – Improve Service Delivery, Better Outcomes, Control Costs•Improve Discharge Planning•Reduces No-Show Rates, Preventive Care and Patient Adherence to Doctor Advice

Adapted from Peggy Bailey, Senior Policy Analyst, Corporation for Supportive Housing


What’s in it for supportive housing providers?• Ability to develop partnerships/relationships with

health system partners – Access to Medicaid

– Better and more comprehensive services for residents

– Reassurance for developers



Mohini Venkatesh, [email protected]

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Documents

Finding Supportive Housing in Health Homes