[Fmhc] Fwd: FW: Leveraging Medicaid: A Guide to Using Medicaid Financing in Supportive Housing

[Michael Carbone]

Many of you have seen this already from the NDCH email; however, for
those who have not seen it, there is some useful information for those
involved with supportive housing.


---------- Forwarded message ----------
From: Mary Magnusson <MaryM at cap7.com>
Date: Nov 15, 2007 8:14 AM
Subject: Fwd: FW: Leveraging Medicaid: A Guide to Using Medicaid
Financing in Supportive Housing
To: Katie Schmidtke <katie at bchabis.com>, Diane Zainhofsky
<aarc at btinet.net>, Mike Zainhofsky <bcha at btinet.net>, Stacy Gieser
<ndfhc5 at btinet.net>, Stan Stelter <stans at btinet.net>, Bill Lopez
<billl at cableone.com>, Dan Danielson <danld at cableone.net>, Angel
Stanhope <AngelS at cap7.com>, Brenda Christensen <BrendaC at cap7.com>,
Carrie Trangsrud <CarrieT at cap7.com>, Linda Meyer <Lindam at cap7.com>,
Mary Magnusson <MaryM at cap7.com>, Keith Gilleshammer
<KeithGi at centreinc.org>, Dan Mahli <DMahli at cityoffargo.com>, Scott
Stenerson <SStenerson at cityoffargo.com>, Amanda Lupien
<Amanda at cviconline.org>, DiAnna Willis-Wanschaffe
<DiAnna at cviconline.org>, Grace Backman <grace at edha.org>, Jane Lundeen
<jlundeen at famhealthcare.org>, Jane Wiedewitsch
<janew at fargohousing.org>, Jill Elliott <jille at fargohousing.org>,
Michael Carbone <directorfmchp at gmail.com>, Jane Rurup
<pllp1124 at gondtc.com>, Lynda Berger <LBerger at grandforksgov.com>, Sue
Shirek <sshirek at grandforksgov.com>, Marie Williams
<center4change at hotmail.com>, Darianne Johnson
<darianne_dvrcc at hotmail.com>, Jackie Selburg
<jackieselburg at hotmail.com>, Mary Simonson <opendoorctr at hotmail.com>,
Bill Erickson <willied88 at hotmail.com>, Oswald Scantlebury
<oswald_s._scantlebury at hud.gov>, Cheri Larson <crlarson at ideaone.net>,
Edna Sailor Bergstad <SailorBergstad.Edna at jobcorps.org>, Dave Sena
<Dave at jointhemission.org>, Jody Larson <Jody at jointhemission.org>,
Ellen Davidson <edavidson at lakeregioncorp.com>, Marcia Paulson
<mpaulson at lssnd.org>, Susan Rae Helgeland <shelgeland at mhand.org>,
Marvelle Trowbridge <marvelle.fcs at midconetwork.com>, Niels Anderson
<flipminot at min.midco.net>, Dena Filler <denaf at minot.com>, Sue
Halvorson <fmddh at moorheadcity.com>, JoAnn Brundin <jbrundin at msn.com>,
Susan Clark <81clas at nd.gov>, Laura Bauer <85baul at nd.gov>, Curt
Armstrong <86armc at nd.gov>, Linda Everson <88evel at nd.gov>, Chadwick
Kramer <ckramer at nd.gov>, Heidi Pratt <hpratt at nd.gov>, Mike Shock
<mshock at nd.gov>, Tran Doan <tdoan at nd.gov>, Tabitha Morin
<tlmorin at nd.gov>, Laurie Garbel <laurie.garbel at nd.usda.gov>, Toni
Abrahamson <toni at ndaa.net>, DeeAnn Grundstad <dgrundstad at ndad.org>,
Brenda Boehler <mhabrenda at ndak.net>, Jane Martin <jmmartin at ndhfa.org>,
Sarah Mudder <smudder at ndhfa.org>, JoAnn Schaeffer
<ahdi at ndsupernet.com>, Jeanine Nichols <dvrcc at ndsupernet.com>, Wendy
Sundheim <wendydcil at ndsupernet.com>, Mary McConnell
<mary at prairieharvest.net>, Rachel Hafner <rachel at prairieharvest.net>,
Jessica Thomasson <jessicathomasson at q.com>, Sue Martin
<suem at rmhh.org>, Danielle Conrad <DConrad at rrvca.com>, Karen Schelinder
<kschelinder at rrvca.com>, Denise Mullen <DeniseM at sendcaa.org>, Cheryl
Thiessen <Cheryl.Thiessen at sendit.nodak.edu>, Julie McCroskey
<jmccroskey at sharehouse.org>, Debra Kunkel <debywca at srt.com>, Louis
McLeod <mahc at srt.com>, Marla Kulig <rehab at srt.com>, Jay Klabunde
<rsi6 at srt.com>, Dawn Bonner <81bond at state.nd.us>, Rich Egeberg
<81eger at state.nd.us>, Niels Anderson <82andn at state.nd.us>, Gerri
Anderson <84andg at state.nd.us>, Dennis Nunberg <dnunberg at state.nd.us>,
Flo Hilzendeger <fhilzendeger at state.nd.us>, Robyn Schmalenberger
<rschmale at state.nd.us>, JoAnne Hoesel <sohoej at state.nd.us>, "Dawn R.
Pearson" <sopead at state.nd.us>, Lauren Sauer <sosaul at state.nd.us>, Mark
Ulrich <ndioof at stellarnet.com>, Tina Anderson
<tsc at thirdstreetclinic.org>, Brenda Kreideman
<brenda_kreideman at usc.salvationarmy.org>, Fran Geisler
<Fran_Geisler at usc.salvationarmy.org>, Linda Beauchamp
<lindy_beauchamp at usc.salvationarmy.org>, Timothy Milller
<timothy_miller at usc.salvationarmy.org>, Linda DeCoteau
<lindad at utma.com>, Michael Danielski <michael.danielski at va.gov>,
Janelle Olson <mfrc at westriv.com>, Lisa Weisz <warc at westriv.com>,
DeeAnn Long <deeannl at willistoncap.org>, Tracey Cox
<traceyc at willistoncap.org>, Claire Coffey <cclee_77 at yahoo.com>, Deb
Johnson <djohnsonphf at yahoo.com>, Joyce Morin <grandmaof57 at yahoo.com>,
Jeannie Messall <jmems40 at yahoo.com>, Lora Papachek
<lpapachek at yahoo.com>, Darrell Charette <muggiecharette at yahoo.com>,
Denise Mikkelson <dmikkelson at ywcacassclay.org>, Judy Green
<jgreen at ywcacassclay.org>, Karen Carlson <kcarlson at ywcacassclay.org>




Forwarding this resource from the Corporation for Supportive Housing
________________________________


From: Charlene M. Flaherty [mailto:charlene.flaherty at csh.org]
Sent: Wednesday, November 14, 2007 3:57 PM
To: Edna Sailor Bergstad
Subject: RE: Leveraging Medicaid: A Guide to Using Medicaid Financing
in Supportive Housing



You encourage me!


________________________________


From: Edna Sailor Bergstad [mailto:SailorBergstad.Edna at jobcorps.org]
Sent: Wednesday, November 14, 2007 2:55 PM
To: Charlene M. Flaherty
Subject: RE: Leveraging Medicaid: A Guide to Using Medicaid Financing
in Supportive Housing



Thank you. I have passed this on to our team in Minot.


________________________________


From: Charlene M. Flaherty [mailto:charlene.flaherty at csh.org]
Sent: Wednesday, November 14, 2007 3:34 PM
Subject: Leveraging Medicaid: A Guide to Using Medicaid Financing in
Supportive Housing



Greetings!



Financing for supportive services for permanent housing for homeless
individuals and families can pose a significant challenge to
communities. Medicaid, although not the "golden egg", is an essential
resource for services funding. Attached is a preview edition of
Leveraging Medicaid: A Guide to Using Medicaid Financing in Supportive
Housing, which was made available at the CSH Supportive Housing
Leadership Forum in Arlington, VA on November 8-9th.  Please use the
Guide as a resource and pass it on to others who have an interest in
this subject.



The following overview is from the introduction to the Guide:



"Medicaid plays a critical role in financing services and supports for
many individuals needing permanent supportive housing (PSH). However,
because of the complexity of the Medicaid program, supportive housing
providers and local and state government agencies are not always able
to access these resources systematically. Adding to the complexity,
recent federal legislation and regulations continue to change the
program. The Deficit Reduction Act of 2005, the regulations regarding
rehabilitative services and pending policies regarding the use of
targeted case management provide opportunities and challenges to state
and local agencies. Some of these changes provide the state Medicaid
program with additional flexibility in defining a benefit package for
certain populations. In other instances, the Centers for Medicare and
Medicaid Services (CMS), the federal agency that oversees the Medicaid
program, is clarifying the intent and scope of various Medicaid
services.



This paper provides an overview of how these strategies may affect the
use of Medicaid to finance services and supports for individuals in
Permanent Supportive Housing (PSH). Specifically the purpose of this
guide is to:


Define a service taxonomy that could serve as a basic benefit package
for individuals in permanent supportive housing.
Provide policy-makers additional guidance about how the coverage of
these services could be incorporated into a CMS regulation, policy
transmittal or other documents.
Assist CMS in its efforts to evaluate request from states for services
and supports.
Give states more clarity about which services are eligible for Federal
Financial
Participation (FFP) and under what conditions; this will make it
easier for states to:
Amend the state Medicaid plan, or modify procedures for implementation
of current state plan to add services or redefine existing services,
Modify plan or administrative provisions that may limit the locations
where covered services can be delivered, provider qualifications,
etc., and
Apply for waivers when needed.
Give States a standardized way to talk about, compare, set quality
standards and pay for services and/or contract with Medicaid managed
care organizations using Medicaid and other sources of funding which
may be available for a range of health services.
Give Counties, service providers and advocates a tool with which to
approach State Medicaid programs seeking funding and collaboration.




This paper provides a basic overview of the Medicaid program and
critical regulations that govern current Medicaid State Plans and
certain Waiver programs. The paper sets forth a proposed taxonomy for
individuals who need PSH and identifies which services could be
covered under certain Medicaid programs. The paper also identifies the
various strategies that policymakers may consider to cover and obtain
reimbursement for these services. For each strategy, this paper
provides:


Possible populations and services that could be covered by these programs,
Advantages and challenges presented to states for each strategy
Recent example of how a state used the strategy to finance services.



The final section suggests specific steps that a state may want to
consider to seek coverage for various Medicaid services for
individuals needing permanent supportive housing.



Charlene Moran Flaherty

State and Local Policy

Corporation for Supportive Housing

T: (480) 390-1899

C: (480) 203-8131

www.csh.org






-- 
Michael Carbone
Executive Director
FM Coalition for Homeless Persons
P.O. Box 862
Moorhead MN 56561
701-364-2697 office
701-232-2590 fax


THE MISSION of the Fargo Moorhead Coalition for Homeless Persons is to
increase access to services for people facing homelessness and provide
homeless awareness, education and advocacy in the FM area.

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