In the absence of federal legislation, states are actively seeking tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states to stabilize their health insurance marketplace. SHVS is tracking state activity and has many resources, including a template, for states interested in pursuing a Section 1332 waiver.
Improving Care for Medicaid Beneficiaries Experiencing Homelessness
This issue brief stems from technical assistance provided to California’s Department of Health Care Services (DHCS), with support from RWJF’s State Health and Value Strategies (SHVS) program. The technical expert, Carol Wilkins, facilitated webinars and meetings with DHCS staff and medical directors of contracted Medicaid managed care organizations (MCOs), in order to share information about housing resources and emerging practices for improving care and achieving savings by linking more Medicaid beneficiaries with permanent supportive housing. Carol adapted the California-specific materials for a national audience and are included as handouts accompanying this brief. State agencies can use the handouts for discussion and training with Medicaid staff, providers, MCOs and other stakeholders.
The companion toolkit:
• Handout 1 – The basics of permanent supportive housing (for state agencies, health plans, and health care providers)
• Handout 2 – Understanding the homeless assistance system (for state agencies, health plans, and health care providers)
• Handout 3 – A local housing resource template (for state agencies and health plans)
• Handout 4 – How to screen Medicaid beneficiaries to identify those who are experiencing or at risk of homelessness (for health plans and health care providers)