全球智库信息集成服务系统

Key Findings:

• States are encouraging managed care plans to focus on the coordination of behavioral health and housing services. Three of the states in this study have required or allowed their Medicaid managed care plans to develop and reimburse care coordination strategies that focus on beneficiaries with housing needs. Three of the states are using waivers and/or State Plan Amendments to authorize enrollment of Medicaid beneficiaries in managed care and to provide services for people in supportive housing.
• States and managed care entities have created reimbursement mechanisms that facilitate care coordination. Ensuring that people who are homeless or unstably housed receive services to maintain their housing requires intensive human interactions, including those that take place in person and in the community. Representatives from the four states in this study emphasized that these high-need individuals require a commitment of time and resources from dedicated staff.
• State initiatives are fostering local partnerships between providers. Several providers, health plans, and state officials reported that local partnerships were key to the success of their efforts. Each state implemented financing mechanisms at the state level to facilitate and encourage collaborations among local providers. Such collaborations are particularly helpful in identifying limited housing resources, because Medicaid only covers physical and behavioral health services.