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Finding Supportive Housing in Health Homes

Finding Supportive Housing in Health Homes. Mohini Venkatesh National Council for Community Behavioral Healthcare. The National Council: Serving and Leading.

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Finding Supportive Housing in Health Homes

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  1. Finding Supportive Housing in Health Homes Mohini Venkatesh National Council for Community Behavioral Healthcare

  2. 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

  3. Making the CaseBehavioral Health + Primary Care Source: Druss & Walker. “Mental disorders and medical comorbidity.” The Robert Wood Johnson Foundation Synthesis Project, February 2011.

  4. New Paradigm: Treating The Whole Person Accountable Care Organizations (ACOs) NCQA Patient-Centered Medical Homes (PCMH) Coordinated Care Organizations (CCOs) Health Homes (HHs)

  5. 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

  6. 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 amental 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

  7. 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:

  8. Supportive Housing in Health Homes: Social Determinants of Health Adapted from Peggy Bailey, Senior Policy Analyst, Corporation for Supportive Housing

  9. Supportive Housing in Health Homes: Making the Case Helps 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

  10. 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

  11. Mohini Venkatesh, MPHMohiniV@thenationalcouncil.orgwww.thenationalcouncil.org

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