Medicaid Redesign Team Supportive Housing Initiative

The Medicaid Redesign Team (MRT) Supportive Housing Initiative invests into housing as a social determinant of health to improve the quality of care to the vulnerable Medicaid population. MRT provides funding for rental subsidies, support services and capital projects.

MRT Supportive Housing Evaluation

The Medicaid Redesign Team created numerous supportive housing programs to provide vulnerable high–cost Medicaid members with rental subsidies, new capital construction and pilot projects to test new models of care. Since 2012, over 12,000 high acuity Medicaid members have been served. Early findings demonstrate that investments in social determinants, such as housing, can have a profound impact on health care costs and utilization, including:

  • 40% reduction in inpatient days
  • 26% reduction in emergency department visits
  • 15% reduction in overall Medicaid health expenditures

Supportive Housing Programs

MRT Supportive Housing Capital Funding

New York State Homes and Community Renewal has issued an RFP for as part of the Supportive Housing Opportunity Program (SHOP). Approximately 20% of the SHOP awards will be directed to fund projects that serve the Medicaid Redesign Team Supportive Housing population of high-cost, high-need Medicaid clients.

http://www.nyshcr.org/funding/openwindow/2017/

Empire State Supportive Housing Initiative (ESSHI)

New York State is excited to announce the release of the third Empire State Supportive Housing Initiative (ESSHI) Request for Proposal (RFP). This RFP is a multi-agency initiative to provide service and operating funding aimed at creating or preserving over 100,000 affordable, and 6,000 supportive housing units. The third phase will provide $30 million in service and operating funding for 1,200 units of supportive housing statewide for persons identified as homeless with special needs, conditions and/or other life challenges.

Medicaid Redesign Team (MRT) Medicaid Set Aside
Projects of 15 or more ESSHI qualifying individuals, with 30 or more units in total, will set aside 25% of designated ESSHI units for high–cost, high–need Medicaid users.

The 2018 ESSHI RFP can be found on the OMH website:
https://www.omh.ny.gov/omhweb/rfp/2018/esshi

Access to Home program to provide home modifications (i.e. ramps, lifts, handrails, etc.) to high cost Medicaid members. Such modifications would enable these individuals to remain in their homes or transition back to their homes.

http://www.nyshcr.org/Programs/AccessToHome–Medicaid/

Housing rental subsidies and case management for up to 350 units in Brooklyn for single adults with a serious mental illness.

For more information, please visit the OMH Adult Housing page.

Housing rental subsidies and case management for up to 350 units statewide for single adults with a serious mental illness.

For more information, please visit the OMH Adult Housing page.

Capital and operating funding for crisis or step-down service units with 24/7 on–site support. Serves individuals with a serious mental illness who are being discharged from a NYS OMH Psychiatric Center, Article 28 or Article 31 hospital and are not yet ready for a full transition into the community; and individuals with behavioral health crisis who could be safely diverted from inpatient care. Stays limited to 7–28 days.

Supplemental funding of up to $5,000 per person for personal support plans for individuals with mental illness admitted directly to supported housing from state psychiatric centers, nursing homes, adult homes, or state prison.

Statewide rental subsides and service supports for single adults who are high-cost Medicaid participants, chronically addicted, and homeless or at risk of becoming homeless. Services include intensive case management, job development and counseling services and clinical supervision of direct service staff.

https://www.oasas.ny.gov/housing/initiatives/MRT.cfm

Funding is used to develop a full continuum of housing options which are community based and relocate individuals with developmental disabilities currently living in certified settings into more independent, less restrictive housing settings. These may include non–certified housing alternatives with supports as well as other evidenced based models and partnerships in housing alternatives. For service proposals that are approved, agencies would be required to develop support systems, and establish emergency on–call supports during hours when staff are not on duty.

https://opwdd.ny.gov/opwdd_resources/procurement_opportunities/request–for–new–services

Long–term tenant based rental assistance and supportive housing services for homeless or unstably housed, Health–Home–enrolled, HIV+ individuals. Supportive housing counselors help recipients locate and maintain housing and learn Health and Independent Living Skills.

For more information please visit: https://www.health.ny.gov/diseases/aids/general/about/housing.htm.

Rental assistance for homeless and unstably housed Health Home participants diagnosed with HIV infection but, at time of enrollment, medically ineligible for the existing HIV–specific enhanced rental assistance program for New Yorkers with AIDS or advanced HIV–illness.

For more information please visit: https://www.health.ny.gov/diseases/aids/general/about/housing.htm.

Rental subsidies and services for homeless or unstably housed, high cost Medicaid recipients enrolled in Health Homes.

2014 Awards: Medicaid Redesign Team Supportive Housing Health Home Pilot Project

New 2018 RFA: https://www.health.ny.gov/funding/rfa/17643/index.htm

Funding is provided for rental subsidies and community transitional services for seniors and adults with chronic disabilities who are homeless or unstably housed, have spent at least one hundred and twenty (120) consecutive days in a nursing home over the most recent two–year period, and can live safely in the community.

http://www.ilny.org/programs/ohs

Rent subsidies and services to offer elderly or disabled nursing home residents and homeless or unstably housed individuals requiring nursing home level of care an alternative pathway to community living.

Salvation Army (Onondaga County):
http://syracuseny.salvationarmy.org/SyracuseNY/news/pathways-to-independence.

Federation of Organizations (Nassau and Suffolk Counties):
http://fedoforg.org/sh_projects/community–housing–support/

Training and capital projects enabling Assisted Living Programs to serve special needs, high-cost Medicaid populations who currently lack congregate care settings tailored to their needs

Special Needs

Rental subsides for elderly or disabled SSI recipients living in NYC homeless shelters who are Health-Home eligible or require nursing home level of care.

https://otda.ny.gov/programs/housing/spu.asp

Ongoing rental subsidies for elderly or disabled Medicaid enrollees facing imminent eviction in New York City.

https://otda.ny.gov/programs/housing/spu.asp

NYSSHP provides operating funding for supportive housing programs that serve homeless persons with disabilities such as mental illness, chemical dependency, and/or HIV/AIDS.

https://otda.ny.gov/programs/housing/spu.asp

Service and Operating

Supportive Housing Service and Operating Funding:

New York State is issuing this RFP opportunity seeking to award the first year´s commitment of Governor Cuomo´s plan to build 6,000 units over the next five years, for the development and operation of 1200 units of Supportive Housing for persons identified as homeless with special needs, conditions or other life challenges. New York State will award service and operating funding for units of housing developed with capital funding to support the needs of the individuals residing in the units. Up to $25,000 per unit annually in services and operating funding is available through this RFP.

Projects eligible for this program include Medicaid Redesign Team (MRT) populations. One objective of this RFP is to link capital projects to develop supportive housing with the Services and Operating funding of this RFP.

Proposals are due within 45 days and conditional award notifications will be made at the end of August. Funds awarded through the Empire State RFP will finance the operation and services provided by supportive housing; construction funding is available through a number of other New York State and local capital funding programs and is not covered under this RFP.

Please see the attached link for additional detail: http://www.omh.ny.gov/omhweb/rfp/2016/es–support–housing/

Capital Funding

Supportive Housing Opportunity Program (SHOP):

Providing affordable, supportive housing for our most vulnerable populations across the State is a key tenet of HCR initiatives to create and preserve housing units. People with special housing needs live in nearly every community across the State and often lack the infrastructure – social and physical – to afford good quality, safe housing and the services they need to survive independently and live productively. SHOP provides financing assistance for site acquisition, hard costs and related soft costs associated with the new construction of or the adaptive reuse of a non–residential property to affordable supportive housing with on–site social services.

MRT capital funding is now available through the state–wide SHOP program. Funding can be applied through HCR´s NYS Housing Finance Agency (HFA) bonded financed projects: http://www.nyshcr.org/Funding/OpenWindow/2016/
There will also be additional funding opportunities for 9% Low Income Housing Tax Credit (LIHTC) under the 2016 Unified Funding Round.

MRT HHAP Capital Funding:

HHAP is administered through an open–ended RFP, meaning proposals are accepted for consideration on a continuous basis until it is determined that funds are no longer available for award. Opportunities can be found by visiting: www.otda.ny.gov/contracts/procurement–bid.asp

The Medicaid Redesign Team ("MRT") Supportive Housing Work Group allocated $47 million in funding is targeted for capital purposes to expand supportive housing units for high cost Medicaid populations. As well as funding to the Access to Homes program, to provide home modifications to Medicaid recipients. Modifications will allow individuals to remain in the community or transition back into the community. These funding opportunities can be found on the MRT website, as well as on the HCR and OTDA websites.

Guidance on Licensed and Unlicensed Community–Based Living Settings: An informational letter that outlines differences between the unlicensed and licensed options of the various long–term care residential options in New York State.

NYS Homes & Community Renewal (HCR): The MRT allocation plan for the State Fiscal Year 2015–2016 includes $34,000,000 in MRT capital funds to be awarded through HCR. The RFP can be downloaded from HCR´s website: http://www.nyshcr.org/Funding/UnifiedFundingMaterials/2015/.

MRT Access to Homes (HCR): The MRT allocation plan for the State Fiscal Year 2015–2016 includes $3,000,000 in funding for home modifications to enable Medicaid Members to stay housed in the community. The RFP can be downloaded from HCR´s website: http://www.nyshcr.org/.

MRT Homeless Housing and Assistance Program (HHAP): The MRT allocation plan for the State Fiscal Year 2015–2016 includes $10,000,000 in MRT capital funds to be awarded through the Homeless Housing and Assistance Program (HHAP). The RFP and Application are available to be downloaded from OTDA´s website: https://otda.ny.gov/contracts/procurement–bid.asp.

Since 2012, Governor Cuomo has allocated $388 million to fund MRT Supportive Housing initiatives. The plan expands capital statewide to all high–cost populations; continues all rental and service subsidy programs and pilots; invests in the development of tracking and evaluation for MRT funded projects; invests in several new initiatives including the implementation of original work group recommendations. SFY 2015–16 allocations are estimates and could be subject to change based upon the collection of measures, outcomes and/or new recommendations

Medicaid Redesign Team Supportive Housing Health Home Pilot Project

The Medicaid Redesign Team Supportive Housing Health Home Pilot Project will provide rental subsidies and/or on–site or community based services to provide housing for homeless or unstably house Medicaid members that are enrolled in New York State´s Health Home Program

  • Nursing Home to Independent Living Supportive Housing
    The Nursing Home to Independent Living Supportive Housing pilot will provide supportive housing services and rental subsidies to high–need Medicaid beneficiates specifically, for seniors and individuals with physical disabilities.
  • Senior Supportive Housing Services
    The Senior Supportive Housing Services pilot will provide capital improvements to increase accessibly, along with services for Medicaid eligible seniors.

The Medicaid Redesign Team ("MRT") Affordable Housing Work Group allocated $86 million in 2013–14 to fund various supportive housing initiatives. Of this amount, $36.376 million in funding is targeted for capital purposes to expand supportive housing units for high cost Medicaid populations. These funding opportunities can be found on the MRT website, as well as on the HCR and OTDA websites.

NYS Homes & Community Renewal (HCR): The MRT allocation plan for the State Fiscal Year 2013–2014 includes $23,150,000 in MRT capital funds to be awarded through HCR. The RFP can be downloaded from HCR´s website: http://www.nyshcr.org/.

MRT Homeless Housing and Assistance Program (HHAP): The MRT allocation plan for the State Fiscal Year 2013–2014 includes $13,226,000 in MRT capital funds to be awarded through the Homeless Housing and Assistance Program (HHAP). The RFP and Application are available to be downloaded from OTDA´s website: http://www.otda.ny.gov/contracts/2010/HHAP/.

For more information about the MRT Affordable Housing Work Group please visit: http://www.health.ny.gov/health_care/medicaid/redesign/supportive_housing_workgroup.htm

For MRT press releases and articles please see: Medicaid Redesign Team: News Articles and Clips

Please contact mrtsupportivehousing@health.ny.gov with any questions regarding these funding opportunities.