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Welcome!We will begin shortly.
PHONE DIAL-IN: 1-877-860-3058 (727212)
Please MUTE yourself. DO NOT put us on “hold.” 1
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Mainstream Vouchers: What Works and What’s Next
July 29, 2019
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Housekeeping Notes
• You are currently on mute. You can unmute yourself during the discussion portion of the webinar to ask questions and respond/participate.
• Share any questions you have for the presenters or your colleagues in the chat function.
• Report any technical issues via chat.3
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Introductions
Council of Large Public Housing AuthoritiesSteve Lucas, Health Research and Policy Manager
Emily Warren, Sr. Research and Policy Analyst
Corporation for Supportive HousingMarcella Maguire, Director of Health Integration
Jane Bilger, Senior Program Manager4
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Today’s Agenda
1. Overview of Mainstream Voucher Program2. What You Should Know about the New NOFA3. Essential Service Providers: Roles and Reach4. Challenges and Solutions with Mainstream5. Peer-to-Peer Dialogue
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Mainstream Voucher Program Overview
• What are the program’s goals?• How is this different from NED2?• Potential to integrate non-elderly persons with disabilities
into the community and to deepen relationships with local health providers
• Applications due September 5
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How is Mainstream Different?
Applying lessons from NED evaluation:• Importance of partnerships for providing supportive
services• Centralized tracking and data sharing agreements• Expanding geographic choice
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Mainstream Voucher Program Timeline
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FY2017 FY2018 FY2019Funding Approved by Congress
$120 million($13M new, $107 renewals)
$505 million($385M new, $120M renewals)
$225 million($41M new, $184M renewals)
Distribution of Funds
Renewals 1st NOFA ($99 million) n/a
2nd NOFA ($150 million)
Funds Remaining for New Vouchers (cumulative year-to-year)
$13 million $149 million $190 million
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Mainstream Voucher NOFAs
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First NOFA Second NOFA Third NOFAReleased April 2018Awarded Sept. 2018
Released July 2019Applications due Sept. 5, 2019
Expected in 2020
All PHAs eligible All PHAs eligible Only PHAs awarded Mainstream Vouchers from 1st
or 2nd NOFAUp to $100 million awarded Up to $150 million awarded TBD (up to $190M remaining)
• Awarded $99+ million• 286 awards (12K vouchers)• Maximum number of
vouchers awarded: 99
• ~300 awards• ~18K vouchers• Maximum of $3M per PHA
n/a
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Changes from Previous NOFA
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Statement of NeedNew Targeted
GroupPeople who are eligible & currently in a permanent supportive housing
or rapid re-housing program
No Geographic Preference
for PHAs with state-wide program or those offering portability option
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NOFA Scoring
• Prior Experience Assisting Persons w/ Disabilities – 20 pts• Admissions Preference – 15 pts• Program Resources – 50 pts• Achieving Results/Program Evaluation – 15 pts
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Implementation
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What have we learned to date?
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Challenges & Solutions
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WaitlistIdentifying Qualified
Applicants
Verifying Disability
Status
Adding New People to Waitlist
NavigationMainstream
Search Capacity
Typical HCV Market Issues
ServicesQualifying for
Disability Services
Connecting Residents to
Supports
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Challenges & Solutions
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WaitlistIdentifying Qualified
Applicants
Verifying Disability
Status
Adding New People to Waitlist
• Working from waitlist vs. referrals from providers
In Summer 2018, HUD clarified that:• All Mainstream admissions must come from the PHA’s
waiting list• PHAs must maintain one waiting list for all HCV
assistance• PHAs may open their waiting list only for applicants
meeting eligibility criteria for the Mainstream Voucher program
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Challenges & Solutions
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WaitlistIdentifying Qualified
Applicants
Verifying Disability
Status
Adding New People to Waitlist
• Disconnect between existing waitlist and individuals eligible for partners’ services
• Self-reported disability status vs. verified disability
• Homelessness eligibility
• Challenges associated with opening waitlist
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Challenges & Solutions
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NavigationMainstream
Search Capacity
Typical HCV Market Issues
• Service providers’ capacity to support with housing search can be critical to success
• PHA internal capacity to assist with housing search
• 80% utilization rate by end of 2019
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Challenges & Solutions
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ServicesQualifying for
Disability Services
Connecting Residents to
Supports
• Matching disability support service needs with applicants/residents of Mainstream Voucher program
• Completeness of service partner “network”
• Connecting residents with appropriate support services given level of need and location
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Partnerships
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Behavioral Health
PHAs use service partners to:• Identify eligible individuals from waitlist• Promote waitlist opening for Mainstream• Support applicants (e.g. provide verification)• Provide housing search assistance• Deliver support services after move-in
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Questions for Potential Service Partners
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•How does someone quality for your services? • Income? Disability Status?•How does someone prove eligibility for your service?
Eligibility
•How many people do you serve? •What is your capacity to serve more/new cases?Scale•Can we determine who is on a waitlist AND who is
served by each services agency (i.e. which disabilities do they serve?)Data Sharing
•Can your agency serve more people? Can our HA refer?•Does your services partner understand Housing
Navigation ServicesCapacity
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Priorities & Resources: Housing
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Local
Federal HUD
State Housing Finance
Agencies
Housing Authorities
Community Redevelopment
Authorities
Continuum of Care
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Priorities & Resources: Medicaid
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Local
State or Local
State
Federal CMS
State Medicaid Office
Managed Care
State Program Offices
Hospitals and
Health Systems
Comm-based
providers (e.g. FQHCs)
Private Practices
$$
$$$$
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Priorities & Resources: Mental Health
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Local
State or Local
State
Federal SAMHSA
State Mental Health and/or Drug and Alcohol Programs
County Behavioral Health Authority
Community Mental Health Centers
Addiction Services
Providers
Local Non Profits
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Priorities & Resources: Aging
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Local
State or Local
State
Federal Administration for Community Living
State Aging Office
Area Agency on Aging or ADRC
Community Based
Organizations
Waiver Services
Providers
Private Practices
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Priorities & Resources: Developmental Disabilities
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Local
State or Local
State
Federal Administration for Community Living
State DD Office
County DD office
DD Services Providers
Waiver Services
Providers
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Working with These Partners
• All of these agencies know VERY little about your area of expertise. EDUCATE!• These agencies are experts in their respective areas. LEARN!• We all talk in acronyms. Explain yourself to your cross-sector partners• All partners have limited resources, capacity and great need. Kindness goes a
LONG way. • Engage and network for the long term. • Be strategic about who is engaged. Start with leadership buy in and then move
to partners with similar job roles across agencies and sectors. • Partnerships take more time than working with one agency. Factor this into
your timeframes.
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Open Discussion
Can you share some insights from your experience with the Mainstream program?
What questions do you have for others?
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Mainstream Voucher ProgramAdditional Resources
• NED 2 Impact analysis: https://aspe.hhs.gov/system/files/pdf/76986/Cat2Housing.pdf
• HUD’s NOFA FAQ: https://www.hud.gov/sites/dfiles/PIH/documents/FY19_Mainstream_Q&A.pdf
• 2019 NOFA, HUD webinar: https://www.hud.gov/program_offices/public_indian_housing/programs/hcv/mainstream
• Administration on Community Living (ACL), list of Centers for Independent Living (CILs): https://acl.gov/programs/centers-independent-living/list-cils-and-spils
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Thank you!Steve Lucas: [email protected]
Emily Warren: [email protected]
Marcella Maguire: [email protected] Bilger: [email protected]
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