PARTNERING TO END HOMELESSNESS IN A CHANGING HEALTH CARE ENVIRONMENT Pamela S. Hyde, J.D. SAMHSA Administrator National Alliance to End Homelessness U.S.

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<ul><li><p>PARTNERING TO END HOMELESSNESS IN A CHANGING HEALTH CARE ENVIRONMENTPamela S. Hyde, J.D.SAMHSA AdministratorNational Alliance to End HomelessnessU.S. Interagency Council on Homelessness Washington, DC July 16, 2012</p></li><li><p>BEHAVIORAL HEALTH AND HOMELESSNESS Among sheltered homeless adults (HUD, 2010 Point-in-Time): 34.7 percent (~552,000) with substance used disorders (SUD)26.2 percent (~417,000) with serious mental illness (SMI) 46 percent (~732,000) with co-occurring disorders (COD)Of those using homeless residential services in 2010: 6.4 percent (&gt;100,000) reported a psychiatric facility, SA treatment facility, or hospital as their living arrangement the night before entryTEDS, 2010: Of the ~1.8 million treatment admissions aged 12 or , 12.7 percent were homeless at time of admission*</p></li><li><p>RECOVERY REQUIRES HOUSING **</p></li><li> 2014 MORE AMERICANS WILL HAVE HEALTH COVERAGE OPPORTUNITIES Currently, 37.9 million are uninsured </li><li><p>PREVALENCE OF BH CONDITIONS AMONG MEDICAID EXPANSION POPCI = Confidence IntervalSources: 2008 2010 National Survey of Drug Use and Health 2010 American Community Survey*</p></li><li><p>PROVIDERS ACCEPTING HEALTH INSURANCE PAYMENTSPrimary MH plus some SA: 85 percentPrimary SA: 56 percentOther (homeless shelters and social services): 37 percentResidential SA: 54 percentInpatient: 95 percentOutpatient: 68 percent</p><p>Source: NSATSS</p><p>*</p></li><li><p>SAMHSA ENROLLMENT ACTIVITIES Consumer Enrollment Assistance (thru BRSS TACS)Outreach/public educationEnrollment/re-determination assistancePlan comparison and selectionGrievance proceduresEligibility/enrollment communication materials </p><p>Enrollment Assistance Best Practices TA Toolkits</p><p>Communication Strategy Message Testing, Outreach to Stakeholder Groups, Webinars/Training Opportunities</p><p>SOAR Changes to Address New Environment</p><p>Data Work with ASPE and CMS</p><p>*</p></li><li><p>SAMHSA PROVIDER CAPACITY EFFORTSProvider Business Operations ContractBillingElectronic Health RecordsComplianceBusiness PlanningBeing in a Provider Network</p><p>Technical Assistance and Training</p><p>Workforce Issues</p></li><li><p>SAMHSA FUNDING TO ADDRESS HOMELESSNESS SAMHSAs 2012 homeless programs budget (PATH, GBHI &amp; SSH) is ~$139 millionSupport for 220 direct grantees and &gt; 600 PATH provider agencies in 50 states93 active grantees: GBHI, including CABHI and CSATs Services in Supportive Housing (SSH) and general grantees71 active grantees: SSH programs, supported by CMHS *</p></li><li><p>SAMHSAS CABHI PROGRAMSubprogram of GBHIA 3-year program that began in September 201131 active CABHI grantsCABHI Grantees: Development/implementation of programs integrating services and treatment for individuals who are chronically homeless number of individuals who are placed in permanent housing with supportive services provider capabilities to enroll individuals in mainstream benefit programs (e.g., Medicaid, SSI/SSDI, SNAP)*</p></li><li><p>CABHI COLLABORATION WITH HOUSING PARTNERS First 6 months, CABHI grantees placed &gt; 300 individuals into housing Funding sourcesU.S. Department of Housing and Urban Development:Supportive Housing ProgramProject-based vouchersShelter Plus Care vouchersSection 8 vouchersU.S. Department of Veterans Affairs Supportive Housing VouchersPublic and private program partnershipsLocal housing authorities*</p></li><li><p>COMMUNITY LIVING INITIATIVE (CLI) HHSs CLI promotes federal partnerships in support of the 1999 Olmstead decisionAs part of the CLI, HUD and HHS cooperated in the Housing Capacity Building Initiative for Community LivingCombines efforts among HUD, CMS and SAMHSAEncourages public housing agencies to establish persons transitioning from institutions as a priority population for public housing and Housing Choice vouchersAwarded ~ 1,000 of the 5,400 new Non-Elderly Disabled (NED) vouchers to individuals leaving institutions, including many in the CMS Money Follows the Person program*</p></li><li><p>2013: SAMHSA POLICY ACADEMY Focus on states or cities with high rates of chronic homelessnessFederal partners include HRSA, HUD, VA, CMS and ASPEProcess will rely heavily on web technology in providing TA and communicating with teamsTeams will include policymakers in housing, BH, Medicaid, criminal justice, labor, and veterans affairsConsumer leaders and members of State Interagency Councils, Continuums of Care, and Coalitions for the Homeless will participate*</p><p>********</p></li></ul>

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