# Presentation: 560998

## AFFORDABLE ASSISTED

**AFFORDABLE ASSISTED**
**HOUSING PROJECT**

**Affordable Assisted Housing Project**
**Oakland County, Michigan**

_**Partners**_**:**
** ****Michigan State Housing Development Authority**
** ****American House Retirement Residences **
** ****Area Agency on Aging 1-B (AAA 1-B)**
** ****Macomb Oakland Regional Center (MORC)**
** ****US Congressman Joe Knollenberg**

**100 Tenant-Based Vouchers**

## AFFORDABLE ASSISTED HOUSING PROJECT

**AFFORDABLE ASSISTED HOUSING PROJECT**

** ****Assisted Living demonstration program using Housing Choice Voucher and Medicaid Waiver Programs**
** ****State Housing Authority, Local Medicaid Agencies and U.S. Congressman worked together to develop program **
** ****Partnership monitored progress of demonstration and  made program and policy changes where needed**
** ****The result: a successful and expanding program **

**BACKGROUND**

**MICHIGAN**

##  Participating County HA declares a preference for households with Medicaid Waivers

** ****Participating County HA declares a preference for households with Medicaid Waivers**
** ****Medicaid agencies identify Medicaid Waiver eligible individuals and assist with voucher application**
** ****Qualifying households use voucher and Medicaid subsidies to afford rent in an ALF **

**DESIGN**

**AFFORDABLE ASSISTED HOUSING PROJECT**

**MICHIGAN**

##  Participating PHA adopts preference for Medicaid Waiver households and opens waiting list (if closed)

** ****Participating PHA adopts preference for Medicaid Waiver households and opens waiting list (if closed)**
** ****Medicaid agency reviews PHA waiting list for Medicaid Waiver clients**
** ****Marketing letters sent to the remainder of waiting list**
** ****Medicaid agency markets program to area nursing homes and current clients**
** ****Pool of applicants identified and interviewed for HCV eligibility**

**PROCESS**

**AFFORDABLE ASSISTED HOUSING PROJECT**

**MICHIGAN**

##  Initial phase of the demonstration not successful:

** **_**Initial phase of the demonstration not successful**_**:**
** ****40% of income in rent rule limited ALF selection**
** ****Payment standard too low for ALFs**
** ****Need for increased communication and education between partner agencies**

**CHALLENGES/FAILURES/LESSONS LEARNED**

**AFFORDABLE ASSISTED HOUSING PROJECT**

**MICHIGAN**

##  Partnership addressed these issues: 

** **_**Partnership addressed these issues**_**:**** **
** ****Congressman Knollenberg sponsored legislation in FY 02 and 03 Appropriations Act allowing MI to exceed 40% of income limit **
** ****MSDHA increased payment standard to 110%**
** ****Improved communication and program knowledge between partners**

**CHALLENGES/FAILURES/LESSONS LEARNED**

**AFFORDABLE ASSISTED HOUSING PROJECT**

**MICHIGAN**

## Program Today:

_**Program Today**_**:**
** ****60 (out of 100 possible) households housed in ALF**
** ****8% of participants are former nursing home residents**
** ****Program costs State 50% less than nursing homes  **

**ACCOMPLISHMENTS/SUCCESSES/HIGHLIGHTS**

**AFFORDABLE ASSISTED HOUSING PROJECT**

**MICHIGAN**

## Program Limitations:

_**Program Limitations**_**:**
** ****Medicaid Waiver enrollment closed for past two years**
** ****New Governor committed to opening enrollment**
** ****Use of 110% FMR reduces subsidy dollars for other families**

**CHALLENGES/FAILURES/LESSONS LEARNED**

**AFFORDABLE ASSISTED HOUSING PROJECT**

**MICHIGAN**

##  Pairing tenant-based vouchers and Medicaid Waiver programs = Assisted Living affordable 

** ****Pairing tenant-based vouchers and Medicaid Waiver programs = Assisted Living affordable **
** ****Effective use of vouchers for ALFs requires a change in the 40% of income in rent limitation **
** ****To increase affordability, PHAs can base payment standard on 110% of FMR or ask HUD for an exception payment standard**

**SUMMATION  ****(Continued)**

**AFFORDABLE ASSISTED HOUSING PROJECT**

**MICHIGAN**

## Program under HANF:

_**Program under HANF**_**:**
** ****40% of Income in Rent rule – States decide the limitation of the % of income in rent**
** ****Payment Standards – States have flexibility to set payment standard to meet local market needs**
** ****Increased coordination with the State Medicaid Program**

**SUMMATION**

**AFFODABLE ASSISTED HOUSING PROJECT**

**MICHIGAN**