Expanded Opportunities with 

Federal Funding for 

Housing and Services

March 7, 2022

Webinar
Welcome

Webinar is hosted by the 

Housing and Services Resource Center

Facilitator

Lori Gerhard, Director of the Office of Interagency 

Innovation, Administration for Community Living
Instructions for Zoom

Audio Options

• Use your computer speakers, OR dial in using 

the phone number in your registration email.

• All participants are muted.

Questions and Comments

• Please actively use chat throughout the meeting, 

especially for your comments.

• To ask a presenter a question, please use the 

Q&A function.

Or, send your question or comment via email to 

HSRC@ACL.HHS.GOV

3

This event is being recorded.
1st Poll: Who Is with Us?

What sector is your organization in?

• Health or Human Service Agency

• Housing or Homelessness Services

• Health Care Provider or System

• Community Development Organization

• Association, Research, or Advocacy Organization

• Consumer

• Other
Today’s Agenda

Opening Remarks

Federal Agency Partnerships & Opportunities 

• Michelle Daly, MSW, Lead Public Health Advisor, Co-Occurring and 

Homeless Activities Branch, Center for Substance Abuse Treatment, 

Substance Abuse and Mental Health Services Administration (SAMHSA)

• Richard Cho, PhD, Senior Advisor for Housing Services, US Department of 

Housing and Urban Development (HUD)

• Martha Egan, Technical Director, Division of Community Systems 

Transformation, Disabled and Elderly Health Programs Group, Center for 

Medicaid and CHIP Services, Centers for Medicare and Medicaid Services 

(CMS)

Questions & Answers

Closing

5
Challenges

Finding and Obtaining Affordable and Accessible Housing

– A 2021 report found there were only 40 affordable and available homes for 

every 100 extremely low-income renter households nationwide. 

– Under 1% of US housing stock is wheelchair accessible, and less than 5% 

can accommodate individuals with moderate mobility disabilities.

Homelessness is Growing Among People with Disabilities & Older Adults

– HUD’s 2018 Annual Homeless Assessment Report indicates that 48.5% of 

single adults and heads of households who used homeless shelters over the 

course of a year report having a disability: approximately 550,000 people.

– Per HUD’s 2018 Annual Homeless Assessment Report, the number of 

sheltered homeless aged 51–61 increased from about 216,000 in 2007 to 

249,000 in 2017.

– The number of people experiencing sheltered homelessness also rose for 

those 62 and older, from 46,000 to 76,500. Older adults now make up 23 

percent of the sheltered homeless population, up from 16.5 percent in 2007.

Finding, Navigating & Obtaining Services & Supports

6
Connecting the Housing Sector and 

Community Living Network
1. Coordinate Technical Assistance

2. Facilitate Partnerships

3. Recognize and Share Innovations

4. Leverage and Align Resources

Learn more at: acl.gov/HousingAndServices

8
Poll Results

9
Administration for Community Living 

(ACL)

Mission — To make community living a reality for all people, regardless of 

disability or age.

Vision — For all people, regardless of age and disability, to live with dignity, 

make their own choices, and participate fully in society.

Opportunity — Create Partnerships. Community living doesn’t fit neatly into one 

agency or even one Department. It involves access to community services, 

health care, housing, employment, inclusive education, transportation and more. 

Impact — Support networks of disability and aging organizations in all 50 states 

and in the US territories. Over 20,000 community-based organizations that 

collectively provide direct services, legal advocacy, and work on systems change 

for older adults, people with disabilities and their families.

10
The Disability and Aging Networks

• Aging & Disability Resource 

Centers/No Wrong Door 

Systems (ADRC/NWD 

Systems)

• Area Agencies on Aging

• Centers for Independent 

Living

• Councils on Developmental 

Disabilities

• Elder Rights & Services

• Adult Protective Services

• Assistive Technology Act 

Programs

• Benefits Enrollment Centers

• Protection & Advocacy 

Programs

• University Centers of 

Excellence for 

Developmental Disabilities
The Disability and Aging Services Network

• Aging and disability organizations (AAAs, CILs, and 

other CBOs) reach into every community across the 

nation and serve diverse populations. 

• Staffed by people who live in and know the 

community and culture.

• Decades of experience in helping people access 

and receive home and community-based services, 

housing and housing related services. 

• Engage in partnerships to streamline access to 

services for the people we serve.

12
American Rescue Plan

$1.4 billion in Older Americans Act funding to 

states and communities to provide services and 

supports to older adults to live in the community.

• In home supports 

• Transportation 

• Assistive technology 

• Preventive services 

• Meals 

• Care transitions out of institutions and hospitals

• Programs to address social isolation

13
How Do I Find Disability & Aging 

Network Agencies?

• Disability Information & Access Line (new!) 

– Call 888-677-1199 Monday-Friday from 9 am to 8 pm 

(Eastern)

– Email DIAL@usaginganddisability.org

• Eldercare Locator: 

https://eldercare.acl.gov/Public/Index.aspx

• Assistive Technology Act Program: 

https://www.at3center.net/stateprogram
Expanded Opportunities with Federal Funding for 

Housing and Services

Michelle Daly

Substance Abuse and Mental Health Services Administration

U.S. Department of Health and Human Services

March 7, 2022
Mental Illness and Substance Use Disorders in America

Among those with a substance use disorder:

4 IN 9 (44.4% or 17.2M) struggled with illicit drugs

7 IN 10 (71.4% or 27.6M) struggled with alcohol use

2 IN 13 (15.8% or 6.1M) struggled with illicit drugs and alcohol

15.4%

(38.7 

MILLION) 

People aged 18 

or older had a 

substance use 

disorder (SUD)

Among those with a mental illness:

1 IN 4 (26.9% or 14.2M) had a serious mental illness

PAST YEAR, 2020 NSDUH, 18+

21.0% 

(52.9 

MILLION)

People aged 18 

or older had a 

mental illness

6.7% 

(17.0 MILLION) 

People 18 or 

older had BOTH 

an SUD and a 

mental illness

In 2020, 73.8M Americans had a mental 

illness and/or substance use disorder.

16
SAMHSA Grant Program Examples for Housing Support

• CMHS Community Mental Health Services Block Grant (MHBG)

• CSAT/CSAP Substance Abuse Prevention and Treatment Block Grant 

(SABG)

• CSAT State Opioid Response (SOR) Program

• CMHS Projects for Assistance in transition from Homelessness (PATH)

• CMHS Treatment for Individuals Experiencing Homelessness (TIEH)

• CSAT Grants for the Benefit of Homeless Individuals (GBHI)

17
CMHS Community Mental Health Services Block Grant (MHBG)

The MHBG program provides funds and technical assistance to all 50 states, the District of Columbia, Puerto Rico, the 

U.S. Virgin Islands, and 6 Pacific jurisdictions. Grantees use the funds to provide comprehensive, community-based 

mental health services to adults with serious mental illnesses (SMI) and to children with serious emotional 

disturbances (SED) and to monitor progress in implementing a comprehensive, community-based mental health 

system. CMHS provides states and practitioners with evidence-based treatment service protocols to improve and 

expand access to those in need of services.

• SAMHSA's Center for Mental Health Services’ (CMHS) Division of State and Community Systems Development 

(DSCSD) administers MHBG funds. Grantees can be flexible in the use of funds for both new and unique programs 

or to supplement their current activities serving:

• Adults with SMI—Includes persons age 18 and older who have a diagnosable behavioral, mental, or 

emotional condition—as defined by the Psychiatric Association’s Diagnostic and Statistical Manual (DSM) of 

Mental Disorders. Their condition substantially interferes with, or limits, one or more major life activities, 

such as:

• Basic daily living (for example, eating or dressing)

• Instrumental living (for example, taking prescribed medications or getting around the community)

• Participating in a family, school, or workplace

• Children with SED—Includes persons up to age 18 who have a diagnosable behavioral, mental, or emotional 

issue (as defined by the DSM). This condition results in a functional impairment that substantially interferes 

with, or limits, a child’s role or functioning in family, school, or community activities.

18
CMHS MHBG, cont.

• As part of the Community Mental Health Services Block grant funding, states 

must submit a plan to provide comprehensive community mental health 

services to adults with serious mental illness (including older adults), children 

with serious emotional disturbance, and people with SMI/SED and co-occurring 

substance use disorders

• The plan must provide for an organized, integrated, and comprehensive 

community-based system of care

• The plan must include health and mental services needed for a person to 

function outside of institutional/in-patient care and provide for a system of case 

management

• The state plans must describe the states’ outreach to and services for individuals 

who are homeless with SMI/SED

19
Use of MHBG Funds for People Who Need Support to Maintain Housing

Examples of how MHBG funds can be used to assist people with SMI/SED who 

need support to maintain housing:

• Funds can be used to support intensive case management

• Funds can be used to support mental health and co-occurring disorder treatment, including 

services in the home

• Funds can be used for day treatment programs

• Funds can be used for peer support services

• Funds can be used to coordinate services at the state level with the State Units on Aging, State 

Independent Living Councils, State Councils on Developmental Disabilities, State Housing 

Authorities, and others

• Funds can be used to coordinate services at the local level with Area Agencies on Aging, Aging 

and Disability Resource Centers, Centers for Independent Living, agencies serving people with 

developmental disabilities, and others

20
MHBG Housing examples

Population Activities MHBG, including COVID-19 and ARP

MHBG funds must be used to 

serve adults with SMI and 

children with SED – who may 

also be

veterans, individuals returning 

to the community from a 

correctional setting, transition 

age youth (including LGBTQ 

youth having difficulty finding 

permanent housing), people 

returning to the community 

after hospitalization, those in 

rural areas, older adults, people 

with co-occurring disorders, and 

others.

• Case Management to assist people to find 

available rental assistance and housing 

supports

• Recovery services and behavioral health 

care provided through Community Mental 

Health Centers or Certified Community 

Behavioral Health Centers

• Expand Rapid Rehousing Funds -

administrative costs and treatment services 

for people with co-occurring disorders; 

• Provide increased outpatient access, 

including same-day or next-day 

appointments, for those in crisis

• Develop outpatient intensive Crisis 

Stabilization Teams to avert and address 

crisis

• Assertive Community Treatment teams to 

assist people with SMI and SED with 

treatment and support

• Work with Public Housing Authorities and 

other housing providers to support people 

with SMI/SED

• Assist people to connect with available 

benefits

• Develop/maintain supported Housing

• Assist people in transition from institutions 

to permanent supportive housing

• Assist people with co-occurring disorders 

obtain permanent housing

• Support people with SMI to maintain 

permanent housing

• Assist individuals using peer support

21
CSAT/CSAP Substance Abuse Prevention and Treatment Block Grant (SABG)

The SABG program was authorized by Congress to provide funds to all 50 States, the 

District of Columbia, Puerto Rico, the U.S. Virgin Islands, 6 Pacific jurisdictions, and 1 

tribal entity for the purpose of planning, implementing, and evaluating activities to 

prevent and treat substance use disorders and is the largest Federal program 

dedicated to improving publicly-funded substance use disorder prevention and 

treatment systems.

The Center For Substance Abuse Prevention (CSAP) and Center For Substance Abuse 

Treatment (CSAT) administer the Block Grant. For purposes of this Presentation, we 

will focus on Treatment. CSAT provides states and practitioners with evidence-based 

treatment service protocols to improve and expand access to those in need of 

services; while providing State’s with effective strategies to Collect, Monitor, Measure, 

and Report Performance Indicators and Outcomes. 

22
CSAT/CSAP SABG, cont.

• SAMHSA allocates Substance Abuse Prevention and Treatment Block Grant (SABG) 

Program (a formula grant) to states to: 

o Prevent substance use disorders (SUDs),

o Treat SUDs, and 

o Promote Public Health 

• States, in turn, allocate SABG funds to subrecipients within their states. In the SUD 

treatment system, subrecipients might include SUD treatment providers who are 

non-profit community providers, faith-based organizations, intermediary 

organizations, and/or behavioral health providers, who provide SUD treatment, 

prevention activities and recovery support services to individuals, families, and 

communities impacted by SUD.

23
SABG Appropriations

There have been three recent investments in the Substance Abuse and Mental Health Services Administration’s 

(SAMHSA) Substance Abuse Prevention and Treatment (SABG) Block Grant.

Consolidated Appropriations Act: In December 2020, Congress approved, and then-President Trump signed the 

Consolidated Appropriations Act of 2021 (P.L. 116-260). The law includes, among many provisions, two separate 

investments in the SABG Block Grant: $1.858 billion though the annual or “regular” FY 2021 appropriations process and 

$1.65 billion in supplemental funding provided as part of the law’s section dedicated to COVID-19 relief.

The American Rescue Plan: In March 2021, Congress approved, and President Biden signed the American Rescue Plan

Act of 2021 (P.L. 117-2). The law includes an additional separate allotment in the SABG Block Grant: $1.5 billion in

longer term supplemental funding for the SABG Block Grant.

Annual FY 2021 Appropriations as part of Consolidated Appropriations Act (December 2020) (SABG)

Total appropriation: $1.858 billion Timeline: States have until September 30, 2022, to spend these funds.

Supplemental Funding as part of Consolidated Appropriations Act (December 2020) (COVID-19)

Total appropriation: $1.65 billion Timeline: States have until March 14, 2023, to spend these supplemental funds. 

Supplemental Funding as part of the American Rescue Plan Act (March 2021) (ARPA)

Total appropriation: $1.5 billion Timeline: States until September 30, 2025, to spend these supplemental funds.

24
SABG Statute re: Housing

The use of SABG funds for rental payments to support individuals in recovery 

housing is only authorized under the provision permitting the establishment of 

the revolving loan fund, which finances the costs of establishing group housing 

programs for individuals in recovery. Section 1925 of Title XIX, Part B, Subpart II of 

the Public Health Service (PHS) Act (42 USC§ 300x-25) and 45 CFR § 96.129 

authorizes states and jurisdictions to set aside at least $100,000 to establish and 

maintain the ongoing operation of a revolving fund to make loans for the costs of 

establishing group homes for individuals recovering from substance use disorders. 

States could comply with this revolving fund requirement by either establishing 

the fund directly or through a grant or contract with a nonprofit entity as well as 

use state or federal funds to maintain the minimum balance. 

The SABG statute authorizes expenditure of funds "only for the purpose of 

planning, carrying out, and evaluating activities to prevent and treat substance 

abuse and for related tuberculosis and HIV early intervention service activities" 

(please see Section 1921 (b), PHS Act (42 U.S.C. § 300x-2l(b)).

25
SABG Statute re: Housing, cont.

• The use of block grant funds for rental payments or housing programs outside of the revolving fund 

provision is not an authorized substance abuse prevention or treatment activity. States should adopt 

the standards for recovery residences set forth by the National Association of Recovery Residences 

(NARR)

• Services provided in recovery residences vary but include peer-to-peer recovery support for all 

residents as well as medical and counseling services for those requiring a higher level of support. 

• To the extent that ‘you’ wish to expend funds for substance abuse services provided in recovery 

residences, such use is permissible;

• While housing costs and rental payments are not authorized under the program statute, 

expenditures for substance abuse treatment and recovery support services provided to individuals in 

recovery homes is a permissible use of SABG funds. Likewise, the payment of an expense for 

substance abuse services (clinical treatment/recovery services) in a substance abuse program under 

which housing may be an inextricable component of the overall program is also permissible. The 

difference is that it is not a housing program, but a substance abuse program. SAMHSA must review 

and authorize any plans that propose to expend funds for this type of activity to ensure that it is in 

fact an authorized activity under the block grant.

26
SABG Housing examples

Population Activities SABG, including COVID-19 and ARP

Pregnant women and women 

with children, Families, 

Veterans,

Single males, 

Individuals returning to 

community from a correctional 

setting 

• Rental assistance and housing location supports

• Primary and behavioral health care 

• Housing stabilization services including rental 

assistance for individuals with SUD/OUD, COD 

while transitioning into the community and 

receiving recovery supports 

• Expand recovery housing in the state via more 

oxford houses 

• Expand Rapid Rehousing Funds - administrative 

costs and supportive services; 

• Housing Initiative – Initiatives to Address Housing 

Instability and Homelessness

• Create an online searchable tool to connect 

people with SUD/COD conditions to housing 

• Juvenile justice or adult corrections

• Hire full-time housing case manager(s) to enhance 

support for women

• Expand Recovery Housing 

• Partner with community providers to 

develop independent supportive housing 

& continue to provide peer-recovery 

support, supportive employment, & life 

skills development 

• Rapid Rehousing Funds - administrative 

costs and supportive services; eligible costs 

include rent, utilities, deposits, rental 

arrears, and utility arrears paid directly to 

landlords or utility service providers

• Recovery Housing, treatment, and family 

engagement services for women with 

infants experiencing Neonatal Abstinence 

Syndrome (NAS)

• Increase investments in new and existing 

housing and other SDOH-related initiatives 

including expanding low threshold/housing 

first models and recovery housing

• Provide housing assistance for individuals 

diagnosed with SUD who are currently 

seeking treatment

• Transitional Housing overall and 

coordinated with County Jails for reentry 

assistance.

27
CSAT State Opioid Response (SOR) Program

The SOR Program aims to address the opioid crisis by increasing access to medication-assisted treatment using 

the (3) FDA-approved medications for the treatment of opioid use disorder (OUD), reducing unmet treatment 

needs, and reducing opioid overdose related deaths through the provision of prevention, treatment and 

recovery activities for OUD. In FY 2020, the SOR program was expanded to support evidence-based prevention, 

treatment and recovery support services to address stimulant misuse and use disorders, including for cocaine 

and methamphetamine.

In FY 2020, 57 new SOR grants were funded for a total of $1.42 B (includes a 15 percent set-aside for the ten 

states with the highest mortality rate related to drug overdose deaths); SOR is a two-year program and it is 

anticipated that continuation funding will be available for the second year of the program. 

Grants were awarded via formula and state allocations were based on the following two elements weighted 

equally:

• State’s proportion of people who meet criteria for dependence or abuse of heroin or pain relievers who 

have not received any treatment (NSDUH 2017-2018), and

• State’s proportion of drug poisoning deaths (2018 CDC Surveillance System)

SOR Profile (10/2020): https://www.samhsa.gov/sites/default/files/state-opioid-response-sor-report.pdf

28
Required Activities for the SOR Program

Prevention

• Implement prevention and education services to include:

otraining of peers and first responders on recognition of opioid 

overdose and appropriate use of the opioid overdose antidote 

naloxone;

odeveloping evidence-based community prevention efforts, 

including evidence-based strategic messaging on the 

consequences of opioid misuse; and 

opurchasing and distributing naloxone. 

29
Required Activities for the SOR Program, cont.

Treatment and Recovery Support Services

o Assess the needs of tribes in the state and include strategies to address these needs in the 

program.

o Implement or expand access to clinically appropriate evidence-based practices (EBPs) for OUD 

treatment, particularly, the use of medication-assisted treatment (MAT), i.e., the use of FDAapproved medications in combination with psychosocial interventions.

o Provide treatment transition and coverage for patients reentering communities from criminal 

justice settings or other rehabilitative settings.

o Enhance or support the provision of peer and other recovery support services designed to 

improve treatment access and retention and support long-term recovery.

o Develop and implement evidence-based prevention, treatment, and recovery support services to 

address stimulant misuse and use disorders. 

30
Required Activities for SOR Program, cont.

Treatment and Recovery Support Services, cont.

o Support innovative telehealth strategies in rural and underserved areas to 

increase the capacity of communities to support OUD/stimulant use disorder 

prevention, treatment, and recovery. 

o Ensure that all applicable practitioners associated with program obtain a DATA 

waiver.

o Make use of SAMHSA-funded Opioid TA/T grantee resources to assist in 

providing training and TA to providers who will render services on the grant.

o Develop and implement tobacco/nicotine product (e.g., vaping) cessation 

programs, activities, and/or strategies.

31
Examples of SOR Evidence-Based Practices

Prevention Treatment Recovery Support

Overdose Education & Naloxone Distribution 

(OEND)

Medication-assisted Treatment (MAT) – combined 

with counseling and behavioral therapies Peer Support Services

Project Success Motivational Interviewing Recovery Community Organizations (RCOs)

Second Step Cognitive Behavioral Therapy (CBT) Recovery Housing

Sources of Strength Community Reinforcement & Family Training 

(CRAFT) Employment Services

Prevention Pathways Hub and Spoke Model

Positive Action Screening, Brief Intervention and Referral to 

Treatment (SBIRT)

Prescription Drug Disposal Contingency Management

32
SOR Innovations

• Prevention

o Mobile Crisis Teams

o Pharmacists — Education, brief 

screening, potential referral to 

treatment and prescribing and 

dispensing naloxone

• Recovery Support

o Integration of peers in faith-based 

communities

o Peer support training and 

education in correctional facilities 

for inmates

• Treatment

o Partnerships with academic 

medical institutions as hubs in the 

“Hub and Spoke” model

o “Bridge Clinic” models to provide 

access to treatment through 

hospitals Emergency Department

o Addiction Stabilization Units (ASUs) 

in high-risk areas

o Quick Response Teams (QRTs) 

o Mobile treatment services

o Telehealth services

33
SOR Housing-Related Activities

• Connecticut – Housing Support

o Connecticut provides housing support via vouchers for individuals with OUD 

who are homeless or at risk of homelessness in need of temporary safe housing. 

Between September 30, 2020, and March 30, 2021, 76 individuals received 

housing support through SOR20 funds.

• District of Columbia – Department of Human Services (DHS) Homeless 

Opioid User Supportive Engagement (H.O.U.S.E.)

o The DHS H.O.U.S.E. Team uses the housing first model to help the most at-risk, 

vulnerable individuals with OUD to navigate housing services and resources. 

From October 1, 2020, to March 31, 2021, the H.O.U.S.E. Team conducted 

outreach services to include 2,058 engagements with individuals experiencing 

homelessness and completion of 20 new Service Prioritization Decision 

Assistance Tools (SPDATs) for individuals experiencing homelessness, in order to 

be eligible for housing supports as resources are available. 

34
SOR Housing-Related Activities, cont.

• Pennsylvania – Single Authorities: Housing and Housing Focused Case 

Management

o In late 2020, $14 million was awarded to 28 Single County Authorities (SCAs) to provide 

Housing and Housing Focused Case Management Services to persons in recovery (PIR) from 

opioid or stimulant use disorders. The focus of this initiative is assisting PIR in obtaining and 

maintaining safe, supportive housing and expanding case management services targeted at 

alleviating barriers which undermine stable housing. These expanded case management 

services include but are not limited to housing specific case management and navigation, 

employment support services, childcare assistance, integrated care coordination, legal 

assistance, advocacy, educational assistance, assistance in obtaining government benefits, 

and transportation services. SCAs are partnering with close to 30 organizations with a goal 

of providing housing and housing-focused case management services to close to 1,000 

individuals across the Commonwealth.

• Ohio – Faith-based Recovery Housing

o Provides faith-based, gender specific services to African American adult women between 

the ages of 18 and 64 with a diagnosis of OUD or stimulant use disorder.

35
Opioid Response Network (ORN) 

State Target Response – Technical Assistance (STR-TA)

https://opioidresponsenetwork.org/

➢The ORN has local consultants in all 50 states 

and nine territories;

➢Designed to respond to local needs by 

providing free educational resources and 

training to states, communities and individuals 

in the prevention, treatment and recovery of 

opioid use disorders and stimulant use;

➢Accessible to all communities.

36
CMHS Projects for Assistance in Transition from Homelessness (PATH) 

The goal of PATH formula grants is to reduce or eliminate 

homelessness for individuals with serious mental illnesses (SMI), 

co-occurring substance use disorders (COD), and who are 

experiencing homelessness or at imminent risk of becoming 

homeless. PATH funds are used to provide a menu of allowable 

services, including outreach, case management, and services 

that are not supported by mainstream mental health programs.

37
PATH, cont.

• The PATH program distribute funds to states and territories. Awards 

range from $50,000 to $8.8 million total (direct and indirect), 

depending upon a legislatively determined formula. 

• Annual allocation is $64,635,000. PATH funds are limited to the 50 

states, the District of Columbia, Puerto Rico, (the U.S. Virgin Islands, 

Guam, American Samoa, and the Commonwealth of the Northern 

Mariana Islands) so that they may make grants to public and local 

non-profit organizations to provide a variety of legislatively 

authorized services. 

38
PATH, cont.

PATH eligible services include:

• Outreach 

• Screening and diagnostic 

treatment 

• Habilitation and rehabilitation 

• Community mental health services 

• Alcohol or drug treatment services

• Staff training

• Case management

• Supportive and supervisory 

services in residential settings

• Referrals for primary health 

services, job training, educational 

services, and relevant housing 

services

• Housing services

• Other appropriate services (with 

SAMHSA approval)

39
PATH, cont.

PATH Housing Services: 

• Minor renovation, expansion, and repair of housing;

• Planning for housing;

• Technical assistance in applying for housing assistance;

• Improving the coordination of housing services;

• Security deposits;

• Costs associated with matching eligible homeless individuals 

with appropriate housing situation; and 

• One-time rental payments to prevent eviction.

40
Partnerships and Pairing of HUD-HHS Resources (On-the-ground)

Columbus House, Inc. (CHI) New Haven, CT

• CHI, New Haven serves those who are chronically homeless, including those with mental 

illness and substance abuse disorders; re-entry clients coming out of prison; veterans; 

those who are unemployed or underemployed; and people with chronic medical conditions

• CHI serves up to 1,000 people on any given day and over 3,000 individual clients over the 

course of a year. CHI primarily serves adults from age 18 to 87 years old.

• Program and Services include:

o Outreach and Engagement

o Shelter for Individuals and Families Transitional Living Programs Permanent Supportive 

Housing Rapid Re-Housing

o Employment Services

o Benefits Counseling (including SOAR) 

o Behavioral Health Support Services

CHI also receives GBHI funds from SAMHSA. 

41
CMHS Treatment for Individuals with Serious Mental Illness, Serious Emotional 

Disturbance, or Co-Occurring Disorders Experiencing Homelessness

• Short title: Treatment for Individuals Experiencing Homelessness 

(TIEH)

• The purpose of this program is to support the development and/or 

expansion of the local implementation of an infrastructure that 

integrates behavioral health treatment and recovery support 

services for individuals, youth, and families with a serious mental 

illness (SMI), serious emotional disturbance (SED), or co-occurring 

disorder (i.e., a SMI and substance use disorder [SUD] or a SED and 

SUD who are experiencing homelessness.)

42
Treatment for Individuals Experiencing Homelessness (TIEH)

• Grants are awarded for up to five years to states, territories, 

community-based public or nonprofit entities with annual funding of up 

to $1 million for state governments and territories and up $500,000 for 

tribes, and community-based public or nonprofit entities.

• Annual allocation is $26,113,431 for 48 grants across 26 states and one 

territory.

43
TIEH, cont.

Required services include:

• Outreach

• Screening

• Treatment

• Peer support

• Connections to sustainable permanent housing

• Case management

• Recovery support services

• Assistance in enrollment in mainstream benefits

In addition to strengthening behavioral health treatment, the TIEH 

program requires enrollment in HUD’s Coordinated Entry system.

44
Partnerships and Pairing of HUD-HHS Resources (On-the-ground)

Neighborhood House, Seattle, WA

Neighborhood House serves those experiencing homelessness and those who are at risk of 

homeless, including those with mental illness and substance abuse disorders.

Neighborhood House has screened and served approximately 500 individual clients over the 

course of their grant.

Program and Services include:

• Outreach and Engagement

• Shelter Diversion for Individuals and Families, Permanent Supportive Housing, 

Coordination with Shelter for Services (Coordinated Entry)

• Case Management and Benefits Counseling (including SOAR) 

• Behavioral Health Support Services and Crisis Intervention

• Coordination of Primary and Crisis Care through partnerships with FQHC.

45
Partnerships and Pairing of HUD-HHS Resources (On-the-ground) cont.

Grantee Organization Type: Housing Authority, ND

Grand Forks Housing Authority serves those experiencing homelessness and those who at risk of 

homeless, including those with mental illness and substance abuse disorders through their project 

Region IV Supportive Housing Collaborative.

Partnership with local FQHC and National Association of Community Health Centers. 100% of 

individuals seen at the local FQHC screened for housing stability using PRAPARE tool and referred to the 

grant program if applicable.

Program and Services include:

• Outreach and Engagement

• Permanent Supportive Housing, Rapid Re-Housing, Shelter Services

• Case Management and Benefits Counseling (including SOAR) 

• Behavioral Health Support Services and Crisis Intervention

• Coordination of Primary and Crisis Care through partnerships with FQHC and Local Hospital.

46
Partnerships and Pairing of HUD-HHS Resources (On-the-ground) cont.

Grantee Organization Type: Territorial Single State Agency for Mental Health and 

Substance Abuse, Guam

Guam Behavioral Health and Wellness Center serves those experiencing 

homelessness and those who at risk of homeless, including those with serious 

emotional disturbance and co-occurring mental and substance use disorders 

through their project LINC (Linking Individuals in Nurturing Communities).

Program and Services include:

• Outreach and Engagement

• Permanent Supportive Housing, Shelter Services

• Case Management and Benefits Counseling (including SOAR) 

• Behavioral Health Support Services and Crisis Intervention

47
CSAT Grants for the Benefit of Homeless Individuals (GBHI)

• The GBHI program is a competitive grant program to help communities 

expand and strengthen treatment and recovery support services for 

individuals (including youth and families) experiencing homelessness 

who have SUDs or CODs.

• Grants are awarded for up to five years to community-based public or 

nonprofit entities with annual funding of up to $400,000.

• Annual allocation is $34,527,283 for 85 grants across 33 states.

48
GBHI, cont.

Required services include:

• Outreach

• Screening

• Treatment

• Peer support

• Housing-related services*

• Case management

• Recovery support services

• Assistance in enrollment in mainstream benefits

* FY20 Grantees may provide up to 3 months of rent, security deposit, etc.

49
SAMHSA Homeless and Housing Resources

SAMHSA Resources

• https://www.samhsa.gov/homelessness-programs-resources

PATH program 

• https://www.samhsa.gov/homelessness-programs-resources/grant-programs-services/path

TIEH program

• https://www.samhsa.gov/homelessness-programs-resources/grant-programs-services/tieh-program

GBHI program

• https://www.samhsa.gov/homelessness-programs-resources/grant-programs-services/gbhi-program

Homeless and Housing Resource Center

• https://www.samhsa.gov/homeless-housing-resource-center

50
SAMHSA website – Office of Behavioral Health Equity (OBHE)

Behavioral Health Equity

https://www.samhsa.gov/behavioral-health-equity/about

51
SAMHSA website – Practitioner Training

52 https://www.samhsa.gov/practitioner-training
SOAR WORKS

SOAR (SSI/SSDI Outreach, Access, and Recovery) Overview

• A model for assisting eligible adults and children to apply for Social 

Security Administration (SSA) disability benefits

• For individuals who are experiencing or at risk of homelessness and 

have a serious mental illness, co-occurring substance use disorder, 

or other physical disabilities

• Sponsored by SAMHSA in collaboration with the Social Security 

Administration (SSA) since 2005

• All 50 states and Washington, DC currently participate

• https://soarworks.samhsa.gov

53
A Foundation for Recovery and Resiliency

More Than Income

• Access to health care and 

housing

• Increased education and 

employment opportunities

• Decrease in incarcerations, 

institutionalization, and 

hospitalizations

SSI/SSDI: One Brick in Foundation

54
SOAR Works!

2021 OUTCOMES INITIAL APPLICATIONS APPEALS

55

APPROVAL RATE

60% 50%

NUMBER OF APPROVALS

3206 737

AVERAGE DAYS TO DECISION

155 253

CUMULATIVE OUTCOMES

65%

CUMULATIVE INITIAL 

APPROVAL RATE

50,957

CUMULATIVE INITIAL 

APPROVALS

8196

CUMULATIVE APPEAL 

APPROVALS

59,153

PEOPLE RECEIVING BENEFITS 

BECAUSE OF SOAR

*National SOAR outcomes as of June 30, 2021

https://soarworks.samhsa.gov/article/soar-outcomes-and-impact
SOAR Super Stars!

TOP STATES

TOP 10 STATES*

Pennsylvania

Tennessee

Maryland

Arkansas

North Carolina

Oklahoma

Virginia

Washington, DC

Oregon

Kansas

79%

APPROVAL 

RATE

SOAR Critical Components

Using these five SOAR Critical Components, case 

workers play a central role in gathering complete, 

targeted, and relevant information for SSA and DDS, 

resulting in high-quality SSI/SSDI applications. These 

components significantly increase the likelihood of 

an approval for those who are eligible.

1. Serving as the Applicant's 

Representative

2. Collecting and Submitting 

Medical Records

3. Writing and Submitting a 

Medical Summary Report 

(MSR)

4. Obtaining a Co-signature 

on the MSR by an 

Acceptable Medical Source

5. Completing a Quality 

Review of Applications 

Prior to Submission

*Inclusion: Highest cumulative approval rates on initial application for states with at least 350 

cumulative decisions, at least 24 decisions in 2021 (2 per month), and a 2021 approval rate above 

the national average. Combined, these states had 22,510 decisions

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Custom Tools for Native Communities

• The SAMHSA SOAR TA Center is committed to 

assisting with SOAR expansion in Native 

communities

• Custom tools and resources are available

https://soarworks.samhsa.gov/topics/american-indians-alaska-natives

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SAMHSA SOAR Expert Panel

• Provides a local perspective on issues related to SOAR, and 

reviews and comments on materials as requested. 

• 40 members representing local, state and national 

organizations. 

• Expertise included Veterans, employment, criminal justice, 

Medicaid, peers, youth, AIAN, SSA, DDS, housing and 

homelessness, and SOAR implementation. 

• Four general meetings per year and workgroups who meet on 

an ad hoc basis

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SOAR Leadership Academies

• The Leadership Academy is a three-day training program designed to 

prepare individuals to serve as Local Leads within their communities, guide 

the SOAR initiative, and support individuals who complete the SOAR Online 

Course. 

• Topics include creating and leading a local steering committee, facilitating 

effective meetings, using the OAT system, funding and sustaining SOAR, 

conducting a one-day SOAR Online Course Review Session, supporting 

quality SOAR applications, working with special populations and special 

considerations, and creating a Local Action Plan. 

• Four SOAR Leadership Academies are held per contract year, with 

approximately 30 participants at each. 

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Online Application Tracking (OAT) System

• Web-based system that allows SOAR case workers to easily track 

the outcomes of their SOAR-assisted SSI/SSDI applications

• OAT records decisions on applications, including appeals. It 

summarizes outcomes in reports that can be used for 

sustainability efforts

• 50,187 applications in OAT

• 4,276 active OAT users

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Homeless and Housing Resource Center - HHRC

https://hhrctraining.org/

The purpose of this program is to provide 

training and technical assistance (TTA) to 

the general public and persons working with 

individuals who are at risk for, or are 

experiencing, homelessness.

Funded in 2020

Behavioral Health Homelessness

Recovery Support Consumers and 

Family Members

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HHRC: Resources and Trainings

• Self-paced, no-cost, online course

o Introductionto Housing Models, Housing Navigation, and Engagement

• Webinars:

o Supportive Housing Learning Community Session 1: Overview of Supportive Housing and 

Recovery Housing Models (Session 2, March 23rd)

o Helping Individuals Experiencing Homelessness Obtain Identification Documents

o Providing Affirming Services to LGBTQ+ Youth Experiencing Homelessness

o Stabilizing Housing for Families of Children who Experience Mental Health and/or Substance Use 

Challenges: Part I: Understanding the Challenges Families Face and the Benefits Available to Them 

and Part II: Understanding and Navigating Housing Rights

o Eviction Prevention

o Mental Health and TreatmentDuring COVID-19

o Street Medicine for Unsheltered Individuals

o Taking a Trauma-InformedApproach to Events of Escalation

• Toolkits:

o Applying New COVID-19-Related Funding to Address the Housing Needs of Individuals 

with Serious Mental Illness, Substance Use Disorders, and Co-occurring Disorders

o Whole Person Care for People Experiencing Homelessness and Opioid Use Disorder 

Part I

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Centers of Excellence for Behavioral Health Disparities

The purpose of these CoEs is to develop and disseminate training and technical 

assistance for healthcare practitioners on issues related to addressing behavioral health 

disparities. The centers will implement training and technical assistance for practitioners 

to address the disparities in behavioral healthcare in three key populations:

Funded 

in 2020

http://africanamericanbehavioralhealth.org/

https://e4center.org/

https://lgbtqequity.org/

63
Clinical Support System for Serious Mental Illness - CSS-SMI

https://smiadviser.org/

MISSION: To advance the 

use of a person-centered 

approach to care for 

people who have serious 

mental illness (SMI).

How SMI Adviser Transforms Care

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Supports real-world clinical 

practice with education, 

evidence, and consultations.

Answers questions about 

evidence-based screening and 

treatments. It supports their use 

as part of best practice care 

plans.

Involves all persons in the 

conversation about care. 

Content and answers have input 

from clinical experts, peers, 

families, and those receiving 

care.

Provides answers on all facets 

of SMI and directs everyone to 

the resources and support 

they may need.
National Peer-Run Training and TA Center for Addiction Recovery 

Peer Support - APR-CoE

https://www.peerrecoverynow.org/

Goals

➢ Increase the number of clinical and other settings 

that integrate peer support workers into care 

delivery (specifically those that have not 

traditionally used peers); 

➢ Enhance professionalization of the peer support 

workforce; 

➢ Increase the number of RCOs with strong 

organizational capacity to provide sustainable 

services to the communities in which they are 

located; and 

➢ Improve the dissemination of peer recovery 

support evidenced-base practices and practicebased evidence. 

65

Funded in 2020
Technology Transfer Centers - TTC

66

Addiction 

Technology 

Transfer Centers 

ATTC

https://attcnetwork.org/

Mental Health 

Technology 

Transfer Centers 

MHTTC

https://mhttcnetwork.org/

Prevention 

Technology 

Transfer Centers 

PTTC

https://pttcnetwork.org/

MISSION: Helping people and organizations 

incorporate effective practices into substance 

use disorder and mental health prevention, 

treatment and recovery services.
TTC Technology Transfer Center Network

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ATTC

1 Network Coord. Office

1 AI/AN Center

1 Hispanic & Latino Center

10 Regional Centers

MHTTC

1 Network Coord. Office

1 AI/AN Center

1 Hispanic & Latino Center

10 Regional Centers

PTTC

1 Network Coord. Office

1 AI/AN Center

1 Hispanic & Latino Center

10 Regional Centers
Evidence-Based Practices Resource Center

➢Repository of EBPs for prevention, 

treatment and recovery

➢Committee review to ensure 

effectiveness of practice

➢Focus on practical implementation 

tools

➢Updated routinely

https://www.samhsa.gov/resource-search/ebp

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Thank you

SAMHSA’s mission is to reduce the impact of substance use and 

mental illness on America’s communities.

www.samhsa.gov

1-877-SAMHSA-7 (1-877-726-4727) ● 1-800-487-4889 (TDD)

Michelle E. Daly, M.S.W.

Lead Public Health Advisor

Co-Occurring and Homeless Activities Branch

Center for Substance Abuse Treatment

Substance Abuse and Mental Health Services Administration 

Phone: 240-276-2789

E-mail: Michelle.Daly@samhsa.hhs.gov

69
Chat

Please tell us: 

• How are you working with partners to 

use ARP or other funding to address 

local housing challenges? 

Provide your best example.
FEDERAL PARTNERSHIPS TO HELP 

PEOPLE TO OBTAIN OR MAINTAIN 

STABLE HOUSING & ACCESS TO HOME 

& COMMUNITY-BASED SERVICES

Richard Cho, Senior Advisor for Housing and Services 

December 7, 2021
Home and Community-Based Services are 

Vital to HUD’s Mission

• HUD administers several housing assistance programs that provide housing 

opportunities to older adults, people with disabilities, and people experiencing 

homelessness.

• For these populations, the provision of home and community-based 

services—coordinated with housing assistance—is critical to residents’ 

ongoing tenancy and ability to live with dignity and independence in the 

community. 

• HUD views HCBS as vital to achieving our mission to create strong, 

sustainable, inclusive communities and quality affordable homes for all.
HUD-Assisted 

Housing for 

Older Adults HUD-Assisted Housing for Older Adults

HUD administers several housing 

programs that either specifically or 

primarily serve older adults (age 62+):

Multifamily Programs

• Section 202 — Approximately 

6,800 properties totaling 330,000 

units

• Section 8 PBRA — Of the 11,800 

properties with 1M units, 

approximately 50% serve older 

adults

Public Housing Authorities

• Public housing — Approximately 

158,000 households have a 

member that is an older adult

• Housing Choice Vouchers —

Approximately 220,000 

households have a member that is 

an older adult
Strengthen Housing and HCBS Coordination to Help 

Low-Income Older Adults Age-in-Place

The Challenge

• There is insufficient housing assistance to meet the needs of older adults.

• Older adults in HUD-assisted housing have low-incomes and lack the resources 

and support networks to avoid institutional care as their health needs increase. 

• HCBS coverage and delivery for low-income older adults in HUD-assisted 

housing is limited and inconsistent. 

The Opportunity

• Improved design, coverage, and delivery of HCBS in and around HUD-assisted 

housing can enable residents age-in-place and avoid costly institutional care.

• HCBS providers can work with Service Coordinators in some HUD-assisted 

housing sites, who provide non-clinical care coordination.
Promising Example:

Vermont’s Support and Services at Home (SASH)

In 2011, partners in Vermont launched the Support and Services at Home 

(SASH) program as part of the Multi-Payer Advanced Primary Care Practice 

(MAPCP) Medicare/Medicaid Demonstration:

• Intentional services design — SASH entailed a proactive and collaborative re-design of 

care coordination through an intentional all-payer collaboration.

• Regionally-organized services delivery — 54 “panels” led by a SASH coordinator and 

wellness nurse (RN) coordinate care delivery to residents of multiple HUD-assisted 

housing sites and Medicare beneficiaries in surrounding communities.

• High-touch care coordination and housing-based health support — SASH coordinators 

help participants identify services goals and serve as the “glue” for a network of providers 

and services funded through multiple payers. Wellness nurses conduct regular on-site 

health checks, coaching, and clinical follow-up.

• Sustainably financed — Initially funded by a demonstration grant, the program (including 

the SASH coordinator and wellness nurse) is now funded primarily under an All-Payer 

Accountable Care Organization model.
HUD-Assisted 

Housing for People 

with Disabilities

Multifamily Programs

• Section 811 Capital Advance —

Approximately 2,700 properties totaling 

30,000 units

• Section 811 PRA Program — 623 

properties with 4,700 units

Public Housing Authorities

• Mainstream vouchers — Over 50,000 

vouchers that serve households with at 

least one member with a disability

• Non-Elderly Disability vouchers —

Approximately 55,000 vouchers that 

serve a household headed by a person 

with a disability

• Public housing — Over 200,000 

households have a member with a 

disability

• Housing Choice Vouchers — Over 

600,000 households have a member 

with a disability
Supporting Community Living for People with 

Disabilities through Housing and HCBS Coordination

The Challenge

• People with disabilities are often held in institutional or non-integrated settings due to a lack of 

affordable housing and community-based services.

• Resources for targeted housing assistance programs for people with disabilities are limited.

• There remain “silos” between housing agencies and agencies that refer, cover, and provide 

services to people with disabilities.

The Opportunity

• More people with disabilities can be transitioned from institutions to the community through better 

coordination between housing agencies, disability networks, Centers for Independent Living, 

Medicaid agencies, and HCBS providers.

• HUD’s Section 811 Project Rental Assistance program requires partnerships between housing, 

Medicaid, and health and human services agencies to align rental assistance from HUD with 

affordable housing and Medicaid financed HCBS.

• There are currently 50,000 Mainstream vouchers awarded to public housing authorities, many of 

which are still available for issuance and lease-up. 
Targeted Housing 

Assistance for People 

Experiencing 

Homelessness

Continuum of Care Program

• Permanent Supportive 

Housing — HUD funds over 

3,700 permanent supportive 

housing projects that provide a 

combination of permanent 

rental housing and services to 

people with disabilities or 

chronic health conditions 

experiencing homelessness

• Rapid Re-Housing — HUD also 

funds over 1,200 projects that 

provide case management and 

time-limited rental assistance 

to transition people from 

homelessness into permanent 

housing
Scaling Permanent Supportive Housing by 

Coordinating HUD Programs and HCBS

The Challenge

• Homelessness among people with disabilities and older adults are both increasing. 

• There are insufficient permanent supportive housing to meet the needs of people 

with disabilities and older adults experiencing homelessness.

• States have not fully leveraged Medicaid as a means of covering and financing the 

services in permanent supportive housing.

The Opportunity

• There are more states using Medicaid to cover and finance housing-related 

services coordinated with housing assistance to provide PSH.

• The American Rescue Plan provides historic new housing resources to assist 

people experiencing homelessness. 
The American Rescue Plan Provides Significant New 

Housing Resources to Address Homelessness

• $5 billion to provide 70,000 Emergency Housing Vouchers from HUD for people 

experiencing or at risk of homelessness

• $5 billion in HOME Investment Partnerships grants from HUD to build supportive and 

affordable housing (including purchase of hotels/dormitories), rental assistance, and 

supportive services

• $46 billion in Emergency Rental Assistance from Treasury to prevent evictions, as well 

as support re-housing of people evicted, displaced, at-risk of homelessness, or 

currently homeless

• $350 billion in Treasury State and Local Fiscal Recovery Funds to support the many 

needs communities face as they respond to the pandemic and its negative economic 

impacts, including homelessness and housing instability 
Promising Example: 

Louisiana Permanent Supportive Housing Initiative

• After Hurricanes Katrina and Rita, the State of Louisiana received 3,000 

vouchers to house people experiencing homelessness into permanent housing.

• Recognizing the need and opportunity to coordinate these vouchers with 

supportive services, Louisiana formed a successful partnership to coordinate 

these vouchers with Medicaid-financed HCBS to serve extremely low-income 

people with disabilities, including people leaving institutional settings, people 

experiencing homelessness, and older adults.

• The Louisiana Department of Health (Medicaid agency) used several different 

Medicaid authorities to create HCBS for these populations. 

• Statewide coordination led to the training and credentialing of homeless 

services providers to become Medicaid-eligible providers, as well as to create 

coordinated points of access for PSH.
House America: An All-Hands-On-Deck Effort to 

Address the Nation’s Homelessness Crisis

House America: An All-Hands-onDeck Effort to Address the Nation’s 

Homelessness Crisis is a federal 

initiative in which the U.S. Department 

of Housing and Urban Development 

(HUD) and the U.S. Interagency 

Council on Homelessness (USICH) are 

inviting mayors, city and county 

leaders, tribal nation leaders, and 

governors into a national partnership. 

House America utilizes the historic 

investments provided through the 

American Rescue Plan to address the 

crisis of homelessness through a 

Housing First approach.

House America

www.hud.gov/house_america

Re-house households 

experiencing homelessness 

through a Housing First approach

Add new units of affordable 

housing into the development 

pipeline
Build Back Better

• The Build Back Better Act passed by the House of Representatives includes 

historic housing resources that can help scale housing for older adults, people 

with disabilities, and people experiencing homelessness, including:

• $500 million for Section 202 Housing for Older Adults

• $500 million for Section 811 Housing for People with Disabilities

• $24 billion in additional tenant-based rental assistance (vouchers), including 

$7.1 billion for people experiencing or at-risk of homelessness.

• The Act also includes technical assistance resources to help states improve the 

design and delivery of HCBS with housing for older adults and people with 

disabilities.
Opportunities to Address Housing-Related Services and Supports 

under Medicaid Home and Community-Based Services Programs

Martha Egan, Technical Director

Division of Community Systems Transformation 

Disabled and Elderly Health Programs Group 

Center for Medicaid and CHIP Services

Centers for Medicare & Medicaid Services
Home & Community-Based Services (HCBS) 

Medicaid Authorities

• Examples of Medicaid HCBS

—Personal care services

—Home health services

—Rehabilitative services, which may include HCBS

—HCBS waiver (section 1915(c))

—State plan HCBS (section 1915(i))

—Self-directed personal assistance services (section 1915(j))

—Community First Choice (section 1915(k))
Opportunities for States to 

Enhance, Expand, or Strengthen HCBS

Section 9817 of the American Rescue Plan Act of 2021 (ARP)

• Provides qualifying states with a temporary 10 percentage point increase to the 

federal medical assistance percentage (FMAP) for HCBS

• State Medicaid Director Letter (SMDL) released on 5/13/2021 provides guidance on 

implementation of ARP section 9817, including the requirements that: 

– funds from the increased FMAP must supplement, not supplant, existing state 

funds expended for Medicaid HCBS; and

– states must use the increased funds to implement or supplement implementation 

of activities to enhance, expand, or strengthen HCBS.

• SMDL is available at https://www.medicaid.gov/federal-policyguidance/downloads/smd21003.pdf

10
Opportunities for States to 

Enhance, Expand, or Strengthen HCBS

Money Follows the Person Demonstration (MFP)

• Provides eligible Medicaid beneficiaries who live in institutions the opportunity to 

transition to the community

• Consolidated Appropriations Act, 2021 extended MFP through fiscal year 2023

• MFP Capacity Building Funding Opportunity

10
Medicaid.gov Resources

• CMS State Health Officials Letter: Opportunities in Medicaid and CHIP to Address Social 

Determinants of Health (SDOH)

• Long-Term Services and Supports Rebalancing Toolkit

• SUPPORT Act Innovative State Initiatives and Strategies for Providing Housing-Related 

Services and Supports: Sections 1017 and 1018

• State Medicaid Director Letter (#21-003): Implementation of American Rescue Plan Act 

of 2021 Section 9817: Additional Support for Medicaid Home and Community-Based 

Services during the COVID-19 Emergency

• Strengthening and Investing in Home and Community Based Services for Medicaid 

Beneficiaries: American Rescue Plan Act of 2021 Section 9817 Spending Plans and 

Narratives | Medicaid

• Money Follows the Person

• Medicaid Innovation Accelerator Program State Medicaid-Housing Agency Partnerships 

Toolkit
Putting Equity at the Center

then...

Your Questions & Answers

89
HSRC Website

acl.gov/HousingAndServices/Models

90
Register for the Next HCBS Webinar

State and Local Partnerships for 

Housing Stability

March 15th from 2:30 - 4:00 pm EST

Learn more and register today! 

https://bit.ly/3K2RZ7X

92
Wrap Up

• Register for the March 15 state/local partnerships 

webinar

• Visit the HSRC Models and Partnerships page 

• Complete the webinar feedback form

• Watch for our email when the webinar recording and 

slides are available

• Please email us at hsrc@acl.hhs.gov

Questions? Ideas? 

Email us at hsrc@acl.hhs.gov

93