Document Type

Report

Publication Date

6-2020

Abstract

New York has allocated substantial funding from the state’s Medicaid Redesign dollars to provide supportive housing to homeless, unstably housed, and/or other individuals with complex needs, who are high-cost, high-need Medicaid users. It is anticipated that the Medicaid Redesign Team-Supportive Housing initiatives (MRT-SH) will reduce the more expensive forms of health care utilization (e.g., emergency department visits, inpatient hospitalizations, and nursing home stays), potentially reduce overall health care costs, and improve quality of life and health outcomes.

The MRT-SH initiative includes a diverse collection of programs that take a variety of approaches to providing housing and supportive services to different target populations. MRT-SH programs to date include 54 capital projects, 49 of which have opened; 18 rental subsidy and supportive services programs and pilots; and one accessibility modification program. In total, the programs included in this series of reports had served more than 6,000 people at the time of the analyses.

The evaluation team at the Center for Human Services Research at the University at Albany was contracted to evaluate and report on the impact, effectiveness, and cost savings of the MRT-SH initiatives. Specifically, the evaluation plan consisted of a detailed cost and outcomes analysis using a pre-post and comparison group design and a mixed method process study that provided detailed information about program implementation.

This report provides background on the project and the supportive housing literature, followed by an overview of the full set of final reports, including their purpose and a brief description of the methodology used in each.

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