Document Type

Report

Publication Date

6-2019

Abstract

This report represents a first step in understanding the scope of unmet need regarding Medicaid Redesign Team Supportive Housing for homeless individuals across New York State. We highlight demographic information and shelter utilization trends regarding homeless individuals within Homeless Management Information System (HMIS) reporting shelters in selected regions of Upstate New York and New York City. We also describe the Medicaid utilization and spending of this group, to better understand the pool of homeless individuals who would be eligible for the Medicaid Redesign Team Supportive Housing (MRT-SH) programs.

As such, this work is a preliminary component of the eventual creation of an MRT-SH comparison group. For this process, we must both characterize the shelter use patterns of MRT-SH enrolled “treatment” clients, then identify a matched set of similarly-eligible individuals not enrolled in MRT-SH, but who have a similar history of shelter use, among other factors. An understanding of the patterns of shelter use and Medicaid utilization for both treatment and non-treatment clients is thus a critical phase in this process.

MRT-SH programs serve individuals who are homeless, at risk of becoming homeless, or institutionalized. This report focuses exclusively on the homeless population. Data sources for the report include a literature review; Housing and Urban Development (HUD) Point-in-Time count data; Homeless Management Information System (HMIS) data, which is an administrative data set that stores demographic information about shelter users in New York State; Medicaid Data Warehouse (MDW) data; and Statewide Planning and Research Cooperative System (SPARCS) data.

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