Promoting Community Integration through Long-Term Services and SupportsState Medicaid-Housing Agency Partnerships
Expression of Interest Form
The purpose of this expression of interest form is to help the Medicaid Innovation Accelerator Program (IAP) with the selection process by getting a better sense of your state’s current and planned Medicaid-Housing Agency partnership effortsto expand community living opportunities for Medicaid beneficiaries. Details on the program support available for states are outlined in the Program Overview document.
I.Overview of State Medicaid-Housing Agency Partnerships Technical Support
IAP is working closely with its federal partners, the US Department of Housing and Urban Development, the Substance Abuse and Mental Health Services Administration, the Office of the Assistant Secretary for Planning and Evaluation, and the US Interagency Council on Homelessness on theplanning and coordination of this program support opportunity. IAP intends to leverage its collaboration with federal agencies to promote partnerships between state Medicaid agencies, state housing finance agencies, public housing agencies, state and local service agencies, and providers.
The goals of the State Medicaid-Housing Agency Partnerships Track are to:1. develop public and private partnerships between the Medicaid and housing systems; and 2. to support states in the creation of detailed action plans that foster additional community living opportunities for Medicaid beneficiaries. Program support begins in August2017 and runs for nine months. It is designed to offer intensive, hands-ontechnical support to move state Medicaid agencies towards building sustained collaborations with housing partners and with partners from other service agencies. IAP will select up to eight states to participate in the 2017 track. All states except for the eight that participated in the 2016 track (California, Connecticut, Hawaii, Illinois, Kentucky, Nevada, New Jersey, and Oregon) are able to submit an Expression of Interest.
General Information
- Name of your State Medicaid Agency:Click here to enter text.
- Name of your State Medicaid Director: Click here to enter text.
- The state Medicaid Director acknowledges that the state is seeking this IAP technical support:
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- The state Medicaid Director acknowledges that the team has or will have sufficient staff time and resources committed to this effort:
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- Please provide contact information for the State Medicaid Agency team lead for this work:
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- State Core Team: Provide names, titles, and e-mail addresses of the state’s core team of 3-6 senior leaders in Medicaid and other agencies such as the state housing finance agency, public housing agencies, and/or other housing and service agencies. The core team will lead the state's efforts and participate in the August 2017 in-person meeting in the Washington, DC, area:
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- Other Medicaid Agency team members: The state team may include state Medicaid Agency team members beyond the state’s core team listed above. Please provide names, titles, and e-mail addresses of any other state Medicaid Agency team members:
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- Additional Team Members: The state team may include members beyond the state’s core team listed above from other agencies such as the state housing finance agency, public housing agencies, and/or other housing and service agencies. Provide names, organizations, organizational titles, and e-mail addresses of additional team members from other agencies:
Name / Organization / Title / Email address
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II.Description of State Medicaid-Housing Agency Partnerships Goals and Needs
- IAP has two main goals for states participating in this program support opportunity. Selected states will receive targeted technical supportto assist them in: 1. developing public and private partnerships between the Medicaid and housing (state and local) systems; and 2.creating detailed action plans that help guide the state in fostering additional community living opportunities for Medicaid beneficiaries. Explain how these goals align with your state’s related efforts and what your state intends to achieve towards these goals.
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- Provide a brief description of your state’s recent and current activities involving State Medicaid-Housing Agency Partnerships. Identify the roles of the key partner agencies and accomplishments of the partnerships to-date.
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- Provide a brief description of your state’s planned goals and activities involving State Medicaid-Housing Agency Partnerships. Identify the roles of the key partneragencies that will be involved.
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- Identify the target population(s) that are expected to benefit from your state’s Medicaid-Housing Agency Partnerships activities.
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- A Letter of Commitment from a housing agency will be required for participation in the State Medicaid-Housing Agency Partnership track, but the letter does not need to be submitted until the state has been notified that they have been selected to participate. The Letter of Commitment will preferably be from the statewide agency such as the Housing Finance Agency. Indicate here that you understand a letter of commitment will be needed.
- Select up to three areasof program support that would be most helpful to your state’s Medicaid Housing-Related Services and Partnership activities:
Engaging key stakeholders such as service providers, managed care organizations, housingagencies, landlords, and developers
Identifyingservice resources
Expanding housing opportunities for Medicaid beneficiaries
Prioritizing entry into housing
Matching and using data across systems such as Medicaid and Homelessness Management Information System data
Working with managed care organizations
Preparing community-based housing providers for Medicaid participation
Measuring outcomes
Analyzing cost-effectiveness
Other, please explain:
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- Please indicate how the topics selected in Question 6 will support your state’s planned goals related to State Medicaid-Housing Agency Partnerships.
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III.Key Dates, Form Submission, and Notification
Interested states are asked to submit a completed Expression of Interest form via email to by June 8, 2017 midnight ETwith the subject line “Medicaid-Housing Partnerships.”
All states that submit an Expression of Interest will be contacted by IAP for a one-on-one conference call to discuss state goals and needs and to answer state questions about the program support offered. Please indicate your team’s availability for this conference call by placing an X next to your team’s top three dates and times.
June 12, 12:30 – 1:30 ET
June 12, 2 – 3 ET
June 12, 4 - 5 ET
June 13, 11 – 12 ET
June 13, 1 – 2 ET
June 13, 4 – 5 ET
June 14, 10 – 11 ET
June 14, 2 – 3 ET
June 14, 4 – 5 ET
June 15, 9 – 10 ET
June 15, 1 – 2 ET
June 15, 4:30 – 5:30 ET
June 16, 10 – 11 ET
June 16, 12 – 1 ET
June 19, 12 - 1 ET
June 19, 2 – 3 ET
June 19, 4 – 5 ET
June 20, 10 – 11 ET
June 20, 12 – 1 ET
June 20, 2 – 3 ET
June 20, 4 – 5 ET
June 21, 10:30 – 11:30 ET
June 21, 12 – 1 ET
June 21, 2 – 3 ET
June 21, 4 – 5 ET
June 22, 9 – 10 ET
June 22, 11:30 – 12:30 ET
June 22, 2 – 3 ET
June 22, 4 – 5 ET
Once all conference calls are completed, IAP will notify the selected statesinJuly2017. Selected states are expected to attend the in-person kick off meeting scheduled for August 2017. We anticipate that there will be funds available to support state travel to the kick-off meeting.
Additional information about this program support opportunities can be found on the Medicaid.gov IAP CI-LTSS web page.
For questions about this Medicaid IAP opportunity, contact Melanie Brown at , using the subject line “Medicaid-Housing Partnerships.”