Slide 1: Members Experiencing Homelessness: MassHealth Updates for One Care Implementation Council
Executive Office of Health and Human Services

March 14, 2024

This slide contains the following footnote:  CONFIDENTIAL; FOR POLICY DEVELOPMENT PURPOSES ONLY
Slide 2: Current Activities
Note: the following information is shown in a table on the PPT slide.

Focus Area - Data Partnership
Summary
•	Launched a new data partnership in which the statewide homeless data warehouse provides weekly updates to MassHealth identifying those members who are experiencing homelessness
•	~16,000 Members experiencing homelessness as February 2024, ~2% enrolled in One Care and ~1.5% members eligible for One Care but not enrolled

Focus Area - CSP-HI Expansion
Summary
•	Expanded the Community Support Program for Homeless Individuals (CSP-HI) as of April 2023
•	Now available to all MassHealth Members in managed care and fee for service with behavioral health (BH) needs – including One Care enrollees
•	Available to members with BH who are chronically homeless or those that are experiencing homelessness (but don’t meet “chronic” definition) and are frequent users of acute MassHealth services

Focus Area - CSP-TPP
Summary  
•	New eviction prevention service – Community Support Program Tenancy Preservation Program (CSP-TPP)
•	Launched in April 2023
•	Available to all MassHealth Members in managed care and fee for service with behavioral health (BH) needs – including One Care enrollees
Slide 3: Current Activities (cont’)
Focus Area - MATCH Program
Summary
•	Mitigating the Cost of Housing (MATCH) program began in November 2022
•	Eligible members receive up to $5500 for move-in costs and furnishings when moving from an institutional setting/homelessness to the community
•	Almost 1600 members served through January 2024 including 130+ One Care enrollees
•	ARPA-funded grant program; will continue until the funds are depleted

Focus Area - Continuous Eligibility
Summary
•	Implemented continuous MassHealth eligibility for 24 months for members experiencing homelessness for 6+ months who are under age 65
•	Policy was implemented in December 2023/January 2024 and will be phased in over time as members complete their renewals
•	Have requested approval from CMS to expand policy to members 65+

Focus Area - Redetermination
Summary
•	Held 23 onsite events in individual homeless shelters through January 2024
•	Leveraged family homeless providers to assist and used EOHLC data to update addresses for MassHealth mailings

Slide 4: Key Future Initiatives

Note: the following information is shown in a table on the PPT slide.

Focus Area - Medical Respite
Summary
•	Expecting to launch Medical Respite as a covered service based on current pilot program
•	For MassHealth Members experiencing homelessness who need a safe place to stay following discharge from a medical hospital
•	Pilot has 40 beds
•	Partnership between healthcare provider and CSP-HI provider
•	Service expected to be available to all eligible Members in managed care and fee for service starting 1/1/2025
•	Draft regulations and guidelines expected to be published this summer (2024)

Focus Area - HRSN Housing Services
Summary
•	Expecting to launch new Health Related Social Needs (HRSN) services for ACO members including:
o	Housing Search services for members not eligible for CSP-HI
o	Transitional Goods for members experiencing homelessness who move into housing (because MATCH is ending)
o	Housing Navigation for housing unstable members not eligible for CSP-TPP
o	Healthy Homes
o	Home Modifications

This slide contains the following footnote: “Confidential - for policy development purposes only.”
Slide 5: Appendix: Resources for More Information
Note: the following information is shown in a table on the PPT slide.

Focus Area - MATCH
Link
•	MATCH website: 

Focus Area - CSP-HI
Link
•	MCE Bulletin 99:

Focus Area - Medical Respite
Link
COMMBUYS link to the RFR materials for the pilot

This slide contains the following footnote: “Confidential - for policy development purposes only.”