1115 Demonstration Approaches to Housing Services and Supports

A Comparative Analysis of Six States’ Housing Pilots White Paper

Evidence has shown that social determinants of health such as homelessness, transportation, or food insecurity impact overall health outcomes. Housing inequity is a major focal point across the U.S. as it disproportionately affects the Medicaid population. To home in and address this crisis, states are partnering with managed care plans and providers to approach housing from different delivery systems implemented through 1115 pilot demonstrations. Regardless of political affiliation, geography, or Medicaid delivery system, states are becoming more creative and innovative with their Medicaid programs to address the need to improve health, manage costs, and increase community partnerships.

This paper examines six various state approaches and approved federal waiver flexibilities that will help you better understand the efforts and accomplishments across the country.

In this guide you will find:

• The unique ways Arizona, California, Florida, Massachusetts, North Carolina, and Utah are using 1115 waivers to address housing
• Approaches and factors to consider when tackling homelessness through state Medicaid programs
• Inspiration and creativity for future programs