ohio’s hud 811 project rental assistance award h i o d e pa rt me nt o f m e di ca i d m a k i n g...

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M a k i ng O h i o B e t te rM a k i ng O h i o B e t te r

Increasing Housing Opportunities for HOME Choice Participants and Individuals with a Disability

Emily VanBuren, Housing Coordinator, Ohio Department of Medicaid

Jeannette Welsh, Housing Coordinator, Ohio Department of Medicaid

February 23, 2016

Ohio’s HUD 811 Project Rental Assistance Award

M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

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Session Agenda

Path to 811 Project Rental Assistance (PRA) Program

State Partners Roles and Collaboration

811 Property Overview

811 Participant Overview

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M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• 1999 Olmstead Decision

• Affirmatively Furthering Fair Housing

• CMS Home and Community-Based Services Settings Rule

• HUD 811

Partnership among health and housing at the federal level!

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Path to 811 PRA Program

M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• Ohio Housing Finance Agency

• Ohio Department of Medicaid

• Ohio Department of Developmental Disabilities

• Ohio Department of Mental Health and Addiction Services

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State Partners: Roles and Collaboration

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M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

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Overview of Topics

• Ohio 811 Eligibility

• Application Process

» General 811

» 811 Properties

• Outreach, Education, and Marketing

M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

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Ohio 811 Eligibility

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M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• Individuals with a disability who receive Medicaid and are:

» planning to live in community, or currently live in community and who receive support services from:

─ HOME Choice program (Money Follows the Person)

─ HCBS Medicaid waiver

─ Providers from ADAMH licensed providers

» part of a low-income household that earns 30% or less than Area Median Income (AMI)

» at least 18 years of age but less than 62 years of age

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Ohio 811 Eligibility Requirements

M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

•Helping Ohioans Move, Expanding Choice» Over 7,400 Ohioans have transitioned from an institution to a

community setting since 2008

─ Nursing Facility

─ Hospital

─ ICF-IID (Intermediate Care Facility for Individual with Intellectual Disability)

─ Residential Treatment Facility (youth)

» Individuals in HOME Choice are prioritized for Ohio 811

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HOME Choice Program

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M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• Medicaid HCBS waivers allow individuals with disabilities and chronic conditions to receive care and supports in their homes and communities instead of an institutional setting

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Home and Community Based Services (HCBS) Medicaid waivers

M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• Administered by the Ohio Department of Medicaid:

» Ohio Home Care Waiver

» MyCare Waiver

• Administered by the Ohio Department of Developmental Disabilities:

» Individual Options Waiver

» Level One Waiver

» SELF-Waiver

» (Transitions)

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Waivers for 811

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M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• Individuals who are currently served by an ADAMH (Alcohol, Drug, and Mental Health) Board, but are not eligible for HOME Choice or a HCBS Waiver

• 1915(i) State Plan Option program expected in 2016

» Additional income-based services for individuals diagnosed with a serious and persistent mental illness

• PASRR- Pre-Admission Screening and Resident Review

» Individuals who could be eligible if nursing facility is incorrect placement

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Receiving Services from ADAMH licensed providers

M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

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Ohio 811 Application Process

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M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

Overview:1. Application to Ohio Department of Medicaid

» 811 “threshold” screening─ age, receiving services in community

» Outcomes: accepted or denied

2. Application at 811 Property for Tenancy» Requirements at LIHTC properties and for HUD programs

─ Income and supporting documentation, criminal/credit/rental histories

» Outcomes: accepted, denied, waitlisted

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Two Part Application Process

M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• Begins with Referral to Ohio Department of Medicaid from “Case Manager” (CM)

» HOME Choice Transition Coordinator

» Behavioral Health Case Manager

» HCBS Waiver Case Manager

» Services and Support Administrator

• CM completes application and submits to ODM for screening

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Application to Ohio 811 Program

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M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• Letter will be sent to applicant and case manager indicating 811 eligibility status

» If eligible for 811, the letter will give approval to apply at 811 properties

─ Letter will be physically taken to 811 properties in order to apply for 811 unit

» If denied for 811, the letter will explain the reason

─ Under or over age limit, not receiving services, etc.

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ODM Confirms or Denies 811 Eligibility

M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• Eligible individual chooses 811 properties to submit an application for tenancy

• Tenant is screened according to property and program requirements

• After application, 3 possibilities:

» Accepted for tenancy

» Denied for tenancy

» Waitlisted

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Application to Ohio 811 Properties

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M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• Accepted:» Property sends letter to tenant, case manager, and ODM

» Include details about signing lease and move-in

• Denied:» Property sends letter to tenant, case manager, and ODM

» Includes denial reason, for example:─ Criminal History

─ Poor Credit History

─ Poor Rental History

─ Other (lack of documentation)

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811 Tenancy Acceptance & Denial

M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• Individual is only waitlisted at properties where an application has been submitted

• Property informs tenant, case manager, and ODM of waitlist status

• When a unit becomes available, next-in-line applicant receives notification of available unit

» Individual has time limit to respond to property

» After time limit, next applicant on waitlist notified of available unit

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811 Waitlist Procedure

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M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

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Ohio 811 Outreach, Education and Marketing

M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• Current plans to provide information at:

» HOME Choice Conference

» Ohio Housing Conference

» DD County Board Association

» COHHIO Conference

» Various Regional Meetings

• Where else should we be? Let us know!

• Webinars can also be offered

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Outreach and Education

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M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• Brochure explaining:» Eligibility

» Referral procedure

• Information about 811 Properties» Location, number of units, contact information

• Application Forms » PDF for paper printing or on-line submission

• FAQ Sheet

• 811 email and phone number at Ohio Department of Medicaid

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Marketing Materials

M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• Ohio 811 Eligibility

» HOME Choice, HCBS Waivers, ADAMH services

• Application Process

» General 811

» 811 Properties

• Outreach, Education and Marketing

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Summary

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M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• Time limits: What is reasonable?» Ohio 811 eligibility screening

» Property search

» Waitlist response time

• Appeal process

• Communication expectations for application process» Individual, case managers, properties

» ODM, DoDD, OMHAS, OHFA

» Forms and marketing

» Outreach opportunities

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Topics for Further Consideration & Input

M a k i n g O h i o B e t t e rO H I O D E PA R T M E N T O F M E D I C A I D

• Emily VanBuren, Housing Coordinator

» Email: Emily.VanBuren@Medicaid.ohio.gov

» Phone: 614-752-3805

• Jeannette Welsh, Housing Coordinator

» Email: Jeannette.Welsh@Medicaid.ohio.gov

» Phone: 614-752-3406

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Contact Information:

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