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...
TRANSCRIPT
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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: [email protected]
» Phone: 614-752-3805
• Jeannette Welsh, Housing Coordinator
» Email: [email protected]
» Phone: 614-752-3406
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Contact Information:
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