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A Blueprint for Partnerships: Philadelphia Housing Authority and Medicaid funded Supportive Services: CSH Conference 2013
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A Blueprint for Partnerships: Philadelphia Housing Authority and Medicaid funded Supportive Services: CSH Conference 2013

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Beginning in 2008, the Philadelphia Housing Authority and the City of Philadelphia's Medicaid Managed Care Behavioral Health Carve Out Organization, partnered to end chronic homelessness with the …

Beginning in 2008, the Philadelphia Housing Authority and the City of Philadelphia's Medicaid Managed Care Behavioral Health Carve Out Organization, partnered to end chronic homelessness with the resources of Housing Choice Vouchers and Medicaid Funded Supportive Services. The resulting partnership is examined as an essential component to ending chronic homelessness in 2016.

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  • 1. Principles learned when the City of Philadelphia and Philadelphia Housing Authority partnered to decrease chronic homelessness using Medicaid funded supportive services A Blueprint for Partnerships
  • 2. Outcomes for Housing Choice Voucher set aside program  200 Housing Choice vouchers a year for the past 5 years  First three years, 587 single adults or couples leased, since 9/23/08.  As of May, 2012, 91% remain leased.  An additional 253 persons leased since last May. Reconciliation process with the Housing Authority is coming up. DATA
  • 3. What does it take?  POLITICAL WILL!  DATA  Diverse partners that are experts in their area and recognize the expertise of their partners.  Strategically constructed teams  Administrative structures that acknowledge the challenges but remain focused on end goal.  Flexibility  Focus on the end goal: ENDING HOMELESSNESS. Principles
  • 4. Political Will: Key Partners  Governor. Where is your state on Medicaid Expansion?  Mayor  Local Housing Authority Board and Leadership  Downtown business community  Advocacy community  Provider community  Is there an organized Peer Community of Formerly Homeless Persons in your community? If so engage with them, if not START ONE. Political Will
  • 5. Downtown Development  The reigning model in urban planning is using downtown development to fuel economic activity for a region  Most cities, large and small, as well as suburban and rural towns are focused on downtown development.  Most long term street persons congregate on downtown streets.  This can be used to advantage to build political will, partnerships and coalitions. Partnerships
  • 6. Data  Clearly defined goals: Start and end every meeting with a data update.  How many PSH units in your community? How are they allocated? Who receives turn over units?  How does your Housing Authority allocate resources? Does this make it easier for harder for priority groups (e.g. chronically homeless persons) to be prioritized for these resources. DATA
  • 7. Data: (Continued)  Whose eligible for Medicaid in your community?  Who manages Medicaid resources in your community? They are currently focused on the impact of Affordable Care Act (ACA). Many are looking at pilot programs for their high needs persons, many of whom are chronically homeless.  What are the supportive service needs of the persons you want to prioritize for PSH? Do you have a partnership with the state or local authority who manages those resources?  Always spend time and attention on data quality. Otherwise no one believes your numbers, nor should they. DATA AGAIN!
  • 8. Your Diverse operational partners:  Include Key staff from  Housing Authority  Medicaid resources in your community  McKinney Continuum of Care resources  Staff must be at strategic levels of authority. Partnerships
  • 9. Strategically constructed teams  Staff high enough with operational authority, low enough that they do not turn over every 4 or 8 years.  Persons with roles of  Cheerleader  Data geeks  Management structures and supports  Some to span boundaries and nurture the partnership.  Persons who know day to day operations  Strong leaders that are respected in multiple areas of the community Partnerships, AGAIN!
  • 10. Administrative Structures to support the partnership.  Quarterly meetings with the partners who brokered the agreement. Focus on outcomes and data here.  Get things in writing, law preferably. Staff change, make sure that does not end your partnership.  Weekly on operations. Use those meetings to focus on learning each other’s systems. What must be done from a partner’s perspective and what can remain flexible?  Assign staff who have a defined role of “Boundary Spanner”. Partnerships
  • 11. Flexibility  Never forget the end goal.  Always ask WHY? Use each tough case as an opportunity to learn about each other’s systems.  Build relationships! This takes time and conscious effort.  Learn each systems’ challenges, priorities and cutting edge.  Does the system you come from have resources to address? Housing Authorities want to keep turn over rates low. Medicaid has pressure to decrease costs, which supportive housing has been proven to do. Politicians need to raise money and get re-elected. Partnerships
  • 12. Focus on End Goal: Ending Homelessness  Filter all decisions through “does this get us closer or further away from ending homelessness”  Pick your battles strategically.  Look for opportunities to build on the partnerships.  Use each other’s challenges as opportunities. DATA
  • 13. Outcomes for Housing Choice Voucher set aside program  587 single adults or couples leased, since 9/23/08.  As of May, 2012, 91% remain leased.  An additional 253 persons leased since last May. Reconciliation process with the Housing Authority is coming up. DATA
  • 14. Contact Information Marcella Maguire, Ph.D. 215-685-5419 Marcella.Maguire@phila.gov Stay Connected Follow us on Facebook: https://www.facebook.com/DBHIDS Follow us on Twitter: ME: @cella65 DBHIDS: @PhillyRecovery Partnerships