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      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
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Funding Supportive Housing --- States, the Feds, Counties & Municipalities

2/17/2022

 
  • The "LEGAL RESPONSIBLITY" for funding disability housing for those people with disabilities that are institutionalized or at great risk of institutionalization ---- rests with the STATE under Olmstead.
  • Why are the COUNTIES & MUNICPALITIES --- willing to fund SUPPORTIVE HOUSING ?
    • ​The Counties and Municipalities are often bearing the BRUNT of the cost of HOMELESS people in their communities and people who are JUSTICE-INVOLVED.
    • This goes a long way towards explaining why STATES have been so slow to fund SUPPORTIVE HOUSING TO SCALE ---
      • ​By and large, it's NOT the STATES that are bearing the COST of FAILURE to fund SUPPORTIVE HOUSING ---it's COUNTIES and MUNICIPALITIES.
      • That's why it's the NATIONAL ASSOCIATION OF COUNTIES that is behind the STEPPING UP INITIATIVE to get people with MENTAL ILLNESS out of COUNTY JAILS.
 
  • The TRUTH is a lot of funding for DISABILITY HOUSING comes from the FEDS --- BUT ---
    • ​it is NOT an ENTITLEMENT like MEDICAID and it doesn't cover the NEED.
    • the STATE provides some funding to SUPPLEMENT the FEDS --- BUT THAT DOESN'T COVER THE NEED --
      • ​And it's the STATES with the LEGAL RESPONSIBILITY to COVER the NEED for DISABILTY HOUSING & SERVICES or have a COMPREHENSIVE, EFFECTIVELY WORKING PLAN TO SO.
​​
  • Further,  these CONVOLUTED FUNDING SCHEMES and MISMATCHED INCENTIVES are not providing ACCOUNTABILITY to people with DISABILITIES who are institutionalized or at great risk of institutionalization.
    • ​I'm not saying that Counties and Municipalities shouldn't fund SUPPORTIVE HOUSING, BUT
    • When people with DISABILITIES start insisting on SUPPORTIVE HOUSING as their right --- it also brings to a head these MESSY FUNDING SCHEMES.
​
Picture
​
  • Most people with disabilities don't care who FUNDS SUPPORTIVE HOUSING so long as it is there when they need it --- BUT that is just not the case for THOUSANDS of COLORADANS --- it's also true for approximately 1 MILLION AMERICANS with disabilities across the country.
  • If we start moving those HOMELESS & JUSTICE-INVOLVED PEOPLE to Medicaid Nursing Homes --- I bet the FEDS & STATES will find some HOUSING VOUCHERS.

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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System