Medicaid & Health Care Financing

The National Health Care for the Homeless Council is focused on providing information that helps educate our members, policymakers at all levels of government, and the general public about components of Medicaid and health reform law that are important to HCH grantees, similar service providers, and individuals experiencing homelessness.

We remain committed to our strong support for a publicly financed and privately administered national health care system structured around a “single-payer” financing mechanism as the most effective and efficient way to provide comprehensive, high-quality, and affordable healthcare coverage to everybody in the United States—especially for the most vulnerable.

Until this is achieved, we will work to ensure the health insurance and health center expansions made possible by the ACA are implemented in a manner that accommodates the needs of people experiencing homelessness (and those at risk).

Title	Categories	Tags	Date	hf:doc_categories	hf:doc_tags
Changes to Medicaid 1115 Waivers: What the Medical Respite Community Needs to Know	Financing a Medical Respite Care Program, Medicaid & Health Care Financing, Medicaid and Medicare, Medical Respite, Medical Respite Care, Policy and Advocacy, Policy Issues	Webinar	September 17, 2026	financing-a-medical-respite-care-program medicaid-health-care-financing medicaid-and-medicare medical-respite medical-respite-care policy-and-advocacy policy-issues	webinar
Internal Strategies to Prepare for Medicaid Work Reporting Requirements	Medicaid & Health Care Financing, Medicaid and Medicare, Policy and Advocacy, Policy Issues	Fact Sheet	July 14, 2026	medicaid-health-care-financing medicaid-and-medicare policy-and-advocacy policy-issues	fact-sheet
Letter to States: Updated H.R. 1 Implementation Recommendations to Ease Burden on People Experiencing Homelessness	Advocacy Toolkit, Healthcare and Homelessness Partnerships, Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Advocacy, Letter, OBBA	July 14, 2026	advocacy-toolkit healthcare-and-homelessness-partnerships medicaid-health-care-financing policy-and-advocacy policy-issues	advocacy letter obba
Summary of CMS State Medicaid Director Letter on Medicaid 1115 Waivers	Funding for HCH, Medicaid & Health Care Financing, Medicaid and Medicare, Policy and Advocacy, Policy Issues	Fact Sheet	July 14, 2026	funding-for-hch medicaid-health-care-financing medicaid-and-medicare policy-and-advocacy policy-issues	fact-sheet
Updated Medicaid Work Reporting Requirements: Summary & Action Steps	Advocacy Toolkit, Funding for HCH, Medicaid & Health Care Financing, Medicaid and Medicare, Policy and Advocacy, Policy Issues	Fact Sheet	July 14, 2026	advocacy-toolkit funding-for-hch medicaid-health-care-financing medicaid-and-medicare policy-and-advocacy policy-issues	fact-sheet
What is Single Payer?	Medicaid & Health Care Financing, Medicaid and Medicare, Policy and Advocacy, Policy Issues, Single-Payer Health Care	Fact Sheet	April 1, 2026	medicaid-health-care-financing medicaid-and-medicare policy-and-advocacy policy-issues single-payer-health-care	fact-sheet
Medical Respite Care Programs Add Value to States, Hospitals & Payors	Financing a Medical Respite Care Program, Medicaid & Health Care Financing, Medicaid and Medicare, Medical Respite, Medical Respite Care, Policy and Advocacy, Policy Issues	Fact Sheet	March 10, 2026	financing-a-medical-respite-care-program medicaid-health-care-financing medicaid-and-medicare medical-respite medical-respite-care policy-and-advocacy policy-issues	fact-sheet
Letter to States: H.R. 1 Implementation Recommendations to Ease Burden on People Experiencing Homelessness	Advocacy Toolkit, Healthcare and Homelessness Partnerships, Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Advocacy, Letter, OBBA	December 24, 2025	advocacy-toolkit healthcare-and-homelessness-partnerships medicaid-health-care-financing policy-and-advocacy policy-issues	advocacy letter obba
Health Insurance and Revenue at HCH Programs, 2024	Funding for HCH, Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Issue Brief	September 11, 2025	funding-for-hch medicaid-health-care-financing policy-and-advocacy policy-issues	issue-brief
One Big Beautiful Bill Act: State-Level Advocacy Actions for the HCH Community	Medicaid & Health Care Financing, Medicaid and Medicare, Policy and Advocacy, Policy Issues	Policy Brief	September 4, 2025	medicaid-health-care-financing medicaid-and-medicare policy-and-advocacy policy-issues	policy-brief
One Big Beautiful Bill Act: Impact on the HCH Community	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Fact Sheet	July 16, 2025	medicaid-health-care-financing policy-and-advocacy policy-issues	fact-sheet
Letter to the U.S. Senate: Medicaid Cuts Harm People Experiencing Homelessness	Medicaid & Health Care Financing, Medicaid and Medicare, Policy and Advocacy, Policy Issues	Letter	June 9, 2025	medicaid-health-care-financing medicaid-and-medicare policy-and-advocacy policy-issues	letter
Homelessness and Medicaid: What’s the Connection?	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Fact Sheet	April 23, 2025	medicaid-health-care-financing policy-and-advocacy policy-issues	fact-sheet
Impact of Medicaid Work Requirements for Unhoused People	Medicaid & Health Care Financing, Medicaid and Medicare, Policy and Advocacy, Policy Issues	Fact Sheet	February 12, 2025	medicaid-health-care-financing medicaid-and-medicare policy-and-advocacy policy-issues	fact-sheet
Protect Medicaid – Letter to Congress	Medicaid & Health Care Financing, Medicaid and Medicare, Policy and Advocacy, Policy Issues	Letter	January 23, 2025	medicaid-health-care-financing medicaid-and-medicare policy-and-advocacy policy-issues	letter
New Federal Regulation Establishes Street Medicine as a Reimbursable Model of Care	Medicaid & Health Care Financing, Policy and Advocacy, Street Medicine	Fact Sheet	August 30, 2024	medicaid-health-care-financing policy-and-advocacy street-medicine policy-issues	fact-sheet
Fact Sheet: Health Insurance at HCH Programs, 2022	Medicaid & Health Care Financing, Policy Issues	Fact Sheet, NHCHC Resources	February 1, 2024	medicaid-health-care-financing policy-issues policy-and-advocacy	fact-sheet nhchc-resources
Medical Respite Playbook: A Practical Guide for Managed Care Plans	Financing a Medical Respite Care Program, Medicaid & Health Care Financing, Medical Respite, Medical Respite Care	Playbook	October 1, 2023	financing-a-medical-respite-care-program medicaid-health-care-financing medical-respite medical-respite-care policy-issues policy-and-advocacy	playbook
NHCHC comments on CMS Proposed Rule: Prior Authorizations	Medicaid & Health Care Financing, Policy Issues	Letter	March 13, 2023	medicaid-health-care-financing policy-issues policy-and-advocacy	letter
Factsheet: Health Insurance at HCH Programs, 2021	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Fact Sheet	March 1, 2023	medicaid-health-care-financing policy-and-advocacy policy-issues	fact-sheet
Webinar: Medicaid Unwinding: Helping Service Recipients Keep Their Health Care Coverage	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Webinar	March 1, 2023	medicaid-health-care-financing policy-and-advocacy policy-issues	webinar
Factsheet: 2023 FY Spending Bill and the Medicaid Unwinding: Implications for the HCH Community	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Fact Sheet	February 1, 2023	medicaid-health-care-financing policy-and-advocacy policy-issues	fact-sheet
NHCHC comments on CMS Proposed Rule: Streamlining the Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Letter	November 4, 2022	medicaid-health-care-financing policy-and-advocacy policy-issues	letter
Letter to Congressional Leadership on ‘Build Back Better’ Health Proposals	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Letter	October 1, 2021	medicaid-health-care-financing policy-and-advocacy policy-issues	letter
Issue Brief : COVID-19 & the HCH Community: Ensuring Access to Care Through State Medicaid Telehealth Policies	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Issue Brief	November 1, 2020	medicaid-health-care-financing policy-and-advocacy policy-issues	issue-brief
Medicaid & Managed Care Financing Strategies that Support Medical Respite Care Programs	Financing a Medical Respite Care Program, Funding for HCH, Healthcare and Homelessness Partnerships, Medicaid & Health Care Financing, Medicaid and Medicare, Medical Respite, Policy and Advocacy, Policy Issues	Webinar	September 15, 2020	financing-a-medical-respite-care-program funding-for-hch healthcare-and-homelessness-partnerships medicaid-health-care-financing medicaid-and-medicare medical-respite policy-and-advocacy policy-issues	webinar
Health Affairs blog: Five Ways Medicaid Expansion Is Helping Homeless Populations Ten Years After The ACA Became Law	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Additional Resources	February 27, 2020	medicaid-health-care-financing policy-and-advocacy policy-issues	additional-resources
Statement: National HCH Council Opposes CMS Medicaid Block Grants	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues		January 29, 2020	medicaid-health-care-financing policy-and-advocacy policy-issues
Comments on HHS’s Section 1557 Health Care Discrimination Rule	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Letter	July 25, 2019	medicaid-health-care-financing policy-and-advocacy policy-issues	letter
Medicaid and HCH: The Dangers of Block Grants or Per Capita Caps and Guiding Principles for Reform	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues		January 1, 2019	medicaid-health-care-financing policy-and-advocacy policy-issues
Implications of Medicaid Expansion on HCH Health Centers: Learning from Experience	Healthcare and Homelessness Partnerships, Medicaid & Health Care Financing, Medicaid and Medicare, Policy and Advocacy, Policy Issues	Webinar	August 15, 2018	healthcare-and-homelessness-partnerships medicaid-health-care-financing medicaid-and-medicare policy-and-advocacy policy-issues	webinar
Medicaid & Work Requirements: Likely Impact on the HCH Community	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Issue Brief	July 1, 2018	medicaid-health-care-financing policy-and-advocacy policy-issues	issue-brief
Example letter to invite for a site visit	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Letter	February 9, 2017	medicaid-health-care-financing policy-and-advocacy policy-issues	letter
Business Case for Medical Respite	Financing a Medical Respite Care Program, Healthcare and Homelessness Partnerships, Medicaid & Health Care Financing, Medical Respite, Medical Respite Care	Report	December 1, 2016	financing-a-medical-respite-care-program healthcare-and-homelessness-partnerships medicaid-health-care-financing medical-respite medical-respite-care policy-and-advocacy policy-issues	report
Ask & Code: Documenting Homelessness Throughout the Health Care System	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues		October 1, 2016	medicaid-health-care-financing policy-and-advocacy policy-issues
Hospital Community Benefit Funding: Potential Resources to Meet the Needs of Homeless Populations	Funding for HCH, Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues	Webinar	July 12, 2016	funding-for-hch medicaid-health-care-financing policy-and-advocacy policy-issues	webinar
Hospital Community Benefit Funds: Resources for the HCH Community	Medicaid & Health Care Financing, Policy and Advocacy, Policy Issues		May 1, 2016	medicaid-health-care-financing policy-and-advocacy policy-issues

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