Medicaid & Health Care Financing

The National Health Care for the Homeless Council is focused on providing information that helps educate our members, policy makers 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 health care 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 accommodate the needs of people experiencing homelessness (and those at risk).

Council Publications and Webinars 

• Letter to Congressional Leadership on ‘Build Back Better’ Health Proposals | October 2021
• Insurance Coverage at HCH Programs, 2020 | October 2021
• Webinar: Medicaid & Managed Care Financing Strategies that Support Medical Respite Care Programs | September 15, 2020
• Health Affairs blog: Five Ways Medicaid Expansion Is Helping Homeless Populations Ten Years After The ACA Became Law | February 2020
• Medicaid and HCH: The Dangers of Block Grants or Per Capita Caps and Guiding Principles for Reform
• Webinar: Implications of Medicaid Expansion on HCH Health Centers: Learning from Experience | August 15, 2018
• Medicaid & Work Requirements: Likely Impact on the HCH Community | July 2018
• Medicaid Accountable Care Organizations: Case Study with Hennepin Health | May 2018
• Medicaid Accountable Care Organizations: Case Study with Boston HCH Program | March 2018
• Ask & Code: Documenting Homelessness Throughout the Health Care System | October 2016 (watch webinar here)
• Hospital Community Benefit Funds: Resources for the HCH Community | May 2016 (watch webinar here)
• Managed Care and Homeless Populations: Linking the HCH Community and MCO Partners (with UnitedHealthcare)| March 2016 (watch webinar here)
• How has the ACA Medicaid Expansion Affected Providers Serving the Homeless Population: Analysis of Coverage, Revenues, and Costs (Kaiser Family Foundation) | March 2016 (watch webinar here)
• Early Impacts of the Medicaid Expansion for the Homeless Population (Kaiser Family Foundation) | November 2014 (watch webinar here)

Congressional Communications

• Example letter to invite for a site visit

Administration Communications

• Statement: National HCH Council Opposes CMS Medicaid Block Grants | January 30, 2020
• Comments on HHS’s Section 1557 Health Care Discrimination Rule| July 2019
• Comments on Kentucky HEALTH Medicaid Demonstration Waiver| August 2018
• Questions for the confirmation hearing of Alex Azar as HHS Secretary | November 2017
• Post-Election Frequently Asked Questions (FAQ), #2 | March 2017
• Post-Election Frequently Asked Questions (FAQ), #1| November 2016