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What is I Choose Home NJ (MFP)?
- Helps low-income seniors and individuals with disabilities to
transition from nursing homes back to the community.
- Program savings are invested into long-term care supports
Investments in Housing for Vulnerable Seniors and Veterans HCDNNJ - - PowerPoint PPT Presentation
Investments in Housing for Vulnerable Seniors and Veterans HCDNNJ - - PowerPoint PPT Presentation
Investments in Housing for Vulnerable Seniors and Veterans HCDNNJ 2019 What is I Choose Home NJ (MFP)? Helps low-income seniors and individuals with disabilities to transition from nursing homes back to the community. Program savings
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New Jersey Successes
Transition Program:
July 1, 2008 to present: 2941 Older Adults (65+): 996 Physical Disabilities (18-64): 977 Intellectual/Developmental Disabilities: 968
Rebalancing Program:
Reinvest enhanced matching funds to create infrastructure to maintain HCBS Over $30 million saved ~ $15.6 million left to spend
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SLIDE 4
The Nursing Facility Transition Population (not what you think)
SLIDE 5
Age of ICHNJ-eligible Nursing Facility Residents
62 and Older 47% Younger than 62 53%
62 and Older Younger than 62
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Top 5 Barriers to NF Transitions
HOUSING
Family conflict Unresponsive/intransigent facility staff Medicaid eligibility and service planning Residents with diminished capacity
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NF Resident Housing Need
200+ ICH eligible NF residents need housing now
Northeast NJ and North Shore
SLIDE 8
Housing Barriers for NF Residents
- Acute lack of affordable and accessible housing for
low-income NF residents
- Intransigent/Inadequate Nursing Facility Staff
- Disconnected from housing resources
- Family conflicts
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... + Ageism!
- Presumption of incapacity
- Deference to family members
- “She’s too old!”
- Paternalistic thinking (“It’s a bad choice!/ It’s
dangerous!”)
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Housing Capacity Inside NFs
- Residents’ rights education
- Push staff to do housing work
- Social workers, Activities professionals, etc.
- Empower residents to do housing search
- Housing Search Quick Reference Guide
- Connect residents to housing
SLIDE 11
Medicaid Housing Capacity
ICH has been a crucial catalyst to bridge housing and Medicaid in NJ.
- All MCOs (e.g. Horizon, Aetna, United)
now have experienced/dedicated Housing Specialists who
- Define the MCO’s housing vision
- Help locate housing for members
- Build housing connections
- Report data/progress quarterly to Med.
- ICH convenes and trains these specialists
quarterly on a range of housing issues.
SLIDE 12
Housing Creation for NF Population
MFP Housing Partnership Program through NJ HMFA
- Division of Aging funded w/ ICH savings
- Provides $75K loans to developers for 1BR accessible
units for NF population in certain counties
- HUD 811 Vouchers attached if needed
- 81 1BR units total, $6.2 million ICH investment
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MFPHPP continued…
Status:
47 units have been allocated to date (16 projects) 15 units pending HMFA approval (3 projects)
Zion Towers (Newark) Georgia King Village (Newark) Wemrock Senior Living (Freehold)
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Moving Beyond ICHNJ…
- Continue pushing for NF population in future Medicaid
and housing policy
- Explore senior housing programs/practices from other
states
- Master Plan for Aging (CA)
- More housing supports in Medicaid waivers
- Encourage managed care organizations to invest in
housing (ex. United Healthcare - 70 projects in 16 states)
- Support evidence-based solutions to senior housing crisis
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MCO Housing Development
- Managed Care Organizations are investing in housing
across the country
- United HealthCare hit $400 million investment mark in
March 2019, mostly through LIHTC investment.
- AmeriHealth (DE) is paying for first month’s rent (not
reimbursed by Medicaid!) and groceries for LTSS transition members.
- We should incentivize/encourage NJ’s MCOs to
invest in housing in NJ.
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