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Housing Services

Housing Services

HRSA Service Definition

Housing services provide limited short-term assistance to support emergency, temporary, or transitional housing to enable a client or family to gain or maintain outpatient/ambulatory health services. Housing-related referral services include assessment, search, placement, advocacy, and the fees associated with these services.

Housing services are transitional in nature and for the purposes of moving or maintaining a client or family in a long-term, stable living situation. Therefore, such assistance cannot be provided on a permanent basis and must be accompanied by a strategy to identify, relocate, and/or ensure the client or family is moved to, or capable of maintaining, a long-term, stable living situation.

Eligible housing can include housing that provides some type of medical or supportive services (such as residential substance use disorder services or mental health services, residential foster care, or assisted living residential services) and housing that does not provide direct medical or supportive services, but is essential for a client or family to gain or maintain access to and compliance with HIV-related outpatient/ambulatory health services and treatment.

Program Guidance:

RWHAP Part recipients must have mechanisms in place to allow newly identified clients access to housing services. Upon request, RWHAP recipients must provide HAB with an individualized written housing plan, consistent with RWHAP Housing Policy 11-01, covering each client receiving short term, transitional and emergency housing services. RWHAP recipients and local decision-making planning bodies, (i.e., Part A and Part B) are strongly encouraged to institute duration limits to provide transitional and emergency housing services. The US Department of Housing and Urban Development (HUD) defines transitional housing as up to 24 months and HRSA/HAB recommends that recipients consider using HUD’s definition as their standard.

Housing services funds cannot be in the form of direct cash payments to clients and cannot be used for mortgage payments.

Number of Clients Served, Units Provided, Expenditures, Cost per Client and 3 Year averaged Cost per Client (based on actual expenditures)

Year 2015 2016 2017 2018 2019
Housing Assistance Clients 919 894 886 848 542
Housing Assistance Units (clients) 23,654 27,060 22,187 25,982 18,999
Housing Assistance Dollars $510,049 $543,032 $539,294 $278,368 $589,877
Allocated Dollars $579,717 $584,613 $573,534 $179,145 $566,322
Over/ Underspending $69,668 under $41,581 under $34,240 under $99,223 over $23,555 over

2015 includes emergency assistance (238 units and clients), supportive services and legal (599 clients 9,139 qtr hrs), and transitional housing (82 clients, 14,277 days)- units include voucher, quarter hour for (support service/legal) and day for transitional

2016 includes emergency assistance (182 units and clients), supportive services and legal (633 clients 10,694 qtr hrs), and transitional housing (79 clients, 16,184 days)- units include voucher, quarter hour for (support service/legal) and day for transitional

Funding by Part, and info on any other payers

Total Part A Funds (Formula + Supp.) MAI Total Part B Funds (Formula + Supp. NJ) Total Part B Funds (Formula + Supp. PA) Total Part C EIS Funds (State & Local) Total Part D Funds (State & Local) Total Part F Funds
Last Year Allocation $566,322 $65,000
Current Allocation $563,477 $8,750

Consumer survey info 2017 n=392

n Used in the last 12 months Needed but did not get (last 12 months)
Housing Assistance 160 63.1% 36.9%

Unmet need

For the purposes of this document, need is based on the response of a consumer when asked if there was a service they needed. MMP interviews patients in care and asks consumers if they need a service and if they receive it. Client services unit data identifies needs at the time of initial intake.

2016 MMP Percent with a Need 2017 Client Services Unit Need at Intake
Housing Assistance 16% 51.7%

Recipient Service Considerations

None.