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Using Medicaid to Fund and Shape Tenancy Support Services: Key Considerations From Research in North Carolina and Louisiana

Publication ,  Journal Article
Silberberg, M; Biederman, DJ; Carmody, E
Published in: Housing Policy Debate
January 1, 2022

Medicaid is expanding funding for tenancy support services (TSS) that help people who have experienced homelessness or lived in institutional settings obtain and maintain housing. To identify critical considerations for Medicaid TSS regulations, we compared two successful TSS provider agencies in North Carolina, and conducted additional stakeholder interviews in North Carolina and Louisiana, which is ahead of North Carolina in expanding Medicaid-funded TSS. Stakeholder concerns focused on the impact of regulation on goals of access, quality, and flexibility, and noted tensions among these goals. Specific regulatory approaches may mitigate the tension among these goals, such as outcome- and client feedback-based accountability, and an emphasis on job-specific training. Moreover, meeting the goals of access, quality, and flexibility and mitigating their trade-offs is supported by state infrastructure that includes braided funding; horizontal and vertical coordination across agencies; and the capacity for multimodal, multilevel quality assurance and multilevel training and technical assistance.

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Published In

Housing Policy Debate

DOI

EISSN

2152-050X

ISSN

1051-1482

Publication Date

January 1, 2022

Related Subject Headings

  • Urban & Regional Planning
  • 4407 Policy and administration
  • 4406 Human geography
  • 3801 Applied economics
  • 1605 Policy and Administration
  • 1402 Applied Economics
  • 1205 Urban and Regional Planning
 

Citation

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Silberberg, M., Biederman, D. J., & Carmody, E. (2022). Using Medicaid to Fund and Shape Tenancy Support Services: Key Considerations From Research in North Carolina and Louisiana. Housing Policy Debate. https://doi.org/10.1080/10511482.2022.2070650
Silberberg, M., D. J. Biederman, and E. Carmody. “Using Medicaid to Fund and Shape Tenancy Support Services: Key Considerations From Research in North Carolina and Louisiana.” Housing Policy Debate, January 1, 2022. https://doi.org/10.1080/10511482.2022.2070650.
Silberberg, M., et al. “Using Medicaid to Fund and Shape Tenancy Support Services: Key Considerations From Research in North Carolina and Louisiana.” Housing Policy Debate, Jan. 2022. Scopus, doi:10.1080/10511482.2022.2070650.

Published In

Housing Policy Debate

DOI

EISSN

2152-050X

ISSN

1051-1482

Publication Date

January 1, 2022

Related Subject Headings

  • Urban & Regional Planning
  • 4407 Policy and administration
  • 4406 Human geography
  • 3801 Applied economics
  • 1605 Policy and Administration
  • 1402 Applied Economics
  • 1205 Urban and Regional Planning