Affordable Assisted Housing Project at Oakland County_ MI - US

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					       AFFORDABLE ASSISTED
         HOUSING PROJECT
                          Affordable Assisted
                           Housing Project
                           Oakland County,
                               Michigan
                             100 Tenant-Based
Partners:                        Vouchers
 Michigan State Housing Development Authority
 American House Retirement Residences
 Area Agency on Aging 1-B (AAA 1-B)
 Macomb Oakland Regional Center (MORC)
 US Congressman Joe Knollenberg
                                                  Assisted Living Facilities
BACKGROUND                                    2
                                                  Models in Public Housing




  Assisted Living demonstration program using Housing
 Choice Voucher and Medicaid Waiver Programs
  State Housing Authority, Local Medicaid Agencies and
 U.S. Congressman worked together to develop program
  Partnership monitored progress of demonstration and
 made program and policy changes where needed
  The result: a successful and expanding program




AFFORDABLE ASSISTED HOUSING PROJECT               MICHIGAN
                                                    Assisted Living Facilities
DESIGN                                          3
                                                    Models in Public Housing




  Participating County HA declares a preference for
 households with Medicaid Waivers
   Medicaid agencies identify Medicaid Waiver eligible
 individuals and assist with voucher application
  Qualifying households use voucher and Medicaid
 subsidies to afford rent in an ALF




AFFORDABLE ASSISTED HOUSING PROJECT                 MICHIGAN
                                                      Assisted Living Facilities
PROCESS                                           4
                                                      Models in Public Housing




  Participating PHA adopts preference for Medicaid Waiver
 households and opens waiting list (if closed)
  Medicaid agency reviews PHA waiting list for Medicaid
 Waiver clients
  Marketing letters sent to the remainder of waiting list
  Medicaid agency markets program to area nursing
 homes and current clients
   Pool of applicants identified and interviewed for HCV
 eligibility



AFFORDABLE ASSISTED HOUSING PROJECT                   MICHIGAN
                                                    Assisted Living Facilities
CHALLENGES/FAILURES/LESSONS LEARNED             5
                                                    Models in Public Housing




  Initial phase of the demonstration not successful:
         40% of income in rent rule limited ALF selection
         Payment standard too low for ALFs
        Need for increased communication and
       education between partner agencies




AFFORDABLE ASSISTED HOUSING PROJECT                 MICHIGAN
                                                Assisted Living Facilities
CHALLENGES/FAILURES/LESSONS LEARNED         6
                                                Models in Public Housing




  Partnership addressed these issues:
     Congressman Knollenberg sponsored legislation in
    FY 02 and 03 Appropriations Act allowing MI to
    exceed 40% of income limit
     MSDHA increased payment standard to 110%
     Improved communication and program knowledge
    between partners




AFFORDABLE ASSISTED HOUSING PROJECT             MICHIGAN
                                                  Assisted Living Facilities
ACCOMPLISHMENTS/SUCCESSES/HIGHLIGHTS          7
                                                  Models in Public Housing




 Program Today:
   60 (out of 100 possible) households housed in ALF
   8% of participants are former nursing home residents
   Program costs State 50% less than nursing homes




AFFORDABLE ASSISTED HOUSING PROJECT               MICHIGAN
                                                  Assisted Living Facilities
CHALLENGES/FAILURES/LESSONS LEARNED           8
                                                  Models in Public Housing




 Program Limitations:
   Medicaid Waiver enrollment closed for past two years
   New Governor committed to opening enrollment
   Use of 110% FMR reduces subsidy dollars for other
 families




AFFORDABLE ASSISTED HOUSING PROJECT               MICHIGAN
                                                    Assisted Living Facilities
SUMMATION (Continued)                           9
                                                    Models in Public Housing




  Pairing tenant-based vouchers and Medicaid Waiver
 programs = Assisted Living affordable
   Effective use of vouchers for ALFs requires a change in
 the 40% of income in rent limitation
   To increase affordability, PHAs can base payment
 standard on 110% of FMR or ask HUD for an exception
 payment standard




AFFORDABLE ASSISTED HOUSING PROJECT                 MICHIGAN
                                                     Assisted Living Facilities
SUMMATION                                       10
                                                     Models in Public Housing




 Program under HANF:
  40% of Income in Rent rule – States decide the limitation
 of the % of income in rent
  Payment Standards – States have flexibility to set
 payment standard to meet local market needs
  Increased coordination with the State Medicaid Program




AFFODABLE ASSISTED HOUSING PROJECT                   MICHIGAN

				
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