Appendix B: Pilot Service Models Quick Comparison

Pilot

Miami-Dade County — Coalition LIFT Carrfour Supportive Housing, Inc

Service Model Used by Pilot

Modified Assertive Community Treatment (ACT) Model

Housing Stability Resident Services Coordination Organization Performing Resident Services Coordination Housing Stability Resident Svcs Coordination Ratios (Staff to Resident)

Yes Carrfour staff 1:17

Duval County — Village on Wiley Ability Housing, Inc Tenancy Support Model Yes Sulzbacher Health Center (FQHC) 1:20

Pinellas County — Pinellas Hope V Catholic Charities, Diocese of St Petersburg Tenancy Support Model Yes Catholic Charities Staff 1:24

Notes: Local Homeless Continuums of Care (CoCs) get funding from US HUD and state appropriations. Managing Entities are under contract with the Department of Children and Families to provide funding and oversight for behavioral health services.

Financing Models to Provide Care

Working with Medicaid Managed Care? If so, which MCOs?

Number of Residents that are Medicaid Eligible upon Move-In

Number of Residents that are Medicaid Enrolled after Two Years

Miami-Dade County — Coalition LIFT (out of 35 residents) No 22 27

Duval County — Village on Wiley** (out of 68 study participants) No 36* 54*

Pinellas County — Pinellas Hope V (out of 22 study participants) No 11* 13*

Notes: * These numbers reflect the proportion of residents in the respective studies rather than all residents at the properties. ** The Duval pilot numbers reflect the number of residents enrolled in Medicaid, Medicare, VA and/or with a local charity hospital "Shands" card.

Funding Source for Resident Services Coordination

Health and Behavioral Health Supports on Site Linkages to Off

Site Clinical

Services Peer Supports

Resident Services on Site Formal Liasion with the Local Managing Entity Non Business Hours Staffing

CoC grant obtained by Carrfour

Yes, also a substance abuse recovery group Yes, Citrus Health primarily, also Camillus Health Center,etc Yes, 7 days a week Some Informal only Yes

CoC $$, Private grant and Managing Entity funding obtained by Ability Hsng

Partially. Substance abuse recovery svcs onsite; other svcs mainly offsite

Yes, primarily Sulzbacher Health Center; plus others Yes, part time Some

County $$ obtained by Catholic Charities

Yes, behavioral health; limited nursing available Yes, mainly for psychiatric/ medication mgt and VA No Some ME provided some housing stability case mgt funding Yes

No

No, but limited availability from staff at other parts of campus