The Consortium works to support the people working on the ground - Health Home care coordinators, housing case managers, and hospital social workers, and more - so that they can better support their clients and patients. Below are a few resources we have developed that might be helpful in your work supporting homeless or unstably housed people who may also have complex medical and/or behavioral health needs.
Medicaid Redesign Team (MRT) Pilot Scattered-Site Housing Program: Toolkit and Lessons Learned
The recent implementation of health reform and the establishment of the Health Home Program to focus on high cost Medicaid populations puts into stark relief that the homeless and precariously housed populations are a significant driver of inappropriate health care utilization and high Medicaid costs. The New York State Department of Health (NYSDOH) Medicaid Redesign Team (MRT) recognized this need for housing and launched the Supportive Housing Health Home Pilot Project. The new MRT Pilot Project provides rental subsidies for scattered-site supportive housing units available to Health Home members—Medicaid recipients with high Medicaid spending and chronic conditions. This differs from other MRT housing programs, which require specific diagnoses (behavioral health and/or substance use disorder) and the 2010E application process through HRA.
A committee of the Bronx Health & Housing Consortium comprised of housing, health, research, and managed care representatives met during 2015 to discuss the targeting of these scarce MRT Pilot Program housing units to people most in need with the greatest potential for reduced avoidable hospital utilization. From this committee's work, the Consortium developed a toolkit for organizations with similar housing programs and for those seeking to make referrals into this program.
Health Home White Pages
The Consortium has compiled, updated, and expanded the Health Home White Pages, a directory of contact information for the lead Health Homes, Care Management Agencies, MRT Housing Providers, and Managed Care Organizations in the Bronx.
Housing Referral Manual
This Housing Referral Manual is designed as a resource for providers assisting clients to apply for housing. It is intended to be a user friendly document that provides information about housing options, primarily for various special needs populations identified in the NY/NY III Agreement, as well as the first two NY/NY Agreements and other special needs housing options. The Handbook includes eligibility criteria and a step-by-step guide on how to make an application and follow through to achieve housing placement of the individual (or family) receiving services.
We are providing the most up-to-date contact information to the housing resources within the Bronx Health and Housing Consortium as well as information about the systems to be navigated to initiate a housing application. We also provide several resources for emergency situations and information on the New York State Medicaid Redesign Team (MRT) housing initiative.
Procedure for dual enrollment in Health Homes
A widespread challenge in the implementation of the health home program was that of individuals being assigned to or enrolled in more than one health home. The Consortium collaborated with all four Bronx Health Homes to develop and agree on a process for how to prevent these "dual enrollments" and how to address them when they do occur.
Successful Health-Housing Meetings Recommendations
The Consortium Steering Group agreed in March 2013 to use recent successful health-housing collaboration meetings to develop a list of key components that create effective inter-agency relationships.
Many of our member and partner agencies in the community develop resources that would be helpful to our broader network. The Consortium seeks to make those resources more accessible and maximize the use of existing resources. If you know of any resources that might be helpful to our members, please send them to email@example.com with the subject line "Resource for Consortium"
With conveniently located prevention centers staffed with homelessness prevention experts, Homebase offers a range of services under one roof, including:
Download a brochure in English and Spanish
Legal Housing and Immigration Clinics
The Urban Justice Center provides free a legal housing clinic every Tuesday from of the month from 10:00am to 1:00pm at Union Community Health Center, 260 East 188th Street Bronx, NY 10458 (between Valentine and Tiebout). Attorneys will be on site to provide one-on-one consultations and offer free legal advice for tenants who need assistance with nonpayment, repair issues, and succession rights.
Call (646) 602-5600 with any further questions.
Legal Services NYC-Bronx and NYC Council Member Diana Ayala (Dictrict 8) have partnered to provide free legal housing clinic on the first Tuesday of the month from 3:00pm - 6:00pm at their East Harlem District Office, 105 East 116th Street New York, NY 10029.
The Office also provides free legal immigration screenings on the last Thursday of every month from 3:00pm - 6:00pm at the Councilwoman's Bronx District Office 214 St. Anne's Avenue Bronx, NY 10454.
To make an appointment, please call Council Member Diana Ayala's Bronx District Office at (347) 297-4922.
Resources for NYC Immigrants
The Mayor's Office of Immigrant Affairs produced this resource guide to serve as a quick and easy road map of City services currently available to all New Yorkers. The City of New York supports all its residents. Most City services are available to everyone, including undocumented immigrants, like going to school or using the health care system or other services. City employees will not ask about immigration status unless it is necessary to do their jobs. They must keep immigration status information confidential.
South Bronx Community Resources and Services Directory
The Mott Haven Community Partnership Program (MHCPP) is a collaboration among the Administration for Children's Services, ACS foster care & preventive agencies, local service providers & stakeholders to help provide neighborhood based services to children and families in their own communities. The Partnership is a forum where agencies can share resources, ideas, information, referrals, as well as engage in joint planning, coordination, training, and advocacy. Another prospect for the MHCPP is the development of community based child welfare strategies that will lead the realignment of child welfare services, ensuring that families, communities, and government work successfully together to keep our City’s children safe and families thriving.
This South Bronx Community Resources and Services Directory, developed by The Mott Haven Community Partnership Program, contains resources and services primarily in Community District One and the surrounding neighborhoods in the South Bronx. Additionally, they have included Bronx Borough-Wide mental health and preventive services. They plan to regularly update this Directory and if you wish to include your organization’s services in a future version or would like to obtain a PDF copy, please send your requests to John Rios at JRNYCNY@GMail.com
Health Information Tool for Empowerment (HITE)
The Health Information Tool for Empowerment is an online directory offering information on more than 5,000 health and social services available to low-income, uninsured, and underinsured individuals in the Greater New York area. HITE helps people connect to vital community services quickly and easily. The directory offers information on community services throughout all of New York City and Long Island in the following categories: Dental & Optical, Financial Assistance, Health Care & Medicine, Immigrant Support, Mental Health & Substance Abuse, School, Youth & Family Services, Social Services, Transportation, and Wellness & Prevention.
HITE is a program of the not-for-profit Foundation affiliate of the Greater New York Hospital Association (GNYHA).
Benefits Plus SNAP Calculator
A free online tool from the Community Service Society of NY which allows you to determine whether a household is income eligible for SNAP and the potential amount of SNAP benefits a household may be eligible for. Based on the information you input, the SNAP calculator will estimate a household’s income eligibility and benefit amount for SNAP. Definitions and other pertinent information is provided to aid you in the process.