Individuals experiencing chronic or persistent homelessness are often among the highest utilizers of costly emergency health care and other public systems of care. MHSA advocates for initiatives that link health care and housing for this vulnerable population.
The Community Support Program for People Experiencing Chronic Homelessness (CSPECH), an innovation of the Massachusetts Behavioral Health Partnership and MHSA, is a proven model of Medicaid reimbursement that can help fund permanent supportive housing for chronically homeless individuals. CSPECH has been recognized nationally as a model for supporting permanent supportive housing with Medicaid dollars. MHSA's advocacy through the Pay for Success initiative led to the expansion of CSPECH to additional managed care entities in Massachusetts, and as of March 2017, over 350 individuals have been enrolled in CSPECH through Pay for Success.