PSH medicade toolkit

Welcome to the Interagency Council on Homelessness
and Affordable Housing


Using Medicaid in Permanent Supportive Housing (PSH) to supplement services for residents can be challenging. This toolkit is designed to assist you in understanding the limitations of Medicaid funding and the opportunities to assist you in meeting PSH resident’s needs and ensure their housing is maintained.  The PSH Toolkit is one part of the overall effort of the Interagency Council on Homelessness and Affordable Housing to further the development of PSH and ensure that appropriate and needed supportive services are available to those in need. 

Medicaid is administered by a "single State agency". In Ohio that agency is the Ohio Department of Job and Family Services (ODJFS). ODJFS is responsible for setting policy, paying bills, contracting with providers and managing the program. ODJFS also manages home and community based services directly and through partnerships and interagency agreements with other state agencies that manage specific components of Medicaid which run a broad spectrum of services across multiple disabilities. In Ohio those agencies include the Department of Aging, Department of Alcohol and Drug Addiction Services, Department of Developmental Disabilities and the Department of Mental Health.


Who will benefit from this toolkit?

  • PSH provider organizations who want to understand Medicaid better.
  • PSH provider organizations that want to know how Medicaid might work with their program.
  • PSH providers who want to partner with existing community based Medicaid providers.
  • Medicaid certified organizations that provide services to person in PSH to assist them to overcome billing/technical issues.
  • Providers considering how to utilize Medicaid in the service delivery to residents of PSH.

News and updates

What do you do if your client who is receiving SSI or SSDI will not apply for Medicaid because of an open child support issue?

Read here for ODJFS’s Newsletter on how to help them.

The Interagency Council on Homelessness and Affordable Housing has approved a Permanent Supportive Housing definition and policy statement.
Read here for the complete text.

This toolkit was developed through an agreement between the Ohio Department of Job and Family Services and
the Ohio Housing Finance Agency and funded through the Money Follows the Person Demonstration Grant (CFDA#93.791).

The State of Ohio is an Equal Opportunity Employer and Provider of ADA Services.