EOHHS Grant Application: Staff and Agency Enhancement for Home Stabilization and Associated Medicaid Services

  • SECTION I
  • SECTION II
  • SECTION III
  • SECTION IV
  • SECTION V
  • SECTION VI
  • SECTION VII
  • Complete

AGENCY AND AGENCY CAPACITY 

Is your organization currently certified as a Home Stabilization Provider?
If you are not certified as a HSS provider currently, is your organization planning to become a certified home stabilization provider by November 2023?
Has your organization billed Medicaid in the past 3 months for any of the following services? Select all that apply.
*Location of Service: homeless shelter, home, assisted living, group home, temporary lodging, outreach site /street, mobile unit 
Which services do you plan to maintain billing for by August 2024? Select all that apply.
*Location of service: homeless shelter, home, assisted living, group home, temporary lodging, outreach site /street, mobile unit
Which services do you plan to start billing for by August 2024-? Select all that apply.
*Location of service: homeless shelter, home, assisted living, group home, temporary lodging, outreach site /street, mobile unit 
What funding area is your organization applying for in Phase 1?  Select all that apply. (Organizations can apply for funds in multiple areas) 
What funding area does your organization anticipate applying for in Phase 2?  Select all that apply. (Organizations can apply for funds in multiple areas)
Reminder: A separate application will be required to be considered for these funds in August 2024.