New Hampshire Supportive Housing Toolkit
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About this Toolkit
Introduction
Overview of Permanent Supportive Housing for Persons with Developmental Disabilities
I. Introduction. 12 II. Overview of Permanent Supportive Housing for Persons with Developmental Disabilities. 12 Linked document: Priced Out - The Housing Crisis for People with Disabilities. 13 A. Principles of Supportive Housing. 13 1. Affordable and Stable. 13 2. Safe and Comfortable. 14 3. Person-Centered, Accessible, and Flexible Support Services. 14 4. Fostering Independence. 15 B. Elements of Successful Supportive Housing. 16 The Visions Experience: Families of Residents Share Their Stories. 1 Exploration
A. Individual 1) Alternatives to Pursuing Housing Development Activities: Current NH Housing Models For Adults With I/DD a) Day Services b) Living Independently c) Living With a Member of One’s Family d) Enhanced Family Care e) Staffed Homes f) Provider Placements g) Additional Settings for Certain High Needs Cohorts h) Supportive Housing Settings Created by Families i) Visions in Enfield The Visions Experience: Successful Supportive Housing in New Hampshire ii) Farmsteads of New England in Hillsborough The Visions Experience: Housing Alternatives 2) Person-Centered Planning The Visions Experience: Planning for Individuals 3) Assessing Resources 4) Family Financial Planning Linked document: Top Ten Financial Planning Tips for Families of People with Special Needs Linked document: The Beginning Steps to Planning for Your Child's Future a) Guardianship Linked document: Guardianship Linked document: Guardianship and Public Benefits Eligibility Linked document: Authorized Representative Declaration B. Building a Team The Visions Experience: Building a Team C. Develop Goals and a Strategy For Advocacy The Visions Experience: Advocacy The Visions Experience: Tips From the Trenches on First Steps in Housing Development Development
A. The Development Process 1. The Front End 2. Identifying Potential Properties Linked document: Site Selection Criteria and Search Strategies Linked document: Site Analysis 3. Site Characteristics Linked document: Site Selection Criteria and Search Strategies a) Demographic Characteristics b) Zoning c) Accessibility d) Existing Structures 4. Establishing Control of a Property Linked document: Establishing Site Control 5. Predevelopment Site and Structure Studies 6. Purchasing Property Linked document: Establishing Site Control The Visions Experience – Getting Started in Enfield The Visions Experience – Upgrading in Enfield The Visions Experience – Pre-Development in Lebanon 7. New Hampshire Regulatory Design Issue: Licensed Versus Certified Facilities 8. Federal Regulatory Design Issue: Medicaid Home and Community Based Services Settings Requirements Linked Document: HCBS Final Rule Linked Document: Medicaid HCBS Final Settings Rule Linked Document: Regulatory Requirements for Home and Community-Based Settings Linked Document: CMS Guidance on Settings That Have the Effect of Isolating Linked document: March 2019 - Heightened Scrutiny Reviews of Presumptively Institutional Settings The Visions Experience: Medicaid Concerns About Settings Being Too Congregate B. Building a Development Team The Visions Experience: Development of Sunrise Farm The Visions Experience: Development in Lebanon C. Predevelopment Financing 1. Predevelopment Funding Sources a) Friends, Supporters and Family b) Private Charitable Organizations c) Local Banks, Credit Unions and Businesses d) Federal Home Loan Bank of Boston e) New Hampshire Community Development Finance Authority f) New Hampshire Housing Finance Authority g) New Hampshire Community Loan Fund 2. Predevelopment Funding Uses Chart: Predevelopment Expenses D. Capital Financing Sources 1. New Hampshire Community Development Finance Authority a) New Hampshire State Tax Credits b) Federal Community Development Block Grants c) CDBG Emergency and Unanticipated Events Grants d) Clean Energy Fund e) Enterprise Energy Fund f) Better Buildings 2. New Hampshire Housing Finance Authority a) Supportive Housing Financing Program b) Low Income Housing Tax Credit Program Linked document: NHHFA 2019 QAP c) Affordable Housing Fund d) Construction and Bridge Lending Programs e) Federal HOME Program f) Housing Trust Fund g) Tax Exempt Bond Financing and Portfolio Preservation Programs 3. Northern New England Housing Investment Fund 4. Federal Home Loan Bank of Boston a) The Affordable Housing Program b) The Equity Builder Program c) Community Development Advance Program d) New England Fund e) Jobs for New England f) Helping to House New England 5. Thinking Creatively About Potential Sources of Housing Capital a) Fund-Raising Activities In Sponsors’ Respective Geographic Area(s) And In Their Communities Of Interest b) Seller Financing The Visions Experience: Seller Financing c) Strategies to Make LIHTCs More Relevant to Supportive Housing d) Project-Based § 8 & § 811 Housing Subsidies Linked document: Section 811 Fact Sheet e) Equity Investors iii. Mission Equity Investing By Foundations iv. Impact Fund Equity Investing f) Potential Advantages for Developers and Investors Presented by Supportive Housing – and Perceived Disadvantages g) Local Banks v. The Community Reinvestment Act h) Opportunity Zones Housing Operations
A. Tenant Selection The Visions Experience: Tenant Selection B. Leases, Lease Enforcement, and Rent Collection The Visions Experience: Leases and Rent Issues C. Reasonable Accommodations in Supportive Housing Operations The Visions Experience: Reasonable Accommodations D. Safety and Security The Visions Experience: Safety and Security E. Staffing Issues The Visions Experience: Staffing Issues F. Maintaining the Physical Plant The Visions Experience: Maintaining the Physical Plant The Visions Experience: Operations Issues Generally G. Housing Operations Budgeting The Visions Experience: Housing Operations Budgeting Issues 1. Potential Expenses The Visions Experience: Payroll Costs The Visions Experience: Legal Costs The Visions Experience: Audit-related Issues The Visions Experience: Insurance H. Operations Financing 1. Allocating Housing Expenses to Individual Residents The Visions Experience: Monthly Resident Fees 2. Sources of Funding a) Social Security Disability Benefits Chart: Supplemental Security Income (SSI) Program Rates & Limits b) Other Family/Person-Served Contributions The Visions Experience: Keeping Our Housing Affordable by All c) Other Rents or Income From Mixed Use d) Section 8 Housing Subsidies For Individuals The Visions Experience: § 8 Individual Subsidies Linked document: Housing Choice Voucher Administrative Plan 2019 Linked document: Section 8 Participant’s Handbook 2019 Linked document: Application for Section 8 Voucher Linked document: Section 8 Voucher Income Limits 2018 e) Energy/utility Assistance Programs The Visions Experience: Energy Assistance f) Fundraising The Visions Experience: Sources of Operations Funding g) Putting it all Together: Practical Considerations in Financing Operations The Visions Experience: Financing Operations The Visions Experience: Debt Supportive Services
A. Designing Supportive Services Plans for Individuals The Visions Experience: Individual Service Budget Issues Linked document: Sample Individual Proposal of Services Linked document: Sample Individual Budget Linked document: Sample Individual Service Plan B. Providing Services in Supportive Housing Settings The Visions Experience: Providing Supportive Services C. Potential Sources of Services Funding for Individuals 1. Medicaid Services Linked document: NH Turning 18 Medicaid a) The Area Agency System b) HCBS Waivers Linked document: NH Medicaid Linked document: Medicaid Home and Community-Based Waiver Services Linked document Long Term Services and Supports Chart Comparing NH Waivers and NH State Plan Medicaid - 2018 c) “1001,” “525,” and “521” Budgets vi. He-M §1001 vii. He-M §525 viii. He-M §521 d) Becoming a Provider of Medicaid Services Linked document: NH DHHS Provider Manual Volume I Linked document: NH DHHS Provider Manual Volume II Linked document: NH DHHS Provider Application The Visions Experience – Becoming a Provider e) DD Waiver Services Linked document: Medicaid Home and Community-Based Waiver Services for Persons with Developmental Disabilities f) Medicaid State Plan and Medicare Services Linked document: New Hampshire Medicaid State Plan Services updated 2018 g) Title XX of the Social Security Act h) The Service Agreement The Visions Experience - Financing Supportive Services Other Living Expenses of Individuals
A. Categories to Consider The Visions Experience: Vehicles The Visions Experience: Other Expenses of Individuals B. Potential Additional Funding Sources of Living Expenses 1. Individual and Family Resources a) Supplemental Needs Trusts for Individuals b) Pooled Supplemental Needs Trusts c) ABLE Accounts Linked document: STABLE NH Accounts 2. Food stamps The Visions Experience: Funding Living Expenses Putting It All Together: Budgeting For The Individual
Linked document: Sample Individual Budget [Enfield 1] Linked document: Sample Individual Budget [Enfield 2] Linked document: Sample Individual Budget [Farmstead] Developing and Maintaining Your Nonprofit Tax-Exempt Entity
Resources
A. Guidance Materials for Housing Development Generally 1. The Housing Toolbox for Massachusetts Communities Linked document: Housing Toolbox 2. The Corporation for Supportive Housing Linked document: Supportive Housing 3. The New York Joint Venture Guidebook B. Additional New Hampshire Resources Glossary
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