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Frequently
Asked Questions (FAQs) -
PIH Clearinghouse Center to
Support Program Options for the Modernization or Construction of
Elderly Public Housing
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Office of Public Housing Investments
- HOPE VI
Q: How can I include supportive housing for seniors in my HOPE
VI revitalization plan?
PHA's can include supportive services for seniors in
their Community and Supportive Services (CSS) Workplan for that
HOPE VI site. Although this Workplan primarily focuses on working
age adults, 19-64, transitioning from welfare-to-work, it can also
include a senior population. HOPE VI CSS funding can be used to
provide services that improve the quality of life for seniors and
enable them to remain independent.
Q: Can HOPE VI funds be used for the (1) development and/or (2)
modernization of supportive housing for seniors?
Yes, HOPE VI funds can be used for the development, modernization
and operation of supportive housing for seniors. There are currently
6 Senior-only HOPE VI sites. They include: Allegheny County, PA;
Cambridge, MA; Kansas City, MO; Miami-Dade, FL; Mobile, AL; New
Bedford, MA.
Q: Can the Community and Supportive Services (CSS) Work Plan include
funding for elderly services? If so, what are the types of costs
that are eligible; for example, assisting residents with activities
of daily living, providing nursing care, transportation for medical
appointments, etc.
Yes, a CSS Work Plan can include funding for elderly services.
In addition to the activities listed above, HOPE VI funding can
also be used to support computer literacy/learning for seniors;
meals on wheels programs; senior health & wellness programs; and
recreational programs.
Q: Can I develop a continuum of care facilities that combines independent
living, assisted living and skilled nursing in one facility as part
of a HOPE VI development?
You may develop a continuum of care facility that combines independent
living, assisted living, and skilled nursing in one facility as
part of a HOPE VI development. You will need a Medicaid waiver.
There are three types of Medicaid waivers:
1. 1915 (b);
2. 1915 (c); and
3. 1115
With the appropriate waivers, the HA could enable the elderly
poor to receive some 52 services including the following:
- Case management;
- Homemaker;
- Private duty nursing;
- Diet/nutrition meal service;
- Counseling;
- Mental health services; and
- Transportation.
The Home and Community Based Waivers (1915 (c)) appear to be
an appropriate tool for using HOPE VI to create a continuum of
care for a varied low-income population. Therefore, it is certainly
possible to provide services to a varied population within a public
housing setting.
Q: How do I apply for a Medicaid waiver?
If Medicaid waivers are the solution, how do you apply
for one? The short answer is that the grantee would apply through
the state to the Secretary of Health and Human Services to waive
certain portions of section XIX of the 1965 Medicaid Act. The waiver
would allow federal matching Medicaid funds to finance long-term
care for low-income residents in public housing developments. This
waiver would allow residents to age in place and not live in fear
of being forced into institutionalization when they can no longer
perform one or more Activities of Daily Living (ADL).
Q: What kind of Technical Assistance does HUD provide for grantees
that are interested in helping residents to age in place through
a HOPE VI grant?
The short answer is that HUD should be able to offer two kinds
of TA:
- The first would be organizational development. This means
that HUD understands how to assist HA's and their partners to
develop a strategy, implement the strategy, and evaluate the
strategy; and
- The second would focus more on technical aspects of the Medicaid
waiver process. This TA would insure that the grantee didn't
miss various filing deadlines, hearings, and other paper trails.
For this TA, PHA's should solicit consultant contracts with
experts in the field.
The long answer is that HUD support for this work may need to
be guided by a joint HUD/State Medicaid Agency Memorandum of Agreement
that is both transparent and quantifiable as to both expected
outcomes and the policies and steps to achieve these outcomes.
Capital Fund
Q: Can Capital Funds be used to modernize or build new housing
for elderly/handicap?
Yes. A PHA may use Capital Funds to repair and replace building
components such as roofs, heating systems, new kitchens and baths
for existing public housing. PHAs may also use Capital Funds to
provide community space in existing public housing developments.
For persons with disabilities, PHAs must comply with accessability
requirements of:
1. Section 504 of the Rehabilitation Act and 24 CFR Part 8
2. The Fair Housing Act and Part 100
3. Americans with Disabilities Act
These provisions, require PHA's, depending on whether or not
it is new construction or modernization, must make certain units
and or elements assessable to persons with disabilities.
Q: Can the Capital Fund be used to pay for supportive services
for elderly/handicap?
No. Supportive services are operating costs. Capital Fund
may only be used to provide physical and management improvements
for existing public housing.
Operating Fund
Q: May Operating Funds be used for modernization activities?
Yes. Modernization work items are eligible for payment
from the Operating Fund. They include:
- Alteration of existing dwelling space to meet the special
needs of the elderly or handicapped; and
- Conversion of existing dwelling space to nondwelling use.
Q:
May Operating Funds be used to newly construct public housing for
seniors?
No.
Q: May Operating Funds be used for appropriate supportive services?
Yes. QHWRA (Quality
Housing and Work Responsibility Act) permits the Operating
Fund to be used for "activities related to the provision of services,
including service coordinators for elderly persons or persons with
disabilities."
Q: May Reserves be used for modernization activities?
Yes. Reserves may be used for all eligible Operating Fund
activities.
Q: May Reserves be used for appropriate supportive services?
Yes. Reserves may be used for all eligible Operating Fund
activities.
Q: What costs of the Elderly/Disabled Service Coordinator will
be funded from the Operating Fund?
PHAs may include the reasonable costs of salary and fringe benefits
for their Elderly/Disabled Service Coordinator Program on Part
D. Line 3 of the form HUD-52723, Calculation of Operating Subsidy.
Q: What PHAs may be compensated for Elderly/Disabled Service Coordinators?
PHAs currently funded with ROSS grants for Elderly/Disabled
Service Coordinators may be funded through Operating Subsidy at
the same level (adjusted for inflation) as their existing ROSS program.
Q: What support must the PHA provide to justify their amount requested
for the Elderly/Disabled Service Coordinator Program?
PHAs must provide support of the amount on Part D. Line
3 in Section 3, Remarks, of the 52723, or as an attachment. This
must include a breakdown of costs between salary and fringe benefits
for each Coordinator.
Housing Choice Vouchers
Q: Can housing choice vouchers be used in public housing for the
elderly?
No, vouchers cannot be used to rent a public housing unit.
The family would have to apply to the waiting list for public housing
in order to obtain such a unit.
Q: Can housing choice vouchers be used in assisted living facilities?
Yes, however the rent portion has to be broken out from
the full monthly costs that usually include the cost of services.
The rent portion must be determined reasonable based on the PHA's
methodology for determining rent reasonableness.
Office of Native American Programs (ONAP)
Q: What are the sources of funding available to a tribe or tribal
commmunity to build a assisted care facility?
Tribes can use 1996 Native American Housing Assistance
and Self-Determination Act (NAHASDA) funds, as well as seek alternative
funding sources such as the Indian Community Development Block Grant
Program (ICDBG), USDA Rural Development Funds, private funding sources
and tax credits.
Q: How long is the application process?
The application process can be challenging and can involve
multiple funding resources. Careful planning will be required, allowing
time for application or negotiation with each source of funding.
Q: Are there tax incentives for Native American Communities?
This depends on the tribal community and the resources
utilized. In most cases there can be tax incentives for investors
supporting the project.
Q: How do cooperative agreements with other governmental agencies
come into play in this kind of project (i.e., cities near reservations)?
Much like any other other project, cooperative agreements
with other agencies and municipalities may affect the construction
of a project. You may want to check with your tribe or tribally
designated housing entity (TDHE) for a copy of any cooperative agreements
prior to construction.
Q: Are there Native American Preference Units?
If NAHASDA funds are used in the construction and management
of a project, Native American Preference is permitted. It is, however,
prorated based on the number of units and cost for construction.
If 50% of the construction funds are NAHASDA funds, 50% of the units
can be designated as Native American Preference Units.
Congregate Housing Services Program, (CHSP)
Q: What types of supportive services programs are feasible to offer
within Public Housing?
Many Housing Authorities offer a Congregate Housing Services
Program, (CHSP). These programs provide an economical and practical
approach to serving elderly residents basic daily living needs.
Additionally, some PHA's offer a variety of health related services
that are made possible through partnerships within the local communities.
In some cases, PHAs are receiving HUD Resident Opportunities for
Self Sufficiency (ROSS) Grants which can include some limited funding
to assist with certain health related needs as a means of pursuing
self-sufficiency.
Q: What types of services do most CHSP Programs provide?
This program most often provides: some prepared meals
served in a group setting; minimal assistance with housekeeping,
grooming and bathing; and case management services. Some PHA's CHSP
Programs are able to provide health related services depending on
partnerships with local agencies and organizations.
Q: How can PHA's obtain funds for a Congregate Housing Services
Program?
PHA's that received CHSP funding as of 1995 are eligible
to apply for continued funding for this program. Some states have
included in their budgets, funding for CHSP programs. Contact your
local and or state Commissions on Aging and/or Department of Aging
to inquire about possible state funds allowed for this purpose.
Some states fund individual CHSP participants via a Medicaid Waiver
Program, however, individuals must be Medicaid eligible.
Q: Are CHSP programs regulated?
Some states regulate the programs, others do not.
Q: Are you aware of any available medication management programs
funds for use within Public Housing?
Some states Medicaid Waiver Programs cover this expense
for Medicaid eligible individuals. Some local Commissions on Aging/Department
of Aging offer some services in this area of need. Some PHA's partner
with local Nursing/Medical schools to provide these such services
at no charge.
PIH Supportive Services and Grant Programs Division
- Funding Sources -
Q. What sources of funding are available to PHA's interested in
offering supportive services to elderly residents?
There are two sources:
1. The Resident Services Delivery Models for Elderly/Persons with
Disabilities under the Resident Opportunity and Self-Sufficiency
Grant Program (ROSS). This grant is competed each year and allows
PHAs to tailor supportive services to the needs of their elderly
residents. The grant announcement is included along with many other
HUD-sponsored grant programs in the Department's SuperNOFA (Notice
of Funding Availability). The best way to learn when funding becomes
available is to check HUD's ROSS website, www.hud.gov/offices/pih/programs/ross,
for publication of the SuperNOFA.
2. Elderly/Disabled Service Coordinator Program. Beginning in Fiscal
Year 2004, the position will be funded through an Operating Subsidy
add-on. Detailed instructions for preparing budget requests for
this funding are located in HUD
Notice # PIH 2003-22 which is also available by going to
HUDCLIPS.
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