Federal Health and Social Service Programs That Support People Experiencing Homelessness

Federal Health and Social Service Programs That Support People Experiencing Homelessness
This document seeks to help state and local leaders identify and access non-emergency health and social service programs in the U.S. departments of Health and Human Services (HHS) and Veterans Affairs (VA)
so they can use multiple streams of federal funding for holistic supportive services that meet the short- and long-term needs of people experiencing or at risk of homelessness.
Table of Contents
Glossary ................................................................................................................................................................................................................................................................................................................................... 2
Administration for Children and Families ............................................................................................................................................................................................................................................................................... 2
Administration for Community Living ................................................................................................................................................................................................................................................................................... 11
Centers for Medicare & Medicaid Services........................................................................................................................................................................................................................................................................... 12
Food and Nutrition Service ................................................................................................................................................................................................................................................................................................... 13
Health Resources and Services Administration .................................................................................................................................................................................................................................................................... 13
Indian Health Services ........................................................................................................................................................................................................................................................................................................... 15
Program Support Center ....................................................................................................................................................................................................................................................................................................... 16
Substance Abuse and Mental Health Services Administration ............................................................................................................................................................................................................................................. 16
Department of Veterans Affairs ............................................................................................................................................................................................................................................................................................ 22
1
Glossary
ARPA = American Rescue Plan Act
CARES = Coronavirus Aid, Relief, and Economic Security Act
ACF = Administration for Children and Families
CMS = Centers for Medicare & Medicaid Services
FY = Fiscal Year
HRSA = Health Resources and Services Administration
IHS = Indian Health Service
SAMHSA = Substance Abuse and Mental Health Services Administration
USDA = U.S. Department of Agriculture
USVI = U.S. Virgin Islands
PR = Puerto Rico
Program Populations Allowable Uses Patient Number of Geographic Funding and

Served Access or Participants Reach Operating
Program Served Mechanisms
Duration
Administration for Children and Families (ACF)

Family Violence Prevention & Services Shelter: Provision of emergency shelter Support 1.3 million 56 states and Formula and competitive
Individuals and other non-shelter support survivors territories issue grants to states and tribes—
experiencing services, such as victim subawards to sub-awarded to local
domestic violence advocacy, crisis counseling, 1,500 local organizations; $182.5 million
and their children safety planning, support groups, domestic (FY21 enacted); $45 million
information and referrals, legal violence
U.S. Interagency Council on Homelessness

U.S. Department of Health and Human Services
U.S. Department of Veterans Affairs
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2
aid, and housing assistance to agencies, 252 from CARES Act (FY 20
address domestic violence and Tribes, and 56 enacted)
dating violence1 Domestic and $198 million from ARP
Violence for family violence shelters;
Coalitions $450 million (FY21 enacted)
Runaway and Homeless Youth Programs: Basic Youth under 18 Outreach, crisis intervention, Up to 21 days of Up to 20 youth per Competitive grants to
Center Program2 emergency shelter, family shelter facility (with some community-based public and
reunification/reconnection, exceptions) private agencies; $64.2 million
aftercare services to runaway in FY21 enacted.
and homeless youth and their
families, individual and family
counseling, education,
employment assistance, and
behavioral health and physical
health services
Runaway and Homeless Youth Programs: Youth ages 16 to Community-based, adult- If youth enters Competitive grants to public
Transitional Living and Maternity Group Home 21 who cannot supervised group homes, host program before and private organizations;
Program safely live with homes, and supervised age 18, then $52.5 million in FY21 enacted.
their families apartments; services include eligible for 21
Maternity Group counseling in basic life skills, months of shelter
Home Program: interpersonal skill building, or until age 18
pregnant and educational advancement, job (whichever is
parenting youth attainment skills longer); youth
between 18-21
are eligible for 18
months of
services

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Runaway and Homeless Youth Programs: Street Street-based Supports work with homeless, 118 Street Competitive three-year grants
Outreach Program services to runaway and street youth to Outreach to public and private
runaway, help them find stable housing grantee organizations; $16 million in
homeless, and and services and focuses on programs across FY20 enacted; $20 million in
street youth developing relationships the country FY21 enacted.
under the age of between outreach workers and
21 and who have young people that allow them
been subjected to rebuild connections with
to, or are at risk caring adults. Street outreach
of being services include: street based
subjected to, education and outreach; access
sexual abuse, to emergency shelter; survival
prostitution, aid; treatment and counseling;
sexual crisis intervention; and follow-
exploitation, and up support.
severe forms of
trafficking
Head Start Children from Head Start and Early Head Start Head Start is a In 2018, about nine 1,600 public and Grants to public agencies,
families promotes school readiness and federal program percent of children private nonprofit private nonprofit and for-
experiencing family wellbeing for infants, for children under age six and for-profit profit organizations, tribal
homelessness are toddlers, and preschool-aged under five years experiencing agencies. governments, and school
categorically children from low-income old and their homelessness systems; $10.6 billion (FY20
eligible for Head families. These programs serve families. (127,227 children) enacted); $750 million from
Start. families with low incomes, were enrolled in CARES Act, which includes up
children in foster care, and Head Start, Early to $500 million for summer
families experiencing Head Start, or Head Start programs and the
homelessness programs funded balance distributed to Head
Start programs to help them

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with McKinney--- respond to coronavirus-
Vento sub grants. related needs of children and
families; $1 billion from ARP;
*The estimate of $10.7 billion (FY21 enacted)
127,227 children
may be slightly
inflated due to a
small number of
children who
receive services
from both Head
Start/Early Head
Start and the
McKinney-Vento
program. Sources:
U.S. Department of
Education.
Child Care Development Fund Children States use CCDF to provide Fund child care Grants to states, territories
experiencing financial assistance to low- assistance for 1.4 and tribes; $5.8 billion (FY20
homelessness are income families to access child million children, enacted); $3.5 billion from
identified as a care so they can work or attend under age 13, each CARES Act and $10 billion
priority a job training or educational month. through the Coronavirus
population program. Improving access to Response and Relief
child care can buffer children Supplemental Appropriations
and families from the (CRRSA) Act, 2021 (P.L. 116-
challenges and risks associated 260) for immediate assistance
with homelessness by to child care providers and to
supporting children’s learning support child care for families;

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and development in safe, $15 billion from ARP for
stable, and nurturing supplemental child care
environments. funding, $24 billion from ARP
for child care stabilization,
and $633 million permanent
increase in total Child Care
and Development Fund; $5.9
billion (FY21 enacted)
Social Services Block Grant Vulnerable Through the SSBG States In FY 2019, U.S. states and Grants to States and
children, adults, provide essential social services approximately 26 territories Territories which may be
and families and that help achieve a myriad of million individuals administered by state via local
households with goals to reduce dependency received services municipalities or local
low incomes. and promote self-sufficiency; funded in part or in agencies; $1.6 billion (both
protect children and adults from whole by the grant. FY20 and FY21 enacted).
neglect, abuse and exploitation;
and help individuals who are
unable to take care of
themselves to stay in their
homes or to find the best
institutional arrangements. 29
allowable social service
categories include child care,
child welfare, services for
persons with disabilities, case
management, and protective
services for adults and children.

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Community Services Block Grant Individuals and Direct funding to local Preliminary data U.S. states, Block grant through states,
families with low community-based organizations indicate CSBG territories, and tribes, and territories to
incomes as well to provide services and served 10.2 million federally Community Action Agencies.
as low-income activities addressing individuals, or 5.1 recognized tribes $740 million (FY20 enacted);
communities. employment, education, families, in FY and tribal $1 billion from CARES Act to
improved financial 2018. Of those organizations provide social services and
management, housing, served, more than can receive emergency assistance; $745
nutrition, emergency services, 36 percent of the funds. million (FY21 enacted)
and/or healthcare. Services clients were Approximately
most often provided include children and over 1,007 eligible
employment training and 23 percent were entities and 78
placement, income persons 55 years of tribes (i.e. 66
management, education, age and older. directly funded
emergency services, health, and 12 funded
nutrition, transportation, via state
housing assistance, and obligation)
providing linkages among anti- receive CSBG
poverty funding annually
programs.
Temporary Assistance for Needy Families (TANF) Low-income States use TANF to fund Generally, Approximately 2 TANF provides $17.3 billion (FY20 enacted);
families with monthly cash assistance families can million individuals fixed funding for $1 billion from ARP Pandemic
children payments to low-income access cash received TANF the 50 states, Emergency Assistance Fund to
families with children, as well as payments for up benefits in 2020. the District provide immediate economic
a wide range of services. Many to five years, of Columbia, the relief to families; $17.3 billion
TANF agencies across the sometimes territories, and (FY21 enacted)
country use TANF funds to serve longer depending 75 tribes and
and support families on the state, tribal consortia.
experiencing or at-risk of territory, or tribe.

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homelessness. States,
territories, and tribes may also
use TANF funds to help those
not receiving cash assistance on
a short-term basis. For example,
they may use TANF funds to
help with services, such as rapid
rehousing, housing
coordination, and employment
services. Both the 2013
Information Memorandum Use
of TANF Funds to Serve
Homeless Families and Families
at Risk of Experiencing
Homelessness and 2016’s
Enhancing Family Stability: A
Guide for Assessing Housing
Status and Coordinating with
Local Homelessness Programs
for TANF Agencies provide more
information.
Low Income Home Energy Assistance Program Low-income To assist households with low Grantees must In 2019, more than All 50 states, the Funding through States,
households incomes, particularly those with target benefits to 724,000 District of Territories, and Tribes and
the lowest incomes that pay a households with households Columbia, five may be administered by state
high proportion of household low incomes. received an U.S. territories, via local municipalities or local
income for home energy, average household and agencies. $3.7 billion (FY20
cooling benefit of approximately enacted); $900 million from

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primarily in meeting their $450. More than 150 tribes and CARES act to support
immediate home energy needs. 5.3 million tribal immediate home energy
households receive organizations assistance; $4.5 billion from
an average heating receive LIHEAP ARP; $3.7 billion (FY21
benefit of $439. grants each year. enacted)
Low Income Household Water Assistance Low-income Provides funds to assist low- This is a new Grants are $1.14 billion total, including
Program households income households with water program. Data on available to $500 million from ARP and
and wastewater bills. Funds are how many people States, the $638 million form the
provided to owners or served are not yet District of Consolidated Appropriations
operators of public water available. Columbia, the Act, 2021. While funds were
systems or treatment works for Commonwealth appropriated through these
the restoration of services to of Puerto Rico, laws, the program currently
households that have had U.S. Territories, does not have permanent
drinking water and/or and Federally authority.
wastewater services and state-
disconnected due to arrearages, recognized
to prevent disconnection for Indian Tribes and
households at risk of tribal
disconnection due to organizations
arrearages, and to reduce rates that received FY
charged to low-income 2021 Low
households to help ensure Income
affordable household water Household
services. Energy
Assistance
Program grants.

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John H. Chafee Foster Care Program for Youth in foster Services and financial support to Youth who Grants to states, $143 million (FY21 enacted);
Successful Transition to Adulthood (the Chafee care and young help youth with education, experience foster tribes, and $400 million from the
program) , including the Education and Training adults formerly in employment, financial care after age 14; territories Supporting Foster Youth and
Voucher Program (ETV) foster care management, housing, and youth who, after Families through the
connections to caring adults. attaining 16 years Pandemic Act (enacted as
In addition, the Chafee program of age, have left Division X of P.L. 116-260, the
supports the Education and foster care for Consolidated Appropriations
Training Voucher Program kinship Act, 2021); $142 million (FY21
(ETV), which may provide up to guardianship or enacted)
$12,0001 each year for unmet adoption; and
need (based on cost of young adults ages
attendance)—for 18-21/232 who
an eligible youth to attend an have "aged out"
institution of higher of the foster care
education. system.
Youth are eligible

to receive ETVs
for as many as
five
years (up to age
26).3
1 The Supporting Foster Youth and Families through the Pandemic Act (enacted as Division X of P.L. 116-260, the Consolidated Appropriations Act, 2021) increases the maximum ETV award from $5,000 to $12,000 for federal fiscal years 2021 and 2022. It
also allows states to use ETV funding for support young adults re-enrolling in post-secondary. Please see Program Instruction ACYF-CB-PI-21-04 for more information.
2 States may apply to increase the maximum age to up to age 23 for Chafee services. The Supporting Foster Youth and Families through the Pandemic Act (enacted as Division X of P.L. 116-260, the Consolidated Appropriations Act, 2021) increases the
Chafee eligible age to up to age 27 until September 30, 2021. Please see Program Instruction ACYF-CB-PI-21-04 for more information.
3 The Supporting Foster Youth and Families through the Pandemic Act (enacted as Division X of P.L. 116-260, the Consolidated Appropriations Act, 2021) allows ETVs to be provided to youth until they reach age 27 (until September 30, 2021). Please see
Program Instruction ACYF-CB-PI-21-04 for more information.

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Promoting Safe and Stable Families Children at risk of Provides funding directly to All 56 states and $423 million in FY19
separation or state child welfare agencies and territories;
separated from eligible Indian tribes establish approximately
their families. and operate integrated, 140 tribes
preventive family preservation
services and community-based
family support services for
families at risk or in crisis.
Administration for Community Living

Adult Protective Services (Elder Justice Act) Older adults Receive and investigate Until case is Accepted 774,234 Provided by $94 million from the
and/or adults allegations of adult resolved; average cases reported in state and local Consolidated Appropriations
with disabilities maltreatment; evaluation and total case FY20 for governments in Act, 2021; $276 million for
experiencing case planning with purported duration across investigation; all 50 states, all Elder Justice Act programs
maltreatment, victims; provision or facilitation states is 67.4 identified and territories, and split between FY21 and FY22,
including abuse, by referral of medical, social days. served 258,389 DC. including APS, through ARP
financial service, economic, legal, victims of
exploitation, housing, and other protective or substantiated adult
neglect, and self- support services.iii Services can maltreatment.
neglect. vary by state and county.

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Centers for Medicare & Medicaid Services (CMS)
Children’s Health Insurance Program (CHIP) Uninsured Provides health coverage to 6.9 million children All 50 states, DC, Jointly funded by federal and
children and uninsured children (under 19 enrolled (June all territories state governments.
certain adults years of age) and pregnant 2021)
who do not individuals in families with
qualify for incomes too high to qualify for
Medicaid Medicaid, but too low to afford
private coverage.
Medicaid Low-income Provides health and long-term 76.3 million All 50 states, DC, Jointly funded by federal and
adults, children, services and supports coverage individuals covered all territories state governments.
pregnant to eligible individuals. (June 2021)
individuals,
elderly adults,
and people with
disabilities
Medicare People aged 65 or Provides health coverage to Approximately 64 All 50 states, DC, Funded primarily through a
older. individuals aged 65 and older, million individuals all territories payroll tax (1.45% of taxable
People under age individuals with certain (October 2021) gross) and premiums;
65 with certain disabilities, and individuals with administered through the
disabilities. ESRD Medicare Trust Funds
People of all ages
with End-Stage
Renal Disease

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Food and Nutrition Service
Child and Adult Care Food Program Emergency Expands access to meals for Nonprofit In FY 2019, Grants to emergency and
shelters serving youth experiencing shelters providing approximately 4.5 nonprofit shelters;
persons under homelessness by allowing temporary million children entitlement program with
age 25 shelters to be reimbursed for housing to and more than fluctuating funding based on
meals served to children and individuals 24 135,000 adults need and usage.
young adults under 25 years years old or received CACFP
old. Under normal younger are meals and snacks
circumstances, USDA only eligible to use on an average day.
reimburses shelters for meals program funds
served to children through age under ARP
18. See here for outreach expansion
toolkit and here for
implementation guidance. See
here for FAQs.
Health Resources and Services Administration (HRSA)
The Health Center Program Underserved Health centers are community- Find a HRSA Today, HRSA funds The National Over $6.1 billion in ARP
populations based and patient-directed health center nearly 1,400 health Health Care for funding awarded to health
organizations that deliver here. centers with more the Homeless centers nationwide.5
comprehensive, culturally than 13,500 service Council provides
competent, high-quality primary delivery sites in support to more
health care services to the every U.S. state, than 200 health
5 https://bphc.hrsa.gov/program-opportunities/american-rescue-plan/awards

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nation’s most vulnerable U.S. territory, and centers and
individuals and families. Some the District of Health Care for
health centers receive funding Columbia. In 2020, the Homeless
to focus on special populations, more than 255,000 programs in all
including individuals and full-time staff 50 states.
families experiencing served nearly 29
homelessness, migratory and million patients.
seasonal agricultural workers, Health centers
and residents of public housing. have nearly tripled
the number of
patients served
since 2000.4
ARP funded 1,377

health centers
nationwide across
states and
territories.
Ryan White HIV/AIDS Program Low-income The Ryan White HIV/AIDS Find a Ryan 195 health centers All 50 states, DC, $656 million enacted in both
people living with Program provides a White HIV received funding in PR, USVI, all 6 FY20 and FY21; $90 million
HIV who are comprehensive system of HIV Medical Provider FY20 Pacific from CARES Act. On March 4,
uninsured or primary medical care, essential here. Jurisdictions; 2021, HRSA awarded
underserved support services, and administers approximately $99 million to
medications for people living funding grants to 61 Ryan White HIV/AIDS
with HIV to improve health cities/counties, Program recipients to link
outcomes and reduce HIV local community- people with HIV to essential
HIV care and treatment and
4 https://bphc.hrsa.gov/about/healthcenterprogram/index.html

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transmission among hard-to- based support services, as well as to
reach populations. organizations provide workforce training
and technical assistance.
Maternal, Infant, and Early Childhood Home Pregnant people Evidence-based, voluntary Varies by grantee Over 140,000 All 50 states, DC, $341 million awarded FY20;
Visiting (MIECHV) Program (in partnership with and parents with programs tailored to parents and PR, USVI, all 6 $40 million in ARP funding
ACF) young children community grantees. Programs children and over Pacific awarded in FY21 and $82M in
who live in aim to: 925,000 home Jurisdictions; ARP funding will be awarded
communities with • Improve maternal and visits in FY20 tribal community in FY22
barriers to newborn health grantees
achieving positive • Reduce child injuries, abuse,
maternal and and neglect
child health • Reduce crime and domestic
outcomes violence
• Improve family economic
self-sufficiency
• Improve school readiness
and achievement
• Improve coordination and
referrals for community
resources
Indian Health Services (IHS)
Medical care—no special focus on homeless; As needed, given 41,000 inpatient; 13.8 million 170 IHS and Administers care or 170 IHS and Administers care or funds
group homes and transitional living support are the patient is outpatient (2018) tribally-managed funds tribes to tribally-managed tribes to administer care (or
offered through state/local resources, not IHS eligible (long- service units in administer care (or service units in purchases care); $5.8 billion
term program) 37 states (in rural purchases care); 37 states (in (2019), plus $1 billion in
and urban areas) $5.8 billion (2019),

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plus $1 billion in rural and urban flexible COVID-related
flexible COVID- areas) supplemental funding4
related
supplemental
funding3
Program Support Center

Federal Real Property Assistance Program Individuals States, local units of All 50 States, DC, Transfer, via lease or deed, of
(FRPAP) (Title V of McKinney-Vento Act) experiencing government, and nonprofit PR and Guam Federal surplus real property
homelessness agencies may acquire Federal to be utilized to provide
surplus real property to provide homeless services at no cost.
services to the homeless, Transferees are required to
including emergency shelter, fund all associated property
transitional housing, and and program operating costs.
permanent housing, with or
without supportive services.
Substance Abuse and Mental Health Services Administration (SAMHSA)

Projects for Assistance in Transition from People with Outreach, screening and Block grant Outreach to 440 Block grants; state/territory
Homelessness (PATH)5 serious mental diagnostic treatment, (program 115,686 individuals organizations makes award to local public or
illness (SMI) or habilitation and rehabilitation, duration depends and enrolled working in all 50 non-profit organizations;
co-occurring community mental health, on 60,039 in PATH- states, DC, PR, $64.6 million for PATH (both
disorders (mental substance use disorder, staff state/territory) FY20 and 21 enacted)6

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illness and training, referrals for medical eligible clients in USVI, MP, Guam,
substance use) and support services, housing services (2020) AS
experiencing services as specified in Section
homelessness or 522(b)(10) of the Public Health
at risk of Service Act
becoming
homeless
Grants for the Benefit of Homeless Individuals Individuals Substance use and co-occurring 5-year programs Enrolled 4,000 in As awarded Competitive grants to public
(GBHI)7 (including youth mental and substance use FY21 and private non-profit
and families) disorders treatment and other entities; $36.4 million (FY21
experiencing recovery-oriented services; enacted)
homelessness coordination of housing and
who have services that provide
substance use permanent housing and
disorders or co- supportive services to the target
occurring mental population; connect clients to
and substance enrollment resources for health
use disorders insurance, Medicaid, and
mainstream benefits programs
Treatment for Individuals Experiencing People Integrated mental and 5-year programs Enrolled 4,105 in As awarded Competitive grants (open to
Homelessness (TIEH)8 experiencing substance use disorders FY21 state and local, tribes, public
homelessness treatment and other recovery- and private non-profits);
along with a oriented services; connect $26.1 million (FY21 enacted)
serious mental clients to enrollment resources
illness, serious for health insurance, Medicaid,
emotional and mainstream benefits;
disturbance, or coordination of housing and

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co-occurring services that support
disorders sustainable permanent housing
SSI/SSDI Outreach, Access, and Recovery (SOAR)9 Children and Technical assistance to enhance 2,122 All 50 states and
adults who are access to Social Security providers trained DC
experiencing or at disability benefits. on
risk of SOAR in FY21 to
homelessness and ensure
have a serious eligible clients
mental illness, experiencing
medical homelessness are
impairment, receiving
and/or co- benefits
occurring
substance use
disorder
Emergency Response Grants Children and Provide crisis intervention 16 months Anticipate 60 As awarded: $110 million in flexible COVID-
adults impacted services, mental and substance grants to be funding will be related funding
by the COVID-19 use disorder treatment, and awarded; up to provided for
pandemic. other related recovery supports $2M per state and states,
for children and adults up to $0.5M per territories, and
impacted by the COVID-19 territory and tribe tribes to develop
pandemic. Specifically, to comprehensive
address the needs of individuals systems to
with serious mental illness, address COVID-
individuals with substance use 19 related
disorders, and/or individuals mental health
with co-occurring serious needs.

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mental illness and substance
use disorders. The program will
also focus on meeting the needs
of individuals with mental
disorders that are less severe
than serious mental illness,
including those in the
healthcare profession.
Community Mental Health Services Block Grant Persons age 18 Supports grantees in carrying Services available 7,263,904 persons All 50 states, DC, $1.65 billion in ARP funds
and older who out plans for providing for as long as served in 2020 PR, USVI, all 6 ($825 million to states –
have a serious comprehensive community person meets the Pacific which includes 10% Early
mental illness, mental health services, such as SMI or SED Jurisdictions Serious Mental Illness/FEP
which is a outpatient treatment, criteria. set-aside and $825 million for
diagnosable emergency/crisis mental health Community Mental Health
behavioral, services, day treatment Centers Grant); $757.5 million
mental, or programs, First Episode of (FY21 enacted), which
emotional Psychosis (FEP) treatment includes 5% Crisis Services
condition severe programs, and screening for in- set-aside and 10% ESMI /FEP
enough to patient hospitalization. set-aside; $825 million in
interfere with CARES Act, which includes 5%
major life Crisis Services set-aside and
activities; persons 10% set-aside for ESMI /FEP
up to age 18 who
have a serious
emotional
disturbance,
which is a
diagnosable

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behavioral,
mental, or
emotional issue
severe enough to
interfere with a
child’s family,
school, or
community
activities.
Substance Abuse Prevention and Treatment Persons with Substance Use Disorder Primary Access for Number of persons All 50 states, DC, $1.86 billion (FY20 enacted);
Block Grant Substance Use Prevention, Intervention, persons with served in PR, USVI, all 6 $1.65 billion in FY 21 SABG
Disorder (SUD) Treatment, and Recovery Substance Use Substance Use Pacific COVID-19 Supplemental
and their families, Support Services. SUD services Disorder (SUD) Disorder Treatment Jurisdictions, and Funding; $1.5 billion in FY 21
persons at risk for and supports to Pregnant and their for the period of 1 tribal entity SABG ARP Supplemental
SUD and their Women and Women with families, persons 7/1/19 through Funding; $1.86 billion (FY21
families, and Dependent Children (PWWDC). at risk for SUD 6/30/20 was enacted)
persons in SUD services to Persons Who and their 1,419,631.
recovery from Inject Drugs (PWID), including families, and
SUD and their Medication Assisted Treatment persons in Number of persons
families. Priority (MAT). Early Intervention recovery from served in
populations Services Relating to HIV SUD and their Substance Use
include pregnant (EIS/HIV) for persons with SUD. families, is Disorder
women with SUD, Tuberculosis Services (TB), provided for the Prevention through
and women with including screening, testing, duration of Individual
SUD with counseling, case management, services needed Programs for the
dependent and referral for medical in order to period of 7/1/19
children; persons evaluation and treatment, for address concerns through 6/30/20
who inject drugs; persons with SUD. related to was 15,226,395.

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persons with SUD Substance Use
who have Disorder
HIV/AIDS, or who prevention,
are at risk for intervention,
HIV/AIDS; and treatment, and
persons with SUD recovery support.
who are at risk for
TB.
State Opioid Response (SOR) Grants Individuals at-risk Prevention, treatment and 2-year program All 50 states, DC, Formula-based grants
for or who have recovery support services such PR, USVI, and 4 $1.42 billion (FY20)
To find SOR information in your state, please opioid use and/or as, opioid education and Pacific $1.42 billion (FY21)
contact your Single State Agency (SSA): stimulant use naloxone distribution (OEND), Jurisdictions
https://www.samhsa.gov/sites/default/files/ssa- disorders. FDA-approved medication for
directory.pdf the treatment of OUD (MAT) for
Opioid Use Disorder (OUD) and
other evidence-based
treatment services, peer
supports, recovery coaching and
recovery housing.
Tribal Opioid Response (TOR) Grants awarded in Individuals at-risk Supports the implementation of 2-year program Federally- Competitive grants to
FY20 and FY21 for or who have prevention, treatment, and recognized tribes federally-recognized tribes
opioid use and/or recovery support services (RSS) and tribal and tribal organizations; $50
stimulant use for opioid and stimulant use organizations. million (FY20); $37.6 million
disorders. disorders with an emphasis on (FY21)
medication-assisted treatment
for OUD. RSS may include

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recovery housing and peer
recovery support services.
Department of Veterans Affairs (VA)
Domiciliary Care for Homeless Veterans (DCHV) Veterans with Provides treatment in a As long as >2,400 beds 47 sites Plus $14.4 billion in COVID-
Program/Mental Health Residential multiple and residential setting for 24/7 individual is related supplemental VA
Rehabilitation and Treatment Programs10 severe medical support; rehabilitation, eligible (long- funding for health care
conditions, recovery, health maintenance, term program) delivery and to support
mental illness, improved quality of life, and veterans who are homeless or
addiction, or community integration at risk of becoming
psychosocial homeless11
deficits, including
veterans
experiencing
homelessness
Community Resource and Referral Centers Veterans Provide one-stop access to Nationally served 32 sites across
(CRRC) experiencing community-based, multiagency 24,976 Veterans states
homelessness and services to promote permanent through the end of
at risk of housing, health and mental FY 2015.
homelessness health care, career
development and access to VA
and non-VA benefits. Centers
facilitate access to services,
such as outreach/case
management, VA and non-VA
benefits, vocational services,

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treatment, shelter, residential
care, and
housing. Immediate services
include showers, laundry,
storage, food donations,
transportation, and
phone and internet access.
Health Care for Homeless Veterans (HCHV) Veterans Offers outreach, exams, Outreach and Outreach services In FY2020, HCHV Plus $14.4 billion in COVID-
Programs experiencing treatment, referrals, and case referral to care to 150,000 funding related supplemental VA
homelessness management to Veterans (versus providing Veterans annually supported 310 funding for health care
experiencing homelessness care) In FY 2019, nearly contracts with delivery and to support
6,300 Veterans over 3,500 veterans who are homeless or
exited HCHV CRS available beds in at risk of becoming
programs to 49 homeless12 $10 million in
permanent housing states, Puerto CARES Act funding for HCHV
and 64 percent of Rico and Guam programs.
Veterans exiting
CRS programs
engage in VA
mental health
services and 79
percent receive
ongoing VA
medical services.
Also in FY 2019,
HCHV programs
supported over 350
stand downs

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23
providing outreach
to over 81,000
Veterans, provided
outreach services
to over 139,600
total Veterans, and
provided case
management
services to over
10,900 Veterans.
Homeless Veterans Dental Program Veterans Provides dental treatment

experiencing through programs such as
homelessness Domiciliary Residential
Rehabilitation Treatment, VA
Grant and Per Diem,
Compensated Work
Therapy/Transitional Residence,
Health Care for Homeless
Veterans (contract bed) and
Community Residential Care.
Homeless Patient Aligned Care Team (HPACT) Veterans HPACT is a multi-disciplinary, HPACT has Located on the
experiencing population-tailored medical expanded to 60 campuses of 54
homelessness home designed around the VAMCs nationally VA medical
unique needs and is currently centers,
and distinct challenges actively serving community-
homeless Veterans face both almost 19,000 based outpatient
accessing and engaging in Veterans. It is clinics, and

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24
health care. Co-locate medical estimated that Community
staff, social workers, mental over 25,000 Resource and
health and substance use Veterans are Referral Centers
counselors, nurses and served by an
homeless program staff. This HPACT annually.
team provides Veterans with
comprehensive, individualized
care, including services that
lead to permanent housing.
Veterans can walk into HPACT
clinics without an appointment
and receive medical care, case
management services, housing
placement supports, substance
use and mental health
treatment, community referrals,
triage services, benefits
counseling and even hot
showers and clean clothes.
Supportive Services for Veteran Families (SSVF) Veteran families Outreach, case management, Veteran families In 2020, SSVF ~400 community Funding to private non-profit
experiencing or at and assistance in obtaining VA experiencing assisted 112,070 agencies that organizations and consumer
risk of and other mainstream benefits homelessness individuals of serve all 50 cooperatives; in June, 2021
experiencing that promote housing stability and those at which 77,590 were states, Puerto VA administered $418 million
homelessness and community integration. imminent risk Veterans and Rico, the District in grants to more than 260
SSVF grantees can also make due to a housing 19,919 were of Columbia, nonprofit organizations to
time-limited temporary crisis. dependent children Guam, and the help low-income veterans and
payments on behalf of Veterans Virgin Islands their families access the SSVF
program. $202 million has

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25
to cover rent, utilities, security been allocated to SSVF from
deposits and moving costs. the Coronavirus Aid, Relief,
and Economic Security
(CARES) Act to provide
emergency housing and
homelessness prevention
assistance to very low-income
Veteran families to mitigate
the expected wave of
evictions and potential
homelessness that will result
from extensive
unemployment.
Grant and Per Diem Program (GPD) Veterans Funds community agencies VA funds an Only programs Grants from the GPD program
experiencing providing services to homeless estimated 600 with supportive usually consist of a capped
homelessness Veterans. The purpose is to agencies that housing (up to per diem payment from VA to
promote the development and provide over 24 months) or community organizations to
provision of supportive housing 14,500 beds for service centers provide transitional housing
and/or supportive services with eligible Veterans. (offering services and supportive services to
the goal of helping homeless such as case Veterans. Funded by
Veterans achieve residential management, the Coronavirus Aid, Relief,
stability, increase their skill education, crisis and Economic Security
levels and/or income, and intervention, (CARES) Act, $88 million has
obtain greater self- counseling, been allocated to this
determination. Grantees work services targeted program, which allows VA to
closely with an assigned liaison towards waive per diem limits during
from the local VA Medical specialized the COVID-19 crisis and help
Center. The VA GPD liaison populations GPD grantees to provide all

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26
monitors the services the including needed emergency housing
grantees offer to Veterans and homeless and supportive services,
provides direct assistance to women including emergency
them. Grantees also collaborate Veterans, etc.) placement for Veterans who
with community-based are eligible for need to be isolated for their
organizations to connect these funds. safety or the safety of others.
Veterans with employment, $258 million (FY20 enacted).
housing and additional social
services to promote housing
stability. The maximum stay in
this housing is up to 24 months,
with the goal of moving
Veterans into permanent
housing.
U.S. Department of Housing and Urban Veterans Through public housing Veterans who are At the end of FY
Development-VA Supportive Housing experiencing authorities, HUD provides rental appropriate for 2021, over 105,000
(HUD-VASH) homelessness assistance vouchers for this program subsidized housing
privately owned housing to must be VA vouchers were
Veterans who are eligible for VA health care allocated to HUD-
health care services and are eligible Veterans. VASH with more
experiencing homelessness. VA VA eligibility than 80,000
case managers may connect makes this formerly homeless
these veterans with support determination. Veterans living in
services, such as health care, their own
mental health treatment, and permanent housing
substance use counseling to as a result of this
help them in their recovery partnership
process and with their ability to

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27
maintain housing in the between HUD and
community VA.
1 ACF FVPSA State and Tribal Fact Sheet. https://www.acf.hhs.gov/sites/default/files/fysb/fvpsa_state_and_tribal_factsheet_081518_508.pdf

2 ACF FY21 Congressional Budget Justification. https://www.acf.hhs.gov/sites/default/files/olab/fy_2021_congressional_justification.pdf (page 133)
3 CARES Act. https://www.appropriations.senate.gov/imo/media/doc/FINAL%20FINAL%20CARES%20ACT.pdf (page 718)
4
CARES Act. https://www.appropriations.senate.gov/imo/media/doc/FINAL%20FINAL%20CARES%20ACT.pdf (page 718)
5 SAMHSA PATH. https://www.samhsa.gov/homelessness-programs-resources/grant-programs-services/path
6
SAMHSA FY21 Congressional Budget Justification. https://www.samhsa.gov/sites/default/files/about_us/budget/fy-2021-samhsa-cj.pdf (page 116-121)
7 SAMHSA GBHI. https://www.samhsa.gov/homelessness-programs-resources/grant-programs-services/gbhi-program
8 SAMHSA TIEH. https://www.samhsa.gov/homelessness-programs-resources/grant-programs-services/tieh-program
9 SAMHSA SOAR. https://www.samhsa.gov/soar
10 VA DCHV. https://www.va.gov/homeless/dchv.asp
11
CARES Act. https://www.appropriations.senate.gov/imo/media/doc/FINAL%20FINAL%20CARES%20ACT.pdf (page 798)
12 CARES Act. https://www.appropriations.senate.gov/imo/media/doc/FINAL%20FINAL%20CARES%20ACT.pdf (page 798)

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28

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Federal Health and Social Service Programs That Support People Experiencing Homelessness

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Federal Health and Social Service Programs That Support People Experiencing Homelessness

Program Populations Allowable Uses Patient Number of Geographic Funding and

Administration for Children and Families (ACF)

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

Youth are eligible

Program Instruction ACYF-CB-PI-21-04 for more information.

U.S. Interagency Council on Homelessness

Administration for Community Living

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

Health Resources and Services Administration (HRSA)

U.S. Interagency Council on Homelessness

ARP funded 1,377

U.S. Interagency Council on Homelessness

Indian Health Services (IHS)

U.S. Interagency Council on Homelessness

Program Support Center

Substance Abuse and Mental Health Services Administration (SAMHSA)

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

Department of Veterans Affairs (VA)

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

Homeless Veterans Dental Program Veterans Provides dental treatment

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

U.S. Interagency Council on Homelessness

1 ACF FVPSA State and Tribal Fact Sheet. https://www.acf.hhs.gov/sites/default/files/fysb/fvpsa_state_and_tribal_factsheet_081518_508.pdf

U.S. Interagency Council on Homelessness

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