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Alameda County SSI Advocacy
Trust:
Improving Health, Income, and Housing
Outcomes, While Saving Counties Money.
Introductions
n  John Engstrom, Sr. Policy Analyst
n  Janet Biblin, Director of Decision Support Services
n  Tammy Rice, Social Work Supervisor
n  Theresa Traynor, Sr. Program Specialist
TRUST Clinic
Alameda County SSI Trust
Overview
n  Goals
n  Adopt Best Practices for SSI Advocacy;
n  Increase Approval Rate for SSI Applications;
n  Improve Health of Clients;
n  Increase Housing Stability for Clients
n  Achieve net Savings for Alameda County
Alameda County SSI Trust
Overview
n  Components of the SSI Trust
n  Identify Target Populations
n  SSI Advocacy
n  Integrated Health Care Clinic
n  Case Management
n  General Assistance Housing Subsidy
Alameda County SSI Trust –
Identifying Target Populations
n  Identify Populations where conversion leads
to County Savings
n  General Assistance
n  Indigent Health Services
n Especially E.R./Inpatient
n Mental Health
n  Leverage Data to Organize Queue
Alameda County SSI Trust – SSI
Advocacy
n  SSI Advocacy
n  Social Services Internal Unit
n  4 SSI Advocacy Contracts with experienced
CBO’s
n  Leverage Costs
n  Medi-Cal Administrative Activities (MAA)
n  Community Services Block Grant (CSBG)
Alameda County SSI Trust –
Integrated Health Care Clinic
n  Goals
n  Disability Documentation
n  Integrated Setting to addresss disparate care for
people homeless individuals and individuals with
mental health disabilities
n  Sustainability
n  Federally Qualified Health Center
Alameda County SSI Trust – Case
Management
n  Goals
n  Increase Housing Stability
n  Money Management
n  Improve Connection Between Clients, Lawyers,
and Care Providers.
n  Reduce Client Disappearance Rate While
Awaiting Hearings
n  FQHC 330(h)
n  TCM/Specialty Mental Health
Alameda County SSI Trust – GA
Housing Subsidy
n  Clients Receive additional $318/month
n  Goals
n  Increase Housing Stability
n  Reduce Client Disappearance Rate While Awaiting
Hearings
n  Sustainability
n  Interim Assistance Reimbursed from Retroactive SSI
Payment
n  Up to federal SSI Amount $710/month
Alameda County SSI Trust –
Outcomes
n  1174 Clients Served
n  444 Clients Approved
n  Over $3 million in Ongoing Client Income
n  377 Clients received Case Management
n  98 clients housed
Alameda County SSI Trust –
Challenges
n  Participation from Hospitals
n  Alameda County’s Safety Net Hospitals are not
County-Operated
n  Clinic
n  Zoning/Conditional Use Permit
n  Case Management
n  Contract vs County
n  Housing Subsidy
n  eIAR
n  Recovery
n  eIAR
n  Retroactive Medi-Cal
Questions?
n  John Engstrom
n  Email: jengstrom@acbhcs.org
n  Phone: (510) 567-6885

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Health 3.0 Leadership Conference: Alameda County SSI Advocacy Trust with John Engstrom

  • 1. Alameda County SSI Advocacy Trust: Improving Health, Income, and Housing Outcomes, While Saving Counties Money.
  • 2. Introductions n  John Engstrom, Sr. Policy Analyst n  Janet Biblin, Director of Decision Support Services n  Tammy Rice, Social Work Supervisor n  Theresa Traynor, Sr. Program Specialist TRUST Clinic
  • 3. Alameda County SSI Trust Overview n  Goals n  Adopt Best Practices for SSI Advocacy; n  Increase Approval Rate for SSI Applications; n  Improve Health of Clients; n  Increase Housing Stability for Clients n  Achieve net Savings for Alameda County
  • 4. Alameda County SSI Trust Overview n  Components of the SSI Trust n  Identify Target Populations n  SSI Advocacy n  Integrated Health Care Clinic n  Case Management n  General Assistance Housing Subsidy
  • 5. Alameda County SSI Trust – Identifying Target Populations n  Identify Populations where conversion leads to County Savings n  General Assistance n  Indigent Health Services n Especially E.R./Inpatient n Mental Health n  Leverage Data to Organize Queue
  • 6. Alameda County SSI Trust – SSI Advocacy n  SSI Advocacy n  Social Services Internal Unit n  4 SSI Advocacy Contracts with experienced CBO’s n  Leverage Costs n  Medi-Cal Administrative Activities (MAA) n  Community Services Block Grant (CSBG)
  • 7. Alameda County SSI Trust – Integrated Health Care Clinic n  Goals n  Disability Documentation n  Integrated Setting to addresss disparate care for people homeless individuals and individuals with mental health disabilities n  Sustainability n  Federally Qualified Health Center
  • 8. Alameda County SSI Trust – Case Management n  Goals n  Increase Housing Stability n  Money Management n  Improve Connection Between Clients, Lawyers, and Care Providers. n  Reduce Client Disappearance Rate While Awaiting Hearings n  FQHC 330(h) n  TCM/Specialty Mental Health
  • 9. Alameda County SSI Trust – GA Housing Subsidy n  Clients Receive additional $318/month n  Goals n  Increase Housing Stability n  Reduce Client Disappearance Rate While Awaiting Hearings n  Sustainability n  Interim Assistance Reimbursed from Retroactive SSI Payment n  Up to federal SSI Amount $710/month
  • 10. Alameda County SSI Trust – Outcomes n  1174 Clients Served n  444 Clients Approved n  Over $3 million in Ongoing Client Income n  377 Clients received Case Management n  98 clients housed
  • 11. Alameda County SSI Trust – Challenges n  Participation from Hospitals n  Alameda County’s Safety Net Hospitals are not County-Operated n  Clinic n  Zoning/Conditional Use Permit n  Case Management n  Contract vs County n  Housing Subsidy n  eIAR n  Recovery n  eIAR n  Retroactive Medi-Cal
  • 12. Questions? n  John Engstrom n  Email: jengstrom@acbhcs.org n  Phone: (510) 567-6885