​Good matches between Medi-Cal members​ experiencing homelessness and E​nhanced Care Management (ECM​) and housing-related Community Supports providers ​are ​vital to ​ensure members are successfully engaged, enrolled, and utilizing these critical resources. ​This resource includes tips and data sources to help managed care plans match members experiencing homelessness to providers ​best positioned to support them. It covers initial provider assignments and provider switching.

Meeting people where they are is a core principle of Enhanced Care Management (ECM), but delivering services in shelters, encampments, and other community settings requires thoughtful planning and support. This resource shares practical strategies to help any ECM provider engage people experiencing homelessness in the field, with considerations for how Medi-Cal Managed Care Plans can support.

Older adult homelessness is rising quickly, and no single system can solve it. As communities grapple with solutions, lessons are emerging about how homelessness response, aging services, and health care can come together to build an age-competent safety net.

In March 2026, Homebase convened From Urgency to Action: A Regional Summit on Older Adult Homelessness in Philadelphia. The goal was to accelerate a shared, cross-sector response to the challenge of older adult homelessness. This document was created to share lessons and themes emerging from the summit as well as the research and interviews that informed the summit’s design.

Homebase created this Continuum of Interventions for Older Adults Experiencing or at Risk of Homelessness based on research and conversations with people with lived experience of homelessness, practitioners, policy makers, funders, and other experts, and with input from attendees of From Urgency to Action: A Regional Summit on Older Adult Homelessness, held in March of 2026. Thank you to all who contributed! 

The Continuum outlines the ways that older adults may intersect with housing instability and homelessness and the types of interventions that key sectors can deploy to improve outcomes for older adults, depending on the specific setting, population, and needs. 

On March 24th, Homebase held From Urgency to Action, Homebase’s first summit on the topic of older adult homelessness. Throughout the day, we heard from providers, government agencies, and people with lived experience of homelessness in the Mid-Atlantic region, who have touched this issue in some way. Over the course of the day’s panel presentations and group discussions, Homebase team member Garen Nigon developed a few takeaways, five of which are shared here.

This report explores how four California communities are implementing encampment resolution efforts, and how those strategies are experienced by residents, drawing on interviews, HMIS data, and policy review. It identifies promising practices, persistent barriers, and key themes that shape pathways to permanent housing. Funded by the National Alliance to End Homelessness (NAEH), the study offers practical insights for designing more humane and effective responses to unsheltered homelessness.

A conversation with Robin Kahan-Berman, Vice President of Occupational Therapy at Project Renewal, a New York City-based nonprofit that provides housing, health care, and employment opportunities to New Yorkers who have experienced homelessness. The organization is on the leading edge of incorporating occupational therapy (OT) across its shelters and housing programs, including its Helping Older People Engage (HOPE) initiative. In this condensed interview, she explains the power of OT to increase the chances that clients stay housed even as they encounter the health and cognitive challenges associated with aging – and the journey to build and sustain such a substantial OT practice within the homelessness sector.

In partnership with Right at Home, Homebase is building a national network of experts to deepen the impact of homelessness prevention as a crucial intervention in homelessness response. These community meetings are a part of that effort.

The Prohousing Designation Program (PDP) was established through California’s 2019-2020 Budget Act to support jurisdictions that go beyond state housing laws to accelerate housing production with the goal of increasing housing availability and ending homelessness in California. This document provides an overview of the PDP, implications on state funding allocations, and recommendations for jurisdictions considering an application.

Cross-sector collaboration is essential to addressing the growing crisis of older adult homelessness. The partners listed in this document represent organizations working at the intersection of homelessness, aging, and healthcare—each bringing unique capabilities that can help prevent housing loss, support older adults in crisis, and create pathways to long‑term stability. Together, these systems form the broad network needed to effectively prevent, resolve, and ultimately end homelessness for older adults.

This factsheet provides an overview of what the numbers are saying about the growing crisis of older adult homelessness in the U.S. It is intended to serve as a starting point for conversations between systems - including homelessness response, health care, and aging - and to underscore the need for alignment across systems to address the unique needs of this population.

A one-page flyer for Medi-Cal members experiencing homelessness on how to access housing assistance through Medi-Cal. Able to be distributed electronically or posted at places where Medi-Cal members experiencing homelessness may see it.

Curious about co-sheltering with pets? Directing Attorney Kris Maun shares about the benefits and practical considerations in this blog post.

For the first time in California’s history, Medi-Cal (California’s Medicaid program) will provide up to 6 months rental assistance (known as “Transitional Rent”) to members experiencing or at risk of homelessness, to enable them to transition to stable, accessible, and affordable housing. This cross-county peer learning series intended for local implementers goes in-depth on Transitional Rent topics.

These vignettes illustrate different types of people who may be eligible for Transitional Rent (TR). They are intended to ground TR discussions in the realities of people who may seek this new benefit.

Effective implementation of Transitional Rent (TR) depends on clear roles and strong coordination across health, housing, and social service systems. This tool is designed to help identify and engage TR partners in implementation efforts.

This document provides a template Housing Support Plan to assist with referrals for Transitional Rent, California's new Medicaid benefit that provides up to six months of rental assistance for eligible Medi-Cal members. Authorization for Transitional Rent requires a completed Housing Support Plan that meets specific criteria.

This resource provides in-depth details you need about Transitional Rent, who is eligible, and what to do before referring a Member to their managed care plan for Transitional Rent.

A concise overview of Medi-Cal's new Transitional Rent benefit, who is currently eligible, and what is required to refer someone.

A short overview of California's new Medicaid benefit, Transitional Rent, which provides up to six months of rental assistance for eligible Medi-Cal members experiencing or at risk of homelessness who meet additional eligibility criteria.