In September 2026, California’s Department of Health Care Services (DHCS) started sending out a four-page letter to Medi-Cal members. The letter went to Medi-Cal members who are part of the ACA Expansion Population (adults 19-64 years old, usually without children). The letter tells members about federal changes to Medi-Cal that go into effect beginning March 1, 2027. The changes include requiring renewals every six months, and requiring members to meet new work and community engagement requirements. Luckily, some members can be excused from the new rules.

Clients who got these letters may start asking questions. The letter may be their first time hearing about the changes to Medi-Cal, and they may need help understanding the new rules. They may need help to not lose Medi-Cal coverage. This document includes useful information for providers to help these clients navigate the changes and maintain coverage.

As 2025 H.R.1 changes put Medicaid coverage at risk, it’s important for health and housing providers to know what they can do to protect coverage for people experiencing homelessness. This document lays out the top ten things providers can do today.

This resource is for individuals and agencies working to help Medi-Cal Members complete Housing Support Plans (HSPs) in support of Transitional Rent (TR) referrals, specifically when the payment source for the Member’s post-TR permanent housing solution is self-pay. It outlines what to include in HSPs to help managed care plans (MCPs) understand a Member’s ability to self-pay as a way to sustain their housing following receipt of TR.

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. 

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.

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. 

As data sharing between sectors becomes more widespread, it is important for homelessness response systems and providers to consider the ramifications of providing data to law enforcement. This brief provides an overview of existing privacy laws that protect people’s personal information, covers the risks of sharing homelessness data with law enforcement, and offers immediate steps that Continuums of Care (CoCs) and service providers can take to strengthen protections for participants.

Communities across the country are resisting the criminalization of homelessness. Evidence shows that criminalization is costly and counterproductive. This memo provides some background and steps communities can take to avoid these harmful policies.

This brief provides an overview of the history of civil commitments and the risks that they pose and offers immediate steps to advocate for individualized and voluntary care for individuals experiencing severe mental illness.

When someone enrolled in Medi-Cal moves to a new county within California and wants their Medi-Cal to continue, they need to ask for an “inter-county transfer.” The transfer process can be especially complicated for people experiencing homelessness. This guide has detailed information about Medi-Cal’s inter-county transfer process.

This material provides guidance on addressing some of the common concerns about adopting beneficial co-sheltering policies for people with companion animals who live in emergency or temporary housing facilities.

These fact sheets show the impact of local laws that criminalize people living outside.

The Partnership Action Lab brought together homelessness systems and public defenders to improve outcomes for people who are experiencing housing instability and charged with and/or convicted of misdemeanors.

The Bridging Boundaries Action Lab brought together parole, probation, and homelessness systems to reduce barriers to housing for people involved with the criminal legal system.

This fact sheet provides an overview of the changes to Medicaid and SNAP and their expected impact on people experiencing homelessness, and opportunities for homeless systems of care and providers to mitigate those impacts.