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Coastal Community Action presenter urges Medicaid-funded intensive case management to improve housing exits

3088029 · April 1, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

At a Clallam County Homelessness Task Force meeting, the CEO of Coastal Community Action Program described a model that pairs Medicaid-billable intensive case management with coordinated entry, saying the approach raised exits to permanent housing in his service area and recommending other counties consider the model.

Craig Reblanco, CEO of Coastal Community Action Program, told the Clallam County Homelessness Task Force that his agency’s shift to Medicaid-funded, intensive case management has substantially increased exits to permanent housing in the communities it serves.

Reblanco said the agency rebuilt its homeless-services system after a 2018 fire and paired a fee-for-service, Medicaid-billable case-management model (Foundational Community Supports, or FCS) with coordinated entry and available rental assistance. “We are the number 1 biller of Medicaid in this foundational community supports program in the state of Washington,” he said, adding that his agency bills “to the tune of 3 or $4 million a year for case management.”

The presentation focused on a three-legged approach Reblanco described as necessary for system success: housing units, rental assistance, and intensive, relationship-based case management. He told…

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