Housing Provider Resources
LeadingAge - Affordable Housing
The latest information on operational, regulatory, legislative and legal issues relating to subsidized and market-rate senior housing.
Housing Happenings
Find recordings of presentations and conference calls hosted by LeadingAge Maryland and LeadingAge Ohio for housing provider members addressing an array of topics.
Affordable Senior Housing Market Snapshot Report 2019
Published by LeadingAge.
COVID-19 & Senior Housing: HUD Regulatory Scorecard
A LeadingAge resource noting requests made of HUD by LeadingAge and the results as of June 2020.
HUD Multifamily Disaster Response Policies and Guidance
Background and guidance on HUD's policy and procedure regarding disaster recovery efforts by the Office of Multifamily Housing Programs after a Presidentially-Declared Disaster (PDD).
US Department of Housing and Urban Development
Link to the US Department of Housing and Urban Development, a Cabinet department of the executive branch of the US federal government.
LeadingAge Indiana Housing Newsletters
If you are a housing provider LAIN member and you are not getting our monthly housing newsletter, email us to get added to the mailing list.
January 2023
February 2023
April 2023
Reminder - Home Health and Hospice Advisory Groups. LeadingAge is hosting monthly, virtual Home Health and Hospice Advisory Groups for all interested members. If you have any questions, please don’t hesitate to reach out to Katy Barnett or Mollie Gurian.
- Home Health Advisory Group: First Tuesday of Every Month; 2:00-3:00 PM ET
- Hospice Advisory Group: Second Tuesday of Every Month; 2:00-3:00 PM ET
Reminder: LeadingAge Will Host Call with Northeast HUD Regional Leadership, April 25, 1:00 - 2:30 PM ET. Join LeadingAge and affordable senior housing providers in HUD’s Northeast Region for our April 25 meeting with HUD Leadership. All LeadingAge members are welcome; register here in advance.
HUD Posts NSPIRE Scoring Calculator. The NSPIRE Score Calculator helps housing providers estimate a potential NSPIRE score based on the types and locations of deficiencies identified during an NSPIRE inspection. This score only provides an estimate of the actual score generated by a property inspection, but is intended to help housing providers better understand the proposed new scoring approach. To help providers use the tool, HUD developed an instructional video available here. HUD is still accepting comments on the proposed scoring Notice until April 27; full NSPIRE implementation will begin for Multifamily Housing providers on October 1, 2023. LeadingAge members can view an in-depth analysis of the scoring methodology here (must be logged in to your LeadingAge account to view).
New QuickCast Available on Home Health and the PHE. What The End of the Public Health Emergency Means for Home Health Agencies.
New QuickCast Available on Hospice and the PHE. What The End of the Public Health Emergency Means for Hospice Providers.
Chapters on Section 202, Service Coordinators in Housing Guide. Read the 2023 Advocates’ Guide here.
Hospice Preview Reports for the May 2023 Refresh Released are now available as follows: Provider Preview Report (HIS and Claims-based measures) here, the CAHPS Preview Report here, Hospice QRP Key Dates for Providers here, and the 3rd Edition HQRP Public Reporting Tip Sheet is available here.
HUD Publishes Draft Section 8 Contract Bifurcation Notice. More information is available here.
HUD Publishes NTIA Broadband Funding Guide for Affordable Housing. More information is available here. To get connected with LeadingAge’s advocacy around internet access, reach out to Juliana (jbilowich@leadingage.org).
HUD Section 8 Renewal Guide Update Addresses Resident Services, Internet. On March 27, HUD announced newly updated guidance for project-based rental assistance properties renewing their Section 8 contracts. More information is available here.
CMS Reviews Medicaid Unwinding Procedures for States’ HCBS Programs. The presentation provided information on allowable and prohibited ongoing 1915(c) Appendix K flexibilities for states. The slides are available here.
LeadingAge Policy Brief: Accepted Forms of Rent Payment in HUD-Assisted Multifamily Housing. This LeadingAge policy brief details HUD's policy and other considerations for properties wanting to establish or modify accepted forms of rent payment.
Home Health CAHPS Preview Reports with Star Ratings Now Available. Home health agencies (HHAs) can now review their Preview Reports reflecting results from the Home Health Care CAHPS (HHCAHPS) Survey from July 2021 through June 2022 (Q3,2021-Q2,2022).
Home Health and Hospice Updated Blanket Waiver Charts. Read the full article here.
Inpatient Hospice 1135 Waivers Ending. CMS released this memo as a reminder.
May 2023
Hospice CAHPS Survey Updates Now Posted. Updates on the CAHPS Hospice Survey updates to the website:
- The CAHPS Hospice Survey response rate for the Quarter 4 2020 – Quarter 3 2022 public reporting period is available here.
Click here to view or download the document that describes how a survey vendor or hospice can closely approximate the effect of case-mix adjustment on CAHPS Hospice Survey results using publicly reported adjustors and national means. - Click here to download adjustors and means for the Quarter 4 2020 – Quarter 3 2022 public reporting period.
- Average CAHPS Hospice Survey measure scores for each state for the Quarter 4 2020 – Quarter 3 2022 public reporting period are available here.
- National percentiles of hospice performance on CAHPS Hospice Survey measures for the Quarter 4 2020 – Quarter 3 2022 public reporting period are available here.
- The Technical Notes for Star Ratings and the national and state distributions of Family Caregiver Survey Ratings Summary Stars for the August and November 2023 Reporting Periods (Quarter 4 2020 – Quarter 3 2022) are available here.
CMS Released TEP Report on Health Equity Measure in Home Health and Hospice. On May 25, CMS released the Technical Expert Panel Report on Health Equity (HE) Measurement for Home Health and Hospice.
Reminder - Home Health and Hospice Advisory Groups. LeadingAge is hosting monthly, virtual Home Health and Hospice Advisory Groups for all interested members. If you have any questions, please don’t hesitate to reach out to Katy Barnett or Mollie Gurian.
- Home Health Advisory Group: First Tuesday of Every Month; 2:00-3:00 PM ET
- Hospice Advisory Group: Second Tuesday of Every Month; 2:00-3:00 PM ET
New QuickCast Available on Home Health and the PHE. What The End of the Public Health Emergency Means for Home Health Agencies.
New QuickCast Available on Hospice and the PHE. What The End of the Public Health Emergency Means for Hospice Providers.
Chapters on Section 202, Service Coordinators in Housing Guide. Read the 2023 Advocates’ Guide here.
Hospice Preview Reports for the May 2023 Refresh Released are now available as follows: Provider Preview Report (HIS and Claims-based measures) here, the CAHPS Preview Report here, Hospice QRP Key Dates for Providers here, and the 3rd Edition HQRP Public Reporting Tip Sheet is available here.
HUD Publishes Draft Section 8 Contract Bifurcation Notice. More information is available here.
HUD Publishes NTIA Broadband Funding Guide for Affordable Housing. More information is available here. To get connected with LeadingAge’s advocacy around internet access, reach out to Juliana (jbilowich@leadingage.org).
HUD Section 8 Renewal Guide Update Addresses Resident Services, Internet. On March 27, HUD announced newly updated guidance for project-based rental assistance properties renewing their Section 8 contracts. More information is available here.
CMS Reviews Medicaid Unwinding Procedures for States’ HCBS Programs. The presentation provided information on allowable and prohibited ongoing 1915(c) Appendix K flexibilities for states. The slides are available here.
LeadingAge Policy Brief: Accepted Forms of Rent Payment in HUD-Assisted Multifamily Housing. This LeadingAge policy brief details HUD's policy and other considerations for properties wanting to establish or modify accepted forms of rent payment.
Home Health CAHPS Preview Reports with Star Ratings Now Available. Home health agencies (HHAs) can now review their Preview Reports reflecting results from the Home Health Care CAHPS (HHCAHPS) Survey from July 2021 through June 2022 (Q3,2021-Q2,2022).
Home Health and Hospice Updated Blanket Waiver Charts. Read the full article here.
Inpatient Hospice 1135 Waivers Ending. CMS released this memo as a reminder.
June 2023
Continuing Care at Home (CCaH)?
LeadingAge hosted members to discuss what care coordination looks like in a Continuing Care at Home (CCaH) program. On Monday, June 5, Amanda Young, Executive Director, Wesley at Home, a Continuing Care at Home program, discussed defining, implementing, and evaluating care coordination in a CCaH program. They also hosted Travis Gleinig, Chief Information Officer, United Methodist Communities. He talked about how members can use digital transformation to improve productivity and resident/employee experience and drive innovation. On Monday, June 12, you can join in on a call to understand how staff recognition can improve the quality of care in aging services settings. Dr. Kathleen Weissberg, Professor, Gannon University, will discuss her research in this area and offer tips on how to implement programs that drive quality improvement in aging services. Members and other interested individuals can sign up to join LeadingAge’s Policy Update calls here. You can also find previous call recordings of every 3:30 LeadingAge call here. Note that to access recordings of the calls you need a LeadingAge password. Any staff member of any LeadingAge member organization can set up a password to access previous calls and other members-only content.
HUD Multifamily Faces $39M Rescission, FY24 Spending Caps
(Shared article) Tens of millions will be rescinded from HUD multifamily programs from unobligated COVID relief funds and overall federal non-defense discretionary spending, including for HUD programs, for fiscal year 2024 (FY24) will be at no more than fiscal year 2023 (FY23) levels in a debt ceiling deal passed by the House and Senate May 31 and June 1, respectively, and on its way to the White House for President Biden’s signature. Read more about the HUD multifamily rescission and spending caps for FY24 and FY25 in this article.
500,000 dropped from Medicaid
Half a million people in 11 states have already been taken off the Medicaid rolls since redetermination started, according to a new analysis from KFF. Florida tops the charts for both measures, with nearly 250,000 removed from the rolls, equaling about half the number of completed renewals. Other states had smaller numbers on both counts: Virginia reported about 22,000 disenrollments, which equals about 10 percent of the number of completed renewals. Though many states have yet to redetermine which beneficiaries keep coverage post-pandemic, the early numbers confirm previous notions that the end of continuous enrollment could end coverage for a significant portion of the population. The full analysis can be found here.
July 2023
HUD Releases Final NSPIRE Scoring Notice. The final scoring notice for HUD’s National Standards for the Physical Inspection of Real Estate (NSPIRE) protocols was released on July 6. The scoring notice is expected to be published in the Federal Register on July 7. HUD’s July 6 final scoring notice reflects comments LeadingAge provided on HUD’s proposed scoring notice on HUD’s proposed removal of the point-loss cap, acknowledgement of the pickle owners find themselves in when inspections focus on in-unit conditions, and the phase-in of new safety standards. For HUD multifamily housing, the NSPIRE physical inspection protocols go into effect on October 1, 2023. There are four main pieces to HUD’s final package of NSPIRE materials. In addition to the July 6 release of the final Scoring Notice, HUD issued the final overall NSPIRE final rule on May 11, the final NSPIRE Standards 3.0 Notice on June 16 and an “administrative procedures” notice on June 30, which outlines the updated NSPIRE processes for inspection, including the process HUD will use to gather resident feedback on property conditions. Read the LeadingAge article on the final scoring notice here.
Letter Urges Appropriators to Fully Fund Housing Programs. On June 30, LeadingAge, along with other members of the Campaign for Housing and Community Development Funding (CHCDF), sent a letter to House and Senate appropriators “to express our sincere concern for the fate of HUD and USDA affordable housing, homelessness assistance, and community development programs in the fiscal year (FY) 2024 budget.” CHCDF is a coalition of national housing and community development organizations working together to secure the highest possible funding for housing and community development programs. LeadingAge is on the steering committee of CHCDF. “Efforts to cap funding for the upcoming year at FY22 levels – despite the agreement reached in the ‘Fiscal Responsibility Act’ – represent an urgent threat to the millions of people who rely on HUD and USDA housing programs. Under the 302(b)s adopted by the House Appropriations Committee, the Transportation, Housing, and Urban Development (THUD) bill would be cut by over $22.12 billion, or over 25%, from FY23 enacted levels,” the letter says. Housing advocates are urged to respond to LeadingAge’s action alert on FY24 HUD funding. Additional information on HUD funding for FY24 can be found here.
Housing Navigator Bill Introduced with LeadingAge Support. On June 28, Representatives Adam Schiff (D-CA) and Sara Jacobs (D-CA) introduced the Housing Navigators Act to create a new program through the Department of Housing and Urban Development (HUD) Office of Housing Counseling (OHC) to provide direct housing counseling for renters and people experiencing homelessness to connect with critical services and housing placement opportunities. The Housing Navigators Act would fund a Housing Navigator Program specifically to assist people experiencing homelessness and people at risk of homelessness. LeadingAge has endorsed the bill.
New HUD Multifamily Leadership Staff. On July 6, HUD announced Donald Billingsley as the new Associate Deputy Assistant Secretary for Multifamily Housing. Prior to his new position at HUD, Mr. Billingsley’s most recent role was Vice President with Grandbridge Real Estate Capital, a subsidiary of Truist Bank, where he was responsible for originating mortgages for multifamily and commercial properties, nationwide. Mr. Billingsley previously served as HUD’s Multifamily Regional Director for the southeast region, managing FHA Multifamily Insurance, Project Based Rental Assistance and the Section 202/811 Capital Advance programs in southeastern states and Caribbean territories. Mr. Billingsley also spent several years in Multifamily Production at HUD HQ. Prior to his last tour with HUD, Mr. Billingsley was an Analyst with the Federal Home Loan Bank’s affordable housing programs and spent 15 years developing and managing Low Income Housing Tax Credit developments. Mr. Billingsley is a U.S. Navy combat veteran. LeadingAge looks forward to working with Mr. Billingsley to support, improve, and expand HUD’s multifamily portfolio.
Work on Multisector State Plans on Aging Advances. The Center for Health Care Strategies (CHCS) announced its launch of the Multisector Plan on Aging Collaborative, supported by the SCAN Foundation, West Health, and the May & Stanley Smith Charitable Trust. The 12-month collaborative will support 10 states – Connecticut, Iowa, Maryland, Massachusetts, Missouri, Nevada, New Hampshire, Pennsylvania, Utah, and Washington State, to build on work already underway in these states. The collaborative will offer peer to peer exchange, access to a network of experts, and technical assistance on building cross-sector buy in and facilitate developing a multisector plan on aging.
