GAO Finds HUD Service Coordinator Data Weaknesses Hinder Rural Housing Program Oversight
A Government Accountability Office report identified significant data quality problems in HUD's multifamily housing service coordinator program, which funds staff who connect affordable housing residents to health care, meals, transportation, and other supportive services. HUD lacks uniform data entry procedures and cannot accurately determine how many properties employ service coordinators or verify compliance with program requirements. The agency also does not routinely analyze required performance reports. GAO found some evidence that service coordinators help residents access Medicaid and avoid eviction, though studies show mixed effects on health and housing outcomes. Rural challenges include limited provider networks and long distances between properties and services.
Medicaid managed care organizations serving rural areas often rely on service coordinators to connect dual-eligible and high-need members to housing stability and health services, making HUD's inability to track program effectiveness a blind spot for care coordination partnerships.
LTSS · Managed Care
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