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Housing Supports and Services

Services We Cover

Housing Supports & Services (HSS) may help eligible Members who are homeless or may lose housing to find a place to live and keep it.  SilverSummit Healthplan covers HSS under Nevada Medicaid’s In Lieu of Services (ILOS) benefit.

Services are based on Member eligibility, provider availability, authorization requirements, required documentation, and Medicaid program rules.

  • Specialized Case Management (SCM): screening and assessment, Housing Support Plan, and coordination of housing-related supports
  • Housing Transition Supports: help searching for housing, filling out applications, and working with landlords
  • Housing-Related Deposits: Housing-Related Deposits: approved security and utility deposits and approved move-in costs, when applicable and approved, limited to one time per lifetime
  • Housing Sustainment Services: coaching and support to help Members keep housing and address barriers

Good to know: HSS does not pay for ongoing monthly rent or room and board.

Members may qualify for HSS if they:

  • Are enrolled and active in SilverSummit
  • Are homeless or may lose housing based on Nevada Medicaid HSS program criteria
  • Meet Nevada Medicaid HSS eligibility requirements, including applicable health-related or social risk criteria

Examples of qualifying health-related or social risk criteria may include:

  • Serious Mental Illness (SMI)
  • Serious
  • Emotional Disorder or Disturbance (SED)
  • Substance
  • Abuse Disorder (SUD)
  • Risk of entering an institution or experiencing overdose
  • Risk of a behavioral health crisis or ER use
  • Pregnant or gave birth within the last 60 days
  • Released from jail, prison, hospital, or a treatment facility in the last 90 days, or expected to leave one in the next 30 days
  • Survivor of domestic violence or human traffickin
  • Are expected to:
    • Benefit from housing support, and
    • Keep housing with services

SilverSummit confirms eligibility based on Nevada Medicaid HSS rules and required documents.

The table below explains when each service is used and key limits. 

Service

What It Includes

When to Use

Prior Auth

Specialized Case Management (SCM)

Assessment, Housing Support Plan, coordination

Start services and identify needs and challenges

No

Housing Transition Supports

Housing search and application support

Member is actively looking for housing and expected to move in within 90 days

Yes

Housing - Related Deposits

One-time security, utility deposits, or approved move-in costs paid directly to the landlord or utility, when approved

Use when a deposit or approved move-in cost is the main barrier to move-in and the Member has a housing plan

Yes

Housing Sustainment Services

Sustainment plan, coaching, skills building, and landlord support

Use after move‑in to help prevent housing loss

Yes

 

Authorization, documentation, and billing requirements: For prior authorization requirements, see the HSS Provider Authorization Tip Sheet. For billing and claims guidance, see the HSSBilling & Claims Reference.

SilverSummit uses FindHelp to send and track HSS referrals.

  • Submit and track referrals in one place
  • Share updates and referral status

Need help or have questions about FindHelp:

Questions about contracting, claims, or billing?