TIER 2: Small Homes and/or Renovated Households

$150 mil. over three years for states that submit a plan for how many small homes and/or renovated households would be completed over the three year period. Features would include private rooms and private bathrooms, together with shared living, dining, socializing and cooking spaces, and easy access to common outdoor green space in the community, Funding would flow to facilities with the concurrence and supervision of states and HHS.

Deke Cateau, CEO, A.G. Rhodes, Rick Gamache, CEO Aldersbridge Communities, and Susan Ryan, CEO, The Center for Innovation speak about Tier 2 of the EINSTEIN Option.

  • Applicants would be required to develop career advancement pathways for certified nursing assistants (CNAs).

  • The Dept. of Housing and Urban Development (HUD) would provide assistance to applicants in helping to identify sources of possible capital and operational financing, e.g. housing tax credits, HUD 232 loans, USDA financing, enhancements of Medicaid rates, and other means of financing small house and household unit/private room builds, and/or renovations.

  • Applicants would be required to meet certain requirements of the HCBS Access to Medicaid Services regulation as proposed in April 2023, including requirements for state reporting on direct care workforce enhancements.