AHCCCS Housing Programs

AHCCCS provides several permanent supportive housing programs throughout Arizona alongside supportive health services to help members in need. Our housing programs are provided to members with a designation of Serious Mental Illness (SMI) and some services are provide for members with a General Mental Health and/or Substance Use Disorder (GMHSUD). Providing supportive housing services not only helps members gain and maintain housing, it also helps lower utilization of emergency and crisis services. AHCCCS provides supportive housing services to approximately 3,000 members across the state.


The AHCCCS Housing Programs (AHP) consists of the permanent supportive housing and supportive health programs. The majority of AHCCCS available housing funding is reserved for members with a designation of Serious Mental Illness (SMI), although limited housing is provided for some individuals without an SMI designation who are considered to have a General Mental Health and/or Substance Use Disorder (GMHSUD) need. For persons with GMHSUD needs, housing priority is focused on persons identified with increased service utilization including crisis or emergency services and/or services addressing complex chronic physical, developmental, or behavioral conditions. For a limited number of units within the program, eligibility is further based upon receipt of specific behavioral health services such as an Assertive Community Treatment (ACT) Team.

AHP is community-based permanent supportive housing where a member should have a renewable lease, the right of entry and exit (not a restricted by program), and can voluntary select services. Housing subsidies are provided for permanent supportive housing in both scattered site units (Scattered Site Program) as well as for dedicated site-based units (Community Living Program). All subsidized rental units must meet minimum standards of health and safety, as determined by Federal Housing Quality Standards (FQS), and have a reasonable rent based on market standards. Housing subsidies are currently paid to the landlord directly by the contracted Regional Behavioral Health Authority (RBHA) or their provider on behalf of the member/household. Members are expected to pay up to 30% of their income toward their rent with the balance subsidized by the program. In addition to housing subsidies, AHP funding also provides for housing related supports and payment such as deposits, move-in assistance, eviction prevention, and damages related to member occupancy. AHP does not include any Behavioral Health Residential Facilities, Group Homes, or other licensed clinical residential settings.

Funds for these purposes are limited based on budget availability. Supportive services are critical to housing stability and the related benefits of permanent supportive housing. AHCCCS and AHP promote a Housing First model based upon principles of permanent supportive housing provided by the Substance Abuse and Mental Health Service Administration (SAMHSA). Supportive services for members in AHCCCS subsidized housing are determined by their provider and generally provided through Medicaid and other reimbursable services supplied by the managed care health plans and their provider networks. The State allocation for AHP is for approximately 3,000 members throughout Arizona. Arizona’s State Legislature allocates Non-Title XIX/XXI General Fund money to AHCCCS annually to provide permanent supportive housing.

AHCCCS has requested an amendment to the 1115 Research and Demonstration Waiver to seek waiver and expenditure authority to implement the AHCCCS Housing and Health Opportunities (H2O) demonstration. Learn more information on the proposal.

AHCCCS Contractor Operations Manual (ACOM) Policy 448
*This will be released for public comment in the Summer of 2021.

For more information on local housing resources please contact your local Regional Behavioral Health Authority.

AHCCCS has created a Constant Contact email notification list to communicate updates on updates related to AHCCCS’s Housing Programs. To subscribe, click on the sign up button below: