To self-refer for assistance, you can complete the following referral forms:

Climate Device

Housing Support

Nutrition Support

Other Supports

More information about referrals for Social Needs Assistance can be found here

Some qualifying medical conditions and life situations include:

• Adults age 65 and older with two or more chronic health conditions, or risk for malnutrition, dehydration, abuse, neglect, etc.

• Behavioral health problems that are serious mental health or substance use issues that need help to manage. Examples include bipolar disorder, schizophrenia and major depressive disorder requiring inpatient care within the last 12 months

• Health problems with the body or mouth that are serious, long-lasting, or life-threatening, and need treatment to keep them from getting worse. These problems can make it hard to afford housing. Examples include ALS, Parkinson’s, chronic kidney disease, chronic heart disease, Lupus, Multiple Sclerosis, insulin dependent diabetes, emphysema, meningitis, members receiving hospice care, dialysis, and members that are immunosuppressed or currently receiving treatment for cancer

• Members who are homeless or at risk of homelessness

• Members with a history of involvement in child welfare

• Members who are experiencing or have experienced interpersonal violence (IPV), including domestic violence (DV), sexual violence (SV), or psychological violence

• Members that are pregnant or within 12 months postpartum and receiving treatment or risk for infection, High risk pregnancy, history of pregnancy complications, abuse, malnutrition, multiple pregnancy, mental health condition or significant life stress, adversity or trauma

• Children under age 6 with current health risks, life or family stress, or a mental health condition

• Members with an intellectual or developmental disability that requires services or supports to achieve and maintain care goals and that impacts their ability to pay for housing

• Members who need help with one or more activities of daily living and/or are eligible for Medicaid funded long term services and supports due to their medical condition. Examples of qualifying medical conditions include vascular dementia, Huntington’s disease, Muscular Dystrophy, Alzheimer’s, cerebral palsy, blindness, wheelchair dependence, pervasive developmental disorders, etc.

• Members with two or more emergency department visits and/or crisis encounters in the past six months

• Young adults with special health care needs associated with complex medical conditions, serious mental health issues, elevated service needs, etc.