Among homeless veterans
and those at risk of homelessness currently enrolled in Veterans Affairs (VA)
health care, this study examined the proportion likely to become eligible for
Medicaid in 2014 and their health needs.
A total of 114,497 homeless and
at-risk veterans were categorized into three groups: currently covered by
Medicaid, likely to become eligible for Medicaid, and not likely.
Seventy-eight percent of the sample was determined to be
likely to become eligible for Medicaid in states that expand Medicaid. Compared
with veterans not likely to become eligible for Medicaid, those likely to
become eligible were less likely to have general medical and psychiatric conditions
and to have a VA service-connected disability but more likely to have substance
use disorders.
Programs serving homeless and
at-risk veterans should anticipate the potential interplay between VA health
care and the expansion of Medicaid in states that implement the expansion.
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- 1Dr. Tsai and Dr. Rosenheck are with the Veterans Affairs (VA) New England Mental Illness Research, Education and Clinical Center, West Haven, Connecticut. They are also with the Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, where Dr. Kasprow is affiliated (e-mail: jack.tsai@yale.edu ). Dr. Kasprow is also with the VA Northeast Program Evaluation Center, West Haven, Connecticut. Dr. Culhane is with the School of Social Policy and Practice, University of Pennsylvania, Philadelphia.
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