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Filling the HCH Gap
Case Studies of Non-HCH Health Centers Serving People Experiencing Homelessness

Resource Topic: Finance, Operations, Social Determinants of Health (SDOH), Special and Vulnerable Populations

Resource Subtopic: Community, Health, and Housing Partnerships, Programs and Services.

Keywords: Access to Care, Persons Experiencing Homelessness, Screening.

Year Developed: 2021

Resource Type: Publication.

Primary Audience: Administrative Staff C-Suite (CEOs, CFOs, CIO, COOs, CMOs, etc.) PCAs
Secondary Audience: Board of Directors Clinicians Enabling Staff Outreach Staff

Language(s): English

Developed by: National Health Care for the Homeless Council (See other resources developed by this organization).

Resource Summary: This publication highlights five health centers that do not have Health Care for the Homeless (HCH) designation but provide excellent services to people experiencing homelessness regardless.

Resource Details: Health Care for the Homeless (HCH) health centers have a distinct mandate to serve people experiencing homelessness, but all health centers are expected to provide services regardless of patients’ ability to pay. Noting that not every city has an HCH health center (only 2/3 of large cities do), this publication highlights five “non-HCH” health centers that are providing excellent services for people without homes in their communities regardless of designation. It concludes with nine actions all health centers can take to improve services for unhoused patients with numerous resources to support health center readers.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit