Medicaid plans know housing instability is driving avoidable utilization, disengagement, and cost. They also know that referrals, internal teams, and community partners alone aren’t enough to solve it.
Housing instability has become a core driver of Medicaid outcomes, but most plans aren’t staffed or structured to manage it effectively.
Upside is a housing-first partner built to help Medicaid plans intervene earlier, stabilize members, and deliver real housing outcomes while taking ownership of the time-intensive, local housing work so internal teams don’t have to.
Most Medicaid leaders we work with arrive at the same realization. Internal care teams are already stretched thin. Housing work is highly local, unpredictable, and difficult to scale. Community-based organizations are essential, but oversubscribed and uneven in availability. Referrals alone don’t lead to placements. And while activity is documented, outcomes are difficult to substantiate.
Housing ends up stuck in the middle. Too operational for strategy teams, too complex for care managers to own, and too important to ignore. That’s where programs stall.
Upside is built to do the work most organizations can’t staff for.
We accept referrals and outreach, assess housing needs, execute stabilization or transitions, and stay involved until the issue is resolved. That includes navigating local constraints, coordinating with community partners, managing logistics, and documenting outcomes plans can stand behind.
We don’t stop at identification or referral. We carry housing cases to resolution.
Members preparing to leave a facility or hospital who cannot discharge safely without stable, appropriate housing in place. We coordinate housing options and logistics so transitions don’t stall or result in failed discharges and repeat utilization.
Young adults exiting foster care without rental history, steady income, or a support network often facing immediate housing instability. We provide hands-on housing navigation and follow-through so youth don’t fall into homelessness at the point of transition.
Pregnant members and families living in unstable or unsafe housing during critical periods of care and engagement. We stabilize housing early so health, safety, and consistent care are not disrupted during pregnancy and early childhood.
Parents managing housing instability while balancing employment, childcare, and custody — where even short disruptions can quickly cascade into crisis. We work to stabilize housing so families can maintain continuity and avoid emergency situations.
Members reentering the community after incarceration who face background checks, income gaps, and eligibility barriers to housing. We navigate realistic housing paths and local constraints so reentry doesn’t lead straight back to instability or crisis.
Members whose chronic conditions worsen without stable housing, leading to repeated emergency care and disengagement. We stabilize housing so care plans have a chance to work and avoidable utilization can be reduced.
Community-based organizations are essential to housing work. They just can’t carry it alone.
Upside does not replace CBOs. We help Medicaid plans orchestrate them more effectively leveraging local expertise where it exists, reducing burden where capacity is limited, and filling gaps when no local solution is available.
The result is fewer dead ends and more resolved cases without breaking the ecosystem plans depend on.
Upside works alongside Medicaid teams when housing instability prevents progress. Plans refer members once it’s clear that housing is blocking engagement, delaying discharge, or putting a transition at risk. These referrals usually come from care management, LTSS, foster care transition teams, maternal health programs, or reentry initiatives — the same places housing issues already surface today.
Each referred member is assigned a single Care Guide responsible for housing stabilization. The Care Guide reviews the member’s situation, identifies barriers, and coordinates next steps, allowing internal teams to stay focused on care, oversight, and program management rather than housing logistics.
Housing progress depends on consistent follow-through. Upside manages the practical work required to move cases forward, including applications, documentation, coordination with landlords and community partners, and adjustments as circumstances change. Engagement continues until the housing issue is resolved or stabilized.
Plans have ongoing visibility into where each case stands and what actions have been taken. Upside supports clear documentation of housing activity and outcomes, including stabilization, move-ins, and time to resolution, so programs can report results within Medicaid initiatives and waivers.
How is Upside different from referring members to CBOs?
CBOs are essential, but they often lack the capacity to carry housing cases end to end. Upside doesn’t replace CBOs. We coordinate and complement them, while taking ownership of housing stabilization itself. That means fewer stalled referrals, clearer accountability, and more resolved cases.
Does Upside replace our care management or housing teams?
No. Upside is designed to reduce burden, not shift it. We take on the time-intensive, complex work of housing navigation and stabilization so internal teams can stay focused on care, coordination, and oversight. Plans retain visibility and control throughout.
What happens after we refer a member to Upside?
Once a referral is received, Upside assigns a dedicated Care Guide whose sole focus is housing stabilization. We assess the member’s situation, identify realistic housing paths, coordinate next steps, and stay engaged until the housing issue is resolved keeping the plan informed along the way. We don’t just document activity. We work cases to completion.
Can Upside help us substantiate housing within Medicaid programs or waivers?
Yes. Upside is built to support measurable housing outcomes, not just referrals or outreach. Depending on program design, plans can substantiate housing stabilization, move-ins, time to stabilization, and engagement aligned to Medicaid reporting and accountability needs.
What types of Medicaid members are the best fit for Upside?
Upside works best with members whose housing challenges are complex, time-sensitive, or difficult to resolve through referrals alone. This often includes LTSS members, youth aging out of foster care, expectant mothers and families, justice-involved individuals, and others where unstable housing undermines engagement and outcomes.
Upside is built to help Medicaid plans demonstrate real impact, not just activity.
Depending on program design, plans can substantiate:
We understand Medicaid programs must defend results to states, regulators, and internal stakeholders. Our model is built with that accountability in mind.
If your teams are doing everything they can and housing outcomes still aren’t where they need to be — Upside can help.
Upside Corporate Headquarters
200 E Las Olas Blvd 14th Floor
Fort Lauderdale, FL 33301
