Instructions: Applicants who will provide permanent supportive housing (PSH) in some or all units in a development must complete this narrative. This includes all applicants applying for Housing Infrastructure Bond (HIB) funding for supportive housing (refer to the HIB Guide for more information). 
 
Supportive housing populations to be served may include high priority homeless (HPH) households as prioritized for permanent supportive housing (PSH) by the local Coordinated Entry (CE) system, other households experiencing homelessness, and people without a permanent residence who are leaving institutions. Applicants must consult with the local Continuum of Care (CoC) to develop the plan for the supportive housing units and determine if the proposal meets a need for supportive housing in the proposed location, confirm that there is a demonstrated market of eligible households for the units as proposed, and determine whether the planned resources for rental assistance and services are appropriate and feasible. See the CoC Confirmation Form in the application portal for CoC contact information. 

To be considered a competitive applicant for supportive housing units, the narrative responses must reflect and demonstrate a joint response by the developer, the primary service provider, and the management agent. The narrative must be signed by the primary service provider.

For information about supportive housing, refer to the Supportive Housing Information and Resources.
Development Information	
Development Name	     	
Development Address 	     	
Applicant Name	     	

Property Eligibility and Key Partners
1.	Is the proposed development one of the following types of licensed facilities? Check all that apply:
 Nursing home
 Board and care facility
 Supervised living facility
 A property where residents require a 24-hour plan for supervision and/or medical health care
 Not a licensed facility

2.	Describe the partnership between the owner, the property management company, and the service provider(s), and any previous experience working together. 
     

Supportive Housing Unit Types and Tenant Characteristics
3.	Enter the housing unit distribution, proposed resources, partners, and referral sources for the supportive housing units in the property in the table below. NOTE: Units primarily targeting families should be at least two bedrooms.
Total Number of Housing Units	
     	

KEY: HPH = High Priority Homeless; PWD = People with Disabilities; SH = Supportive Housing; SRO = Single Room Occupancy; Eff = Efficiency; BR = Bedroom; Youth is defined as age 24 and under
	HPH units	PWD Units	Other SH Units	
Total Number of Units	     	     	     	
Number of Units by Size
(SRO, Eff, 1 BR, etc.)	     	     	     	
Population Characteristics and Referral Sources 	Population characteristics
     
	Disability Type(s):      
Referral Sources:
     	Population characteristics
     
Referral Sources:
     	
Other Eligibility Requirements?	     	     	     	
Rental Assistance Source(s)* / Number of Units	     /     
Secured        or 
Applied For 	     /     
Secured        or 
Applied For 	     /     
Secured        or 
Applied For 	
	     /     
Secured        or 
Applied For 	     /     
Secured        or 
Applied For 	     /     
Secured        or 
Applied For 	
*Rental assistance sources include: Project-based Section 8 (PBA), Housing Support – Regular or LTH, HUD CoC/type, HUD-VASH (Veterans Affairs Supportive Housing), rents set at Supportive Housing levels, or describe any other type. If using Housing Support, indicate if you are using LTH Housing Support and also include “LTH” under “other eligibility requirements.” 

The rents for HPH and other supportive housing units must be affordable to the proposed population. Refer to the Multifamily Underwriting Standards/Supportive Housing Standards for information on underwriting rent levels for supportive housing units that do not have subsidies or operating support.

4.	If using Housing Support for rent, the owner and service provider should work together to determine the amount of Housing Support that can be used for rent (and operations, such as front desk). The Housing Support provider must provide all of the room and board requirements (e.g., beds, linens, cleaning supplies). The underwriting standards allow $200/unit for these expenses, but this is negotiable if the Housing Support provider can provide these requirements for a lower amount or by using other resources. In addition, to allow tenants to affordably transition from Housing Support to Minnesota Supplemental Aid (MSA) housing assistance, at least 15% of the Housing Support rents must remain at $734.

If using Housing Support for rent, describe the maximum amount that may be used for rent and operations (of the current rate of $1091) and how the room and board requirements will be met as determined in consultation with the Housing Support provider. 
     

5.	Additional narrative regarding rental assistance resources proposed for supportive housing units (optional):
     

6.	For applicants proposing 100% supportive housing projects that are applying for deferred funding sources and who would like to be considered for Housing Infrastructure Bond (HIB) funding, note that all units must serve HPH or other homeless populations, including people leaving institutions who do not have a permanent residence, or those experiencing homelessness who are not referred through Coordinated Entry. 

a.	Is this project applying for HIB as a funding option for supportive housing?  Yes    No 

b.	If yes, will all units serve HPH or other homeless households?  Yes    No 

7.	Describe any distinctive development design elements of the supportive housing including unique characteristics or composition of the PSH unit(s), and the office/common space(s) that will be accessed by supportive housing tenants. (e.g., roommates or a shared housing model, community space, service provider office space)
     

8.	If the project is 50% to 100% PSH, will meals be provided on site, and if so, how will meal provision be funded?
     

Tenant Referral and Application Process 
All referrals for HPH units must come from the local Continuum of Care (CoC) Coordinated Entry (CE) system. Other units serving households experiencing homelessness should also come from the CoC CE system, unless they are a population not currently included in CE. The assessment and referral process for other supportive housing units must be coordinated with the appropriate referral sources (e.g., relevant institutions, counties) and be clearly described.

9.	The applicant acknowledges that the project will use CE as the referral source for HPH units:
Yes    No 

10.	If there are SH populations that will not be referred through CE, describe the assessment process for determining the need for supportive housing, including who will be responsible for assessment and how referrals will be coordinated: 
     

11.	Tenant Screening: In December of 2020, Minnesota Housing released updated Tenant Selection Plan (TSP) Guidelines that provide explicit requirements for tenant screening for supportive housing units. Projects selected beginning with the 2021 Multifamily RFP must comply with these requirements. Minnesota Housing will review TSPs prior to Mortgage Credit Committee, loan closing or housing tax credit (HTC) carryover to make sure the TSP is structured to adequately reach the intended population. 

The applicant acknowledges that the project’s TSP will comply with Minnesota Housing’s TSP Guidelines?
Yes    No 

For more information on the impact of criminal history on success in housing, refer to the Wilder Research report, Success in Housing: How Much Does Criminal Background Matter?

12.	There cannot be additional criteria to determine applicant acceptance beyond unit eligibility and screening practices that comply with Minnesota Housing TSP guidelines. Confirm whether the project will be able to meet this expectation.
Yes    No 

Occupancy Requirements and Service Delivery
13.	Will the tenants hold a lease or rental agreement?  Yes    No 

14.	Will there be any specific occupancy requirements for the PSH units beyond standard lease terms (e.g. sobriety, participation in services, curfew)?  Yes    No 
If yes, describe the requirements and the rationale for having these requirements:
     

15.	Indicate the level(s) of support provided by the primary service provider (can include both options):
 Case Management (cannot be paid for with operating budget funds)
 Tenant Service Coordination (can be paid for with operating budget funds)

16.	Will the project and service provider dedicate a minimum service staffing level average of 2 hours/household/week (.05 FTE/HPH unit)?
Yes    No 

17.	The service provider is expected to provide or connect tenants with all the service sets identified in the Supportive Housing Information and Resources publication, Appendix D. Is the service provider able to offer or coordinate with other community partners for all service sets for supportive housing tenants?
Yes    No 

18.	Will the project and provider adhere to Housing First principles and implement Supportive Housing best practices (as identified in the Supportive Housing Information and Resources, Chapter 6.03) for the supportive housing applicants and tenants? 
Yes    No 

19.	Describe how the supportive housing partnership will be rooted in or engaged in anti-racism and equity work for this property. 
     

20.	The project will have specific practices and policies that will be used by the service provider and property management to address lease infractions and prevent eviction or loss of housing for the supportive housing tenants. This policy will be described in the MOU and service plan for the project.

Yes    No 

21.	Which specific staff position(s) will be responsible for Homeless Management Information System (HMIS) data collection, data entry, and reporting for HPH households?
     
Service Staffing and Funding Resources
22.	Show the total staffing FTEs and costs related to the provision of supportive services and the planned funding sources. Do not duplicate staffing on the chart for the different population types. Service hours for HPH units must average at least two hours per household per week (.05 FTE) per HPH household to meet the threshold requirement. 
NOTE: FTE = full-time equivalent
	FTE
Should reflect dedicated and distinct FTE per unit type	Annual Cost	Planned Funding Sources (must correspond to sources listed in Question #25)	
HPH Units	     	     	     	
PWD Units*	     	     	     	
Other SH Units	     	     	     	
Front Desk	     	     	     	
Senior Service Coordination
If project is restricted to 55+	     	     	     	
TOTAL 	Total FTE
     	Total Annual Cost
     		
*Include if the service provider is providing the services for the PWD households. Do not include if the county or tribal human services are providing the services or if Section 811 PRA is being used for the PWD units.

23.	Will the development have a staffed front desk or on-site security?	Yes    No 
a.	Will the front desk be staffed by property management or service provider staff?  
 Service Provider     Property Management     A mix of Service Provider and Property Management staff

24.	Will property management be on site on a regular basis?  Yes    No 
a.	If yes, how many hours per week?      

25.	Describe the planned and secured funding sources for services provided by the primary service provider for the HPH, PWD, and other supportive housing units, including sources to cover front desk costs. NOTE: HH = households. The funding sources for the FTE from the staffing table in Question #22 must be reflected in the table below. Documentation for the required level of secured funding for the HPH units must be included with application materials uploaded to the Multifamily Customer Portal. 
*The Total Estimated Annual Service Budget total should match or be greater than the total cost outlined in the table for Question #22.
Funding Sources	# of HHs	Estimated Annual Amount	Secured	Applied For	
Housing Support Service Rate	     	$     	Yes 
No  	Yes 
No  	
Medicaid Billable or Waiver Services*   
Type      	     	$     	Yes 
No  	Yes 
No  	
Medicaid Billable or Waiver Services*  
Type      	     	$     	Yes 
No  	Yes 
No  	
Development Operating Budget:
     	$     	Shown on Workbook under Unique Costs	
State Grant/Funding Source (be specific)
     	$     	Yes 
No  	Yes 
No  	
Federal Grant/Funding Source (be specific):
     	$     	Yes 
No  	Yes 
No  	
Other – Name:
     	$     	Yes 
No  	Yes 
No  	
Other – Name:
     	$     	Yes 
No  	Yes 
No  	
TOTAL ESTIMATED ANNUAL SERVICE BUDGET*	$     		
*E.g. Medicaid Mental Health Services (ARMHS, TCM, ACT, etc.), Medicaid Waiver Services (CADI, BI, EW), Medicaid Housing Stabilization Services. List sources proposed to be used and upload verification of secured sources to Portal

NOTE: The Medicaid Housing Stabilization Service enrollment began in July 2020. Minnesota Housing expects all service providers serving eligible households to become enrolled providers.

26.	Is the designated service provider an enrolled provider in Medicaid Housing Stabilization Services?
Yes  No 
a.	If the answer is no, describe the plan to become enrolled. 
     

27.	If there are other service providers that will be providing significant supports and services to households on a regular basis, describe the anticipated level of services.
     

Service Provider Confirmation
I,      , hereby certify that the organization stated below has agreed to be the primary service provider for the supportive housing units for this development and has participated in completing the Supportive Housing Narrative.

     		     	
Name of Organization		Signature 	
			
     	     	     	
Printed Authorized Signatory	Title of Authorized Signatory	Date