Recovery Housing

Recovery housing supports the recovery process beyond formal treatment and addresses housing instability as a fundamental social determinant. The session covers NARR accreditation levels, the Oxford House model and its outcome data, integration with MOUD continuity, evidence-based outcome studies, financing mechanisms (Medicaid 1115 waivers, state contracts), and addressing the rising prevalence of fentanyl exposure among recovery-housing residents. Discussion addresses housing-first vs abstinence-required models, harm-reduction housing pilots, equity in recovery housing access, the Oxford House evidence base versus newer models, and the regulatory environment after federal scrutiny of fraudulent recovery-housing operations in Florida and Arizona.