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Home » Budget » Agency activities and performance » Agency Activities » Healthy and Safe Communities

Healthy and Safe Communities

Provide access to health care

Strategy: Provide access to health care

Agency: 107 - Washington State Health Care Authority

H001 - HCA Administration

Administration encompasses the executive and general administrative oversight of the agency. Functions in this area include: executive leadership, financial management, employee services, facilities, legal support, and administrative support.

Health Care Authority - Other

Account FY 2020 FY 2021 Biennium Total
FTE 417.7 417.7 417.7
001 - General Fund
State 18,552,000 18,380,000 36,932,000
Federal 332,387,000 329,784,000 662,171,000
Local 33,000 3,469,000 3,502,000
Medicaid Federal 115,497,000 156,037,000 271,534,000
001 - General Fund Totals 466,469,000 507,670,000 974,139,000
16W - Hospital Safety Net Assessment Acct
State 78,000 78,000 156,000
19A - Medicaid Fraud Penalty Account
State 28,000 2,276,000 2,304,000
489 - Pension Funding Stabilization Acct
State 220,000 220,000 440,000
609 - Medical Aid Account
State 13,000 13,000 26,000
FY 2020 FY 2021 Biennium Total
FTES 417.7 417.7 417.7
GFS 18,552,000.0 18,380,000.0 36,932,000.0
Other 448,256,000.0 491,877,000.0 940,133,000.0
Totals 466,808,000.0 510,257,000.0 977,065,000.0

002296 - Percentage of Administrative expenditures to total expenditures

Percentage of Administrative expenditures to total expenditures
Biennium Period Actual Target
2015-17 Q1 0% 2%
2015-17 Q2 0% 2%
2015-17 Q3 0% 2%
2015-17 Q4 0% 2%
2015-17 Q5 0% 2%
2015-17 Q6 0% 2%
2015-17 Q7 0% 2%
2015-17 Q8 0% 2%

H002 - HCA Direct Operations

Direct Operations represents those activities where there is direct contact with clients, enrollees, and/or providers in the delivery of benefits or the development of policy that impacts benefits. Functions in this area include: eligibility determination, coordination of benefits, call center operations, claims processing, pre-authorization review, hearings and appeals, program integrity, provider and hospital rate development, healthcare benefits and utilization management, and quality and care management..

Health Care Authority - Other

Account FY 2020 FY 2021 Biennium Total
FTE 532.2 525.3 528.8
001 - General Fund
State 34,108,000 34,108,000 68,216,000
Local 440,000 440,000 880,000
Medicaid Federal 55,638,000 55,638,000 111,276,000
001 - General Fund Totals 90,186,000 90,186,000 180,372,000
03C - Emer Med Ser/Trauma Care Sys Trust
State 43,000 43,000 86,000
08J - Prescription Drug Consortium Acct
Non-Appropriated 31,000 31,000 62,000
16W - Hospital Safety Net Assessment Acct
State 422,000 422,000 844,000
19A - Medicaid Fraud Penalty Account
State 734,000 734,000 1,468,000
489 - Pension Funding Stabilization Acct
State 1,610,000 1,610,000 3,220,000
609 - Medical Aid Account
State 254,000 254,000 508,000
FY 2020 FY 2021 Biennium Total
FTES 532.2 525.3 528.8
GFS 34,108,000.0 34,108,000.0 68,216,000.0
Other 59,172,000.0 59,172,000.0 118,344,000.0
Totals 93,280,000.0 93,280,000.0 186,560,000.0

002297 - Ratio of cost avoidance to recovery and cost avoidance

Percentage of Administrative expenditures to total expenditures
Biennium Period Actual Target
2015-17 Q1 0% 98%
2015-17 Q2 0% 98%
2015-17 Q3 0% 98%
2015-17 Q4 0% 98%
2015-17 Q5 0% 98%
2015-17 Q6 0% 98%
2015-17 Q7 0% 98%
2015-17 Q8 0% 98%

002298 - Amount of recoveries for third party liabilities

Amount of recoveries for third party liabilities
Biennium Period Actual Target
2015-17 Q1 $0.00 $500,000.00
2015-17 Q2 $0.00 $500,000.00
2015-17 Q3 $0.00 $500,000.00
2015-17 Q4 $0.00 $500,000.00
2015-17 Q5 $0.00 $500,000.00
2015-17 Q6 $0.00 $500,000.00
2015-17 Q7 $0.00 $500,000.00
2015-17 Q8 $0.00 $500,000.00

002299 - Ratio of the number of prescription drug cards issued to citizens to the total eligible per quarter

Ratio of the number of prescription drug cards issued to citizens to the total eligible per quarter
Biennium Period Actual Target
2015-17 Q1 0% 3%
2015-17 Q2 0% 3%
2015-17 Q3 0% 3%
2015-17 Q4 0% 3%
2015-17 Q5 0% 3%
2015-17 Q6 0% 3%
2015-17 Q7 0% 3%
2015-17 Q8 0% 3%

H003 - HCA Information Technology

Information technology provides support for daily operations, ProviderOne System maintenance and enhancement efforts, the Health Information Technology (HIT) project, and other IT based projects.

Health Care Authority - Other

Account FY 2020 FY 2021 Biennium Total
FTE 163.6 163.6 163.6
001 - General Fund
State 19,420,000 19,420,000 38,840,000
Medicaid Federal 48,284,000 48,284,000 96,568,000
001 - General Fund Totals 67,704,000 67,704,000 135,408,000
489 - Pension Funding Stabilization Acct
State 442,000 442,000 884,000
609 - Medical Aid Account
State 2,000 2,000 4,000
FY 2020 FY 2021 Biennium Total
FTES 163.6 163.6 163.6
GFS 19,420,000.0 19,420,000.0 38,840,000.0
Other 48,728,000.0 48,728,000.0 97,456,000.0
Totals 68,148,000.0 68,148,000.0 136,296,000.0

002301 - Percentage of claims paid promptly per month

Percentage of claims paid promptly per month
Biennium Period Actual Target
2015-17 M1 0% 98%
2015-17 M10 0% 98%
2015-17 M11 0% 98%
2015-17 M12 0% 98%
2015-17 M13 0% 98%
2015-17 M14 0% 98%
2015-17 M15 0% 98%
2015-17 M16 0% 98%
2015-17 M17 0% 98%
2015-17 M18 0% 98%
2015-17 M19 0% 98%
2015-17 M2 0% 98%
2015-17 M20 0% 98%
2015-17 M21 0% 98%
2015-17 M22 0% 98%
2015-17 M23 0% 98%
2015-17 M24 0% 98%
2015-17 M3 0% 98%
2015-17 M4 0% 98%
2015-17 M5 0% 98%
2015-17 M6 0% 98%
2015-17 M7 0% 98%
2015-17 M8 0% 98%
2015-17 M9 0% 98%

H004 - HCA Public Employee Benefits

This represents payments made to a Third Party Administrators to provide benefits to members (Uniform Medical and Dental) and costs associated with the Voluntary Employee Benefit Account (VEBA) and the Flexible Spending Account (FSA) programs.

Health Care Authority - Public Employees Benefit Board

Account FY 2020 FY 2021 Biennium Total
FTE 87.1 87.1 87.1
08G - Flexible Spending Admin Account
Non-Appropriated 974,000 1,062,000 2,036,000
418 - St Health Care Authority Admin Acct
State 17,565,000 17,709,000 35,274,000
438 - Uniform Dental Plan Benefits Admin
Non-Appropriated 6,558,000 6,784,000 13,342,000
439 - Uniform Medical Plan Benefits Acct
Non-Appropriated 62,167,000 66,282,000 128,449,000
FY 2020 FY 2021 Biennium Total
FTES 87.1 87.1 87.1
GFS
Other 87,264,000.0 91,837,000.0 179,101,000.0
Totals 87,264,000.0 91,837,000.0 179,101,000.0

002302 - Percent premium increase for all insured and self-Insured Products for Non-Medicare subscribers

Percent premium increase for all insured and self-Insured Products for Non-Medicare subscribers
Biennium Period Actual Target
2015-17 A2 0% 7%
2015-17 A3 0% 7%

002303 - Percent premium increase for all insured and self-Insured Products for Medicare subscribers

Percent premium increase for all insured and self-Insured Products for Medicare subscribers
Biennium Period Actual Target
2015-17 A2 0% 7%
2015-17 A3 0% 7%

002304 - Percent of enrollees participating in a wellness program

Percent of enrollees (PEB-UMP) participating in a wellness program.
Biennium Period Actual Target
2015-17 A2 0% 45%
2015-17 A3 0% 45%

H005 - HCA National Health Reform

This represents costs and workload driven by the implementation of the Affordable Care Act (ACA).

Health Care Authority - Other

Account FY 2020 FY 2021 Biennium Total
001 - General Fund
Local 72,505,000 84,779,000 157,284,000
Medicaid Federal 237,535,000 140,429,000 377,964,000
001 - General Fund Totals 310,040,000 225,208,000 535,248,000
FY 2020 FY 2021 Biennium Total
FTES
GFS
Other 310,040,000.0 225,208,000.0 535,248,000.0
Totals 310,040,000.0 225,208,000.0 535,248,000.0

002305 - Number of Title XIX eligible expanded

Number of Title XIX eligible expanded
Biennium Period Actual Target
2015-17 Q1 0 401,316
2015-17 Q2 0 401,895
2015-17 Q3 0 402,562
2015-17 Q4 0 403,156
2015-17 Q5 0 403,491
2015-17 Q6 0 404,022
2015-17 Q7 0 404,625
2015-17 Q8 0 405,113

002306 - federal dollars leveraged

federal dollars leveraged
Biennium Period Actual Target
2015-17 Q1 $0.00 $122,727,000.00
2015-17 Q2 $0.00 $122,727,000.00
2015-17 Q3 $0.00 $122,727,000.00
2015-17 Q4 $0.00 $122,727,000.00
2015-17 Q5 $0.00 $122,727,000.00
2015-17 Q6 $0.00 $122,727,000.00
2015-17 Q7 $0.00 $122,727,000.00
2015-17 Q8 $0.00 $122,727,000.00

002307 - Rate of growth in available Primary Care Providers per quarter

Rate of growth in available Primary Care Providers per quarter
Biennium Period Actual Target
2015-17 Q1 0% 3%
2015-17 Q2 0% 3%
2015-17 Q3 0% 3%
2015-17 Q4 0% 3%
2015-17 Q5 0% 3%
2015-17 Q6 0% 3%
2015-17 Q7 0% 3%
2015-17 Q8 0% 3%

H007 - HCA Take Charge and Family Planning Extension Clients

The federally funded waiver program provides family planning services. Services include annual exams, birth control, emergency contraception, and limited testing for sexually transmitted infections.

Health Care Authority - Other

Account FY 2020 FY 2021 Biennium Total
001 - General Fund
State 86,000 84,000 170,000
Medicaid Federal 589,000 569,000 1,158,000
001 - General Fund Totals 675,000 653,000 1,328,000
FY 2020 FY 2021 Biennium Total
FTES
GFS 86,000.0 84,000.0 170,000.0
Other 589,000.0 569,000.0 1,158,000.0
Totals 675,000.0 653,000.0 1,328,000.0

002300 - Average number of clients served by Take Charge Family Planning per month

Average number of clients served by Take Charge Family Planning per month
Biennium Period Actual Target
2015-17 M1 0 4,920
2015-17 M10 0 4,920
2015-17 M11 0 4,920
2015-17 M12 0 4,920
2015-17 M13 0 4,920
2015-17 M14 0 4,920
2015-17 M15 0 4,920
2015-17 M16 0 4,920
2015-17 M17 0 4,920
2015-17 M18 0 4,920
2015-17 M19 0 4,920
2015-17 M2 0 4,920
2015-17 M20 0 4,920
2015-17 M21 0 4,920
2015-17 M22 0 4,920
2015-17 M23 0 4,920
2015-17 M24 0 4,920
2015-17 M3 0 4,920
2015-17 M4 0 4,920
2015-17 M5 0 4,920
2015-17 M6 0 4,920
2015-17 M7 0 4,920
2015-17 M8 0 4,920
2015-17 M9 0 4,920

H008 - HCA Children's Health Program Clients

Healthcare coverage is provided for children who are not eligible for Medicaid because their families do not meet medical income eligibility criteria or are unable to qualify for other reasons.

Health Care Authority - Other

Account FY 2020 FY 2021 Biennium Total
001 - General Fund
State 24,462,000 24,403,000 48,865,000
Medicaid Federal 6,480,000 6,502,000 12,982,000
001 - General Fund Totals 30,942,000 30,905,000 61,847,000
FY 2020 FY 2021 Biennium Total
FTES
GFS 24,462,000.0 24,403,000.0 48,865,000.0
Other 6,480,000.0 6,502,000.0 12,982,000.0
Totals 30,942,000.0 30,905,000.0 61,847,000.0

002315 - Average number of clients servided by Children's Health Program per month

Average number of clients servided by Children's Health Program per month
Biennium Period Actual Target
2015-17 M1 0 17,363
2015-17 M10 0 17,363
2015-17 M11 0 17,363
2015-17 M12 0 17,363
2015-17 M13 0 17,363
2015-17 M14 0 17,363
2015-17 M15 0 17,363
2015-17 M16 0 17,363
2015-17 M17 0 17,363
2015-17 M18 0 17,363
2015-17 M19 0 17,363
2015-17 M2 0 17,363
2015-17 M20 0 17,363
2015-17 M21 0 17,363
2015-17 M22 0 17,363
2015-17 M23 0 17,363
2015-17 M24 0 17,363
2015-17 M3 0 17,363
2015-17 M4 0 17,363
2015-17 M5 0 17,363
2015-17 M6 0 17,363
2015-17 M7 0 17,363
2015-17 M8 0 17,363
2015-17 M9 0 17,363

H009 - HCA State Program Clients

Limited healthcare coverage is provided via state funding for clients who are not covered by Medicaid. Programs include Kidney Disease and Alien Emergency Medical.

Health Care Authority - Other

Account FY 2020 FY 2021 Biennium Total
001 - General Fund
State 12,055,000 12,978,000 25,033,000
Medicaid Federal 342,000 360,000 702,000
001 - General Fund Totals 12,397,000 13,338,000 25,735,000
23L - Indian Health Improvement Rein Acct
Non-Appropriated 708,000 708,000
FY 2020 FY 2021 Biennium Total
FTES
GFS 12,055,000.0 12,978,000.0 25,033,000.0
Other 342,000.0 1,068,000.0 1,410,000.0
Totals 12,397,000.0 14,046,000.0 26,443,000.0

002316 - Average number of clients served in the Kidney Disease Program per month

Average number of clients served in the Kidney Disease Program per month
Biennium Period Actual Target
2015-17 M1 0 585
2015-17 M10 0 585
2015-17 M11 0 585
2015-17 M12 0 585
2015-17 M13 0 585
2015-17 M14 0 585
2015-17 M15 0 585
2015-17 M16 0 585
2015-17 M17 0 585
2015-17 M18 0 585
2015-17 M19 0 585
2015-17 M2 0 585
2015-17 M20 0 585
2015-17 M21 0 585
2015-17 M22 0 585
2015-17 M23 0 585
2015-17 M24 0 585
2015-17 M3 0 585
2015-17 M4 0 585
2015-17 M5 0 585
2015-17 M6 0 585
2015-17 M7 0 585
2015-17 M8 0 585
2015-17 M9 0 585

002317 - Average number of clients served by the Alien Emergency Medical Program per month

Average number of clients served by the Alien Emergency Medical Program per month
Biennium Period Actual Target
2015-17 M1 0 1,049
2015-17 M10 0 1,083
2015-17 M11 0 1,098
2015-17 M12 0 1,094
2015-17 M13 0 1,096
2015-17 M14 0 1,105
2015-17 M15 0 1,110
2015-17 M16 0 1,115
2015-17 M17 0 1,106
2015-17 M18 0 1,116
2015-17 M19 0 1,126
2015-17 M2 0 1,058
2015-17 M20 0 1,119
2015-17 M21 0 1,126
2015-17 M22 0 1,130
2015-17 M23 0 1,145
2015-17 M24 0 1,141
2015-17 M3 0 1,063
2015-17 M4 0 1,068
2015-17 M5 0 1,059
2015-17 M6 0 1,069
2015-17 M7 0 1,079
2015-17 M8 0 1,073
2015-17 M9 0 1,079

H011 - HCA All Other Clients - Fee for Service - Mandatory Services

Federally mandated healthcare services are provided for Medicaid clients who are not in the state’s Apple Health managed care program. Clients include families and children eligible to receive Temporary Assistance to Needy Families (TANF); families and individuals terminated from TANF because they have increased earnings or hours of employment or Social Security Disability Insurance income; individuals who are ineligible for TANF because of requirements that do not apply to Medicaid; eligible pregnant women and their newborns; individuals receiving Social Security Income or those eligible to receive mandatory state supplements; and children in foster care or adoption support. Mandatory services for eligible clients include inpatient and outpatient hospital care, rural health clinic services, nursing home services for clients 21 years or older (other than those in mental hospitals or institutions for the developmentally disabled), Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) health care program for children, and physician care.

Health Care Authority - Other

Account FY 2020 FY 2021 Biennium Total
001 - General Fund
State 1,942,579,000 1,943,074,000 3,885,653,000
Local 58,461,000 58,030,000 116,491,000
Medicaid Federal 2,302,347,000 2,258,724,000 4,561,071,000
001 - General Fund Totals 4,303,387,000 4,259,828,000 8,563,215,000
03C - Emer Med Ser/Trauma Care Sys Trust
State 7,500,000 7,500,000 15,000,000
16W - Hospital Safety Net Assessment Acct
State 345,667,000 345,965,000 691,632,000
172 - Basic Health Plan Trust Account
Non-Appropriated 189,507,000 193,411,000 382,918,000
19A - Medicaid Fraud Penalty Account
State 6,592,000 6,592,000
315 - Dedicated Marijuana Acct
State 18,951,000 19,341,000 38,292,000
FY 2020 FY 2021 Biennium Total
FTES
GFS 1,942,579,000.0 1,943,074,000.0 3,885,653,000.0
Other 2,922,433,000.0 2,889,563,000.0 5,811,996,000.0
Totals 4,865,012,000.0 4,832,637,000.0 9,697,649,000.0

002309 - Medical cost trend from prior fiscal year

Medical cost trend from prior fiscal year
Biennium Period Actual Target
2015-17 A2 0% 4%
2015-17 A3 0% 4%

002310 - Average Number of Medicaid clients served per month

Average Number of Medicaid clients served per month
Biennium Period Actual Target
2015-17 M1 0 1,685,139
2015-17 M10 0 1,717,425
2015-17 M11 0 1,720,532
2015-17 M12 0 1,723,815
2015-17 M13 0 1,726,000
2015-17 M14 0 1,729,409
2015-17 M15 0 1,733,163
2015-17 M16 0 1,735,194
2015-17 M17 0 1,737,675
2015-17 M18 0 1,740,804
2015-17 M19 0 1,748,310
2015-17 M2 0 1,688,923
2015-17 M20 0 1,750,164
2015-17 M21 0 1,753,993
2015-17 M22 0 1,755,202
2015-17 M23 0 1,758,209
2015-17 M24 0 1,761,392
2015-17 M3 0 1,693,051
2015-17 M4 0 1,695,452
2015-17 M5 0 1,698,547
2015-17 M6 0 1,702,348
2015-17 M7 0 1,710,221
2015-17 M8 0 1,712,184
2015-17 M9 0 1,716,115

002312 - Percentage of hospitals with an Emergency Department plan per quarter

Percentage of hospitals with an Emergency Department plan per quarter
Biennium Period Actual Target
2015-17 Q1 0% 100%
2015-17 Q2 0% 100%
2015-17 Q3 0% 100%
2015-17 Q4 0% 100%
2015-17 Q5 0% 100%
2015-17 Q6 0% 100%
2015-17 Q7 0% 100%
2015-17 Q8 0% 100%

002313 - Percentage of Medicaid fee for service prescription claims that are filled with generics per quarter

Percentage of Medicaid fee for service prescription claims that are filled with generics per quarter
Biennium Period Actual Target
2015-17 Q1 0% 85%
2015-17 Q2 0% 85%
2015-17 Q3 0% 85%
2015-17 Q4 0% 85%
2015-17 Q5 0% 85%
2015-17 Q6 0% 85%
2015-17 Q7 0% 85%
2015-17 Q8 0% 85%

002314 - Rate of growth for drug per capita costs per quarter

Rate of growth for drug per capita costs per quarter
Biennium Period Actual Target
2015-17 Q1 0% -4%
2015-17 Q2 0% -4%
2015-17 Q3 0% -4%
2015-17 Q4 0% -4%
2015-17 Q5 0% -4%
2015-17 Q6 0% -4%
2015-17 Q7 0% -4%
2015-17 Q8 0% -4%

H012 - HCA All Other Clients - Fee for Service - Optional Services

Optional healthcare services are provided for Medicaid clients who are not in the state’s Apple Health managed care program. Federal regulations allow states to cover optional services such as laboratory and X-ray services, hearing, dental, and vision care under Medicaid, as long as those services are listed in the state plan. Medicaid services are provided to those children who do not qualify under the federal mandatory guidelines, but live in families with incomes that fall within the State's criteria as a percentage of the federal poverty level. This activity also includes family planning clinics and pass- through dollars to school health services, school districts, Indian Nations, etc.

Health Care Authority - Other

Account FY 2020 FY 2021 Biennium Total
001 - General Fund
State 222,745,000 266,294,000 489,039,000
Local 3,656,000 4,105,000 7,761,000
Medicaid Federal 2,640,811,000 2,585,753,000 5,226,564,000
001 - General Fund Totals 2,867,212,000 2,856,152,000 5,723,364,000
16W - Hospital Safety Net Assessment Acct
State 12,625,000 12,643,000 25,268,000
FY 2020 FY 2021 Biennium Total
FTES
GFS 222,745,000.0 266,294,000.0 489,039,000.0
Other 2,657,092,000.0 2,602,501,000.0 5,259,593,000.0
Totals 2,879,837,000.0 2,868,795,000.0 5,748,632,000.0

002309 - Medical cost trend from prior fiscal year

Medical cost trend from prior fiscal year
Biennium Period Actual Target
2015-17 A2 0% 4%
2015-17 A3 0% 4%

002310 - Average Number of Medicaid clients served per month

Average Number of Medicaid clients served per month
Biennium Period Actual Target
2015-17 M1 0 1,685,139
2015-17 M10 0 1,717,425
2015-17 M11 0 1,720,532
2015-17 M12 0 1,723,815
2015-17 M13 0 1,726,000
2015-17 M14 0 1,729,409
2015-17 M15 0 1,733,163
2015-17 M16 0 1,735,194
2015-17 M17 0 1,737,675
2015-17 M18 0 1,740,804
2015-17 M19 0 1,748,310
2015-17 M2 0 1,688,923
2015-17 M20 0 1,750,164
2015-17 M21 0 1,753,993
2015-17 M22 0 1,755,202
2015-17 M23 0 1,758,209
2015-17 M24 0 1,761,392
2015-17 M3 0 1,693,051
2015-17 M4 0 1,695,452
2015-17 M5 0 1,698,547
2015-17 M6 0 1,702,348
2015-17 M7 0 1,710,221
2015-17 M8 0 1,712,184
2015-17 M9 0 1,716,115

002312 - Percentage of hospitals with an Emergency Department plan per quarter

Percentage of hospitals with an Emergency Department plan per quarter
Biennium Period Actual Target
2015-17 Q1 0% 100%
2015-17 Q2 0% 100%
2015-17 Q3 0% 100%
2015-17 Q4 0% 100%
2015-17 Q5 0% 100%
2015-17 Q6 0% 100%
2015-17 Q7 0% 100%
2015-17 Q8 0% 100%

002313 - Percentage of Medicaid fee for service prescription claims that are filled with generics per quarter

Percentage of Medicaid fee for service prescription claims that are filled with generics per quarter
Biennium Period Actual Target
2015-17 Q1 0% 85%
2015-17 Q2 0% 85%
2015-17 Q3 0% 85%
2015-17 Q4 0% 85%
2015-17 Q5 0% 85%
2015-17 Q6 0% 85%
2015-17 Q7 0% 85%
2015-17 Q8 0% 85%

002314 - Rate of growth for drug per capita costs per quarter

Rate of growth for drug per capita costs per quarter
Biennium Period Actual Target
2015-17 Q1 0% -4%
2015-17 Q2 0% -4%
2015-17 Q3 0% -4%
2015-17 Q4 0% -4%
2015-17 Q5 0% -4%
2015-17 Q6 0% -4%
2015-17 Q7 0% -4%
2015-17 Q8 0% -4%

H014 - HCA Federal Financing Programs (Non-Forecasted)

Congress established the Disproportionate Share Hospital (DSH) program to ensure continued operation of those hospitals most heavily impacted by charity and Medicaid caseloads. The Health Care Authority operates DSH, the Certified Public Expenditure (CPE) program and several intergovernmental transfer (IGT) and refinancing programs to maximize federal revenue. In the 2005-2007 Biennium, the state, with direction from CMS, transitioned from utilizing IGTs for DSH and other programs to CPEs. This shift also included public hospital district nursing homes. Funds for participating trauma providers are also leveraged using funding provided by the Department of Health.

Health Care Authority - Other

Account FY 2020 FY 2021 Biennium Total
001 - General Fund
State 7,069,000 7,141,000 14,210,000
Medicaid Federal 137,818,000 137,834,000 275,652,000
001 - General Fund Totals 144,887,000 144,975,000 289,862,000
16W - Hospital Safety Net Assessment Acct
State 1,909,000 1,909,000 3,818,000
FY 2020 FY 2021 Biennium Total
FTES
GFS 7,069,000.0 7,141,000.0 14,210,000.0
Other 139,727,000.0 139,743,000.0 279,470,000.0
Totals 146,796,000.0 146,884,000.0 293,680,000.0

002306 - federal dollars leveraged

federal dollars leveraged
Biennium Period Actual Target
2015-17 Q1 $0.00 $122,727,000.00
2015-17 Q2 $0.00 $122,727,000.00
2015-17 Q3 $0.00 $122,727,000.00
2015-17 Q4 $0.00 $122,727,000.00
2015-17 Q5 $0.00 $122,727,000.00
2015-17 Q6 $0.00 $122,727,000.00
2015-17 Q7 $0.00 $122,727,000.00
2015-17 Q8 $0.00 $122,727,000.00

H015 - Payments to Other Entities Related to Medicaid Administrative Costs and Other Costs Paid by HCA

HCA enters into agreements with other entities to provide the means for them to receive federal Medicaid funding to support their administrative costs. HCA partnerships include: school districts, Indian Nations, local health jurisdictions, and the Health Benefit Exchange.

Health Benefit Exchange

Account FY 2020 FY 2021 Biennium Total
001 - General Fund
State 6,407,000 5,234,000 11,641,000
Medicaid Federal 26,207,000 25,921,000 52,128,000
001 - General Fund Totals 32,614,000 31,155,000 63,769,000
17T - Health Benefit Exchange Account
State 29,319,000 28,401,000 57,720,000
FY 2020 FY 2021 Biennium Total
FTES
GFS 6,407,000.0 5,234,000.0 11,641,000.0
Other 55,526,000.0 54,322,000.0 109,848,000.0
Totals 61,933,000.0 59,556,000.0 121,489,000.0

002296 - Percentage of Administrative expenditures to total expenditures

Percentage of Administrative expenditures to total expenditures
Biennium Period Actual Target
2015-17 Q1 0% 2%
2015-17 Q2 0% 2%
2015-17 Q3 0% 2%
2015-17 Q4 0% 2%
2015-17 Q5 0% 2%
2015-17 Q6 0% 2%
2015-17 Q7 0% 2%
2015-17 Q8 0% 2%

H016 - HCA School Ermployees Benefits

This represents the costs to design and obtain health care and other benefits for eligible school employees statewide.

School Employees Benefit Board

Account FY 2020 FY 2021 Biennium Total
FTE 56.5 56.5 56.5
474 - SEBB Flex Spend Dep Care Admin Acct
Non-Appropriated 312,000 625,000 937,000
475 - SEBB Dental Benefits Admin Acct
Non-Appropriated 2,000,000 4,000,000 6,000,000
492 - School Employees' Insur Admin Acct
State 14,022,000 11,321,000 25,343,000
494 - SEBB Medical Benefits Admin Acct
Non-Appropriated 3,661,000 7,792,000 11,453,000
FY 2020 FY 2021 Biennium Total
FTES 56.5 56.5 56.5
GFS
Other 19,995,000.0 23,738,000.0 43,733,000.0
Totals 19,995,000.0 23,738,000.0 43,733,000.0
Expected Results

Provide a high-quality benefits package while controlling costs

C018 - Community Mental Health Services

Community Mental Health Services - financial support and program direction for community mental health programs delivered by Behavioral Health Organizations and Integrated Managed Care providers for Medicaid eligible and non-Medicaid eligible clients and services. Programs include mental health services for outpatient, inpatient, acute care, emergency, day treatment, consultation and education, employment services, and Medicaid Transportation. Community support services include screening of voluntary referrals to state hospitals, hospital discharge planning, crisis response, case management for chronic clients in the community, and residential programs that supervise, support, treat, and rehabilitate adults and children.

Community Behavorial Health

Account FY 2020 FY 2021 Biennium Total
FTE 4.0 4.0 4.0
001 - General Fund
State 454,206,000 498,160,000 952,366,000
Federal 8,985,000 10,913,000 19,898,000
Local 8,932,000 8,932,000 17,864,000
Medicaid Federal 563,469,000 613,279,000 1,176,748,000
001 - General Fund Totals 1,035,592,000 1,131,284,000 2,166,876,000
315 - Dedicated Marijuana Acct
State 3,684,000 3,684,000 7,368,000
FY 2020 FY 2021 Biennium Total
FTES 4.0 4.0 4.0
GFS 454,206,000.0 498,160,000.0 952,366,000.0
Other 585,070,000.0 636,808,000.0 1,221,878,000.0
Totals 1,039,276,000.0 1,134,968,000.0 2,174,244,000.0
Expected Results

Provide and ensure quality and cost-effective mental health services that support the health and well-being of individuals, families and communities in Washington State

C900 - Program Support for Mental Health

Program Support provides administrative and technical support for all programs within Mental Health including policy development, fiscal planning, information services, federal demonstration grants as well as legislative and regional coordination.

Community Behavorial Health

Account FY 2020 FY 2021 Biennium Total
FTE 79.5 79.5 79.5
001 - General Fund
State 10,069,000 9,938,000 20,007,000
Federal 8,711,000 7,057,000 15,768,000
Medicaid Federal 6,703,000 6,795,000 13,498,000
001 - General Fund Totals 25,483,000 23,790,000 49,273,000
19A - Medicaid Fraud Penalty Account
State 10,000 14,000 24,000
489 - Pension Funding Stabilization Acct
State 593,000 593,000 1,186,000
FY 2020 FY 2021 Biennium Total
FTES 79.5 79.5 79.5
GFS 10,069,000.0 9,938,000.0 20,007,000.0
Other 16,017,000.0 14,459,000.0 30,476,000.0
Totals 26,086,000.0 24,397,000.0 50,483,000.0
Expected Results

Account for its use of public dollars

G008 - Prevention Substance Use Disorder Services

Prevention Services are contracted by the Division of Behavioral Health and Recovery (DBHR) through Counties, the Office of the Superintendent of Public Instruction, or with community based providers. Prevention Services are designed to prevent or reduce the misuse and abuse of alcohol, marijuana, tobacco, and other drugs. Services include prevention education, best-practices, training, public education and awareness, technical support, and other substance use resources for providers and clients.

Community Behavorial Health

Account FY 2020 FY 2021 Biennium Total
001 - General Fund
State 295,000 295,000 590,000
Federal 9,064,000 9,064,000 18,128,000
001 - General Fund Totals 9,359,000 9,359,000 18,718,000
315 - Dedicated Marijuana Acct
State 2,723,000 2,723,000 5,446,000
FY 2020 FY 2021 Biennium Total
FTES
GFS 295,000.0 295,000.0 590,000.0
Other 11,787,000.0 11,787,000.0 23,574,000.0
Totals 12,082,000.0 12,082,000.0 24,164,000.0
Expected Results

Prevent or reduce the misuse and abuse of alcohol, marijuana, tobacco, and other drugs.

G015 - Community Substance Use Disorder Services

Financial support and program direction for community substance use disorder programs delivered by Behavioral Health Organizations and Integrated Managed Care providers for Medicaid eligible and non-Medicaid eligible clients and services. Programs include Community Engagement and Referral, Triage Services, Outpatient Treatment, Housing, Residential, Recovery Support and Secure Detox.

Community Behavorial Health

Account FY 2020 FY 2021 Biennium Total
001 - General Fund
State 78,078,000 81,420,000 159,498,000
Federal 50,344,000 27,214,000 77,558,000
Medicaid Federal 179,063,000 204,254,000 383,317,000
001 - General Fund Totals 307,485,000 312,888,000 620,373,000
05C - Criminal Justice Treatment Account
State 6,217,000 6,217,000 12,434,000
315 - Dedicated Marijuana Acct
State 14,608,000 14,608,000 29,216,000
FY 2020 FY 2021 Biennium Total
FTES
GFS 78,078,000.0 81,420,000.0 159,498,000.0
Other 250,232,000.0 252,293,000.0 502,525,000.0
Totals 328,310,000.0 333,713,000.0 662,023,000.0
Expected Results

Implement a continuum of intervention and treatment services to meet local, regional, tribal, and statewide needs which specifically address the needs of adults, youth, women, children, and families.

G022 - Program Support for Substance Use Disorder

Program Support provides the administrative support for substance use disorder services. Activities include statewide program/policy development, strategic/fiscal planning, information system management, personnel, budget oversight, discretionary grants as well as legislative and regional coordination

Community Behavorial Health

Account FY 2020 FY 2021 Biennium Total
FTE 83.3 74.6 79.0
001 - General Fund
State 3,259,000 3,259,000 6,518,000
Federal 44,180,000 44,166,000 88,346,000
Local 6,000 6,000 12,000
Medicaid Federal 1,908,000 1,908,000 3,816,000
001 - General Fund Totals 49,353,000 49,339,000 98,692,000
05C - Criminal Justice Treatment Account
State 274,000 278,000 552,000
08K - Problem Gambling Account
State 728,000 733,000 1,461,000
19A - Medicaid Fraud Penalty Account
State 10,000 17,000 27,000
315 - Dedicated Marijuana Acct
State 6,704,000 6,707,000 13,411,000
489 - Pension Funding Stabilization Acct
State 264,000 264,000 528,000
FY 2020 FY 2021 Biennium Total
FTES 83.3 74.6 79.0
GFS 3,259,000.0 3,259,000.0 6,518,000.0
Other 54,074,000.0 54,079,000.0 108,153,000.0
Totals 57,333,000.0 57,338,000.0 114,671,000.0
Expected Results

Provide and ensure quality services that support individuals and families in their efforts to raise children who are free of alcohol, marijuana, tobacco, and other drugs.

G085 - Residential Substance Use Disorder Treatment Services

Residential treatment includes intensive inpatient, long term, recovery house, and treatment services for American Indian/Alaskan Native clients and residential services delivered by BHO and IMC providers.

Community Behavorial Health

Account FY 2020 FY 2021 Biennium Total
001 - General Fund
State 2,250,000 3,506,000 5,756,000
Medicaid Federal 3,004,000 3,830,000 6,834,000
001 - General Fund Totals 5,254,000 7,336,000 12,590,000
FY 2020 FY 2021 Biennium Total
FTES
GFS 2,250,000.0 3,506,000.0 5,756,000.0
Other 3,004,000.0 3,830,000.0 6,834,000.0
Totals 5,254,000.0 7,336,000.0 12,590,000.0
Expected Results

Implement a continuum of intervention and treatment services to meet local, regional, tribal, and statewide needs which specifically address the needs of adults, youth, women, chaildren, and families.

G098 - Support Services for Clients Receiving Substance Use Disorder Treatment

Support services include Parent Child Assistance for pregnant and parenting women, Fetal Alcohol Spectrum Disorders Diagnosis and Prevention, Parent Trust parenting education and family support services, Tribal and Non-Native Encounters and Treatment and Native American Government to Government contracts

Community Behavorial Health

Account FY 2020 FY 2021 Biennium Total
001 - General Fund
State 7,846,000 7,846,000 15,692,000
Federal 3,686,000 3,686,000 7,372,000
Local 9,314,000 9,323,000 18,637,000
Medicaid Federal 77,708,000 77,708,000 155,416,000
001 - General Fund Totals 98,554,000 98,563,000 197,117,000
315 - Dedicated Marijuana Acct
State 771,000 771,000 1,542,000
FY 2020 FY 2021 Biennium Total
FTES
GFS 7,846,000.0 7,846,000.0 15,692,000.0
Other 91,479,000.0 91,488,000.0 182,967,000.0
Totals 99,325,000.0 99,334,000.0 198,659,000.0
Expected Results

Provide clients the supports they need to prevent or reduce the misuse and abuse of alcohol, marijuana, tobacco, and other drugs.