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Home » Budget » Agency Activities » Healthy and Safe Communities

Healthy and Safe Communities

Last Updated: 10/13/2021

Provide tools and resources to execute government functions

Strategy: Provide tools and resources to execute government functions

Agency: 300 - Department of Social and Health Services

C063 - Mental Health Facilities Services

State psychiatric hospitals include Eastern and Western State and the Child Study and Treatment Center. Services include inpatient psychiatric services for acutely and chronically mentally ill persons, mentally ill legal offenders, geriatric patients and inpatient psychiatric services for severely mentally ill children and adolescents.

Mental Health

Account FY 2022 FY 2023 Biennium Total
FTE 4,252.2 4,232.3 4,242.3
001 - General Fund
State 440,152,000 440,550,000 880,702,000
Local 10,770,000 10,770,000 21,540,000
Medicaid Federal 67,485,000 76,091,000 143,576,000
001 - General Fund Totals 518,407,000 527,411,000 1,045,818,000
FY 2022 FY 2023 Biennium Total
FTES 4,252.2 4,232.3 4,242.3
GFS 440,152,000.0 440,550,000.0 880,702,000.0
Other 78,255,000.0 86,861,000.0 165,116,000.0
Totals 518,407,000.0 527,411,000.0 1,045,818,000.0

001103 - Rate of patient-to-staff assault claims filed at the state psychiatric hospitals

This measure relates to Core Metric AB3.2, column AB3.2d. • This is a measure of progress by the state hospitals to increase staff safety by promoting a safe work environment. The rate of patient-to-staff assault claims filed increased to .54 per 1,000 patient days in SFQ 2015/3, above the target of 0.50.
Biennium Period Actual Target
2017-19 Q1 1 1
2017-19 Q2 1 1
2017-19 Q3 1 1
2017-19 Q4 1 1
2017-19 Q5 1 1
2017-19 Q6 1 1
2017-19 Q7 1 1
2017-19 Q8 1 1
2019-21 Q1 1 1
2019-21 Q2 1 1
2019-21 Q3 1 1
2019-21 Q4 1 1
2019-21 Q5 1 1
2019-21 Q6 1 1
2019-21 Q7 1 1
2019-21 Q8 1 1
2021-23 Q1 0 0
2021-23 Q2 0 0
2021-23 Q3 0 0
2021-23 Q4 0 0
2021-23 Q5 0 0
2021-23 Q6 0 0
2021-23 Q7 0 0
2021-23 Q8 0 0

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.

Mental Health

Account FY 2022 FY 2023 Biennium Total
FTE 46.4 46.4 46.4
001 - General Fund
State 5,996,000 5,989,000 11,985,000
Medicaid Federal 183,000 191,000 374,000
001 - General Fund Totals 6,179,000 6,180,000 12,359,000
FY 2022 FY 2023 Biennium Total
FTES 46.4 46.4 46.4
GFS 5,996,000.0 5,989,000.0 11,985,000.0
Other 183,000.0 191,000.0 374,000.0
Totals 6,179,000.0 6,180,000.0 12,359,000.0
Expected Results

Account for its use of public dollars.

D028 - Employment and Day Programs

Employment and Day Services integrate clients with developmental disabilities into the community and prevent institutionalization. County contracted employment services help clients obtain and maintain employment in integrated settings. Day services for adults over age 62 or those who opt out of employment services enable clients to participate in the community. Both employment services and day services provide respite for family caregivers. Services are provided mainly under a Medicaid waiver requiring clients to be functionally and financially eligible for Medicaid. A small number of clients served are funded with state-only dollars. This activity also includes the county contracted Child Development Services (CDS) program which provides specialized therapeutic and educational services for children at risk of developmental delays to promote the child's attainment of age-related developmental milestones. CDS includes the required state portion of funding for birth to age three services associated with federal programs at the Department of Early Learning.

Developmental Disabilities

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 52,683,000 60,344,000 113,027,000
Medicaid Federal 53,869,000 47,157,000 101,026,000
001 - General Fund Totals 106,552,000 107,501,000 214,053,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 52,683,000.0 60,344,000.0 113,027,000.0
Other 53,869,000.0 47,157,000.0 101,026,000.0
Totals 106,552,000.0 107,501,000.0 214,053,000.0

001128 - Percent of clients with developmental disabilities served in home and community-based settings

This measure is derived from Core Metric AD1.2, column AD1.2l. • This measure reflects the response to consumer preferences for home and community-based care. It is also an indicator of efficiency, since community care is the least expensive. • Developing community-based supports and providing options to consumers has been an emphasis and is reflected in the sustained percentage.
Biennium Period Actual Target
2017-19 M1 97% 98%
2017-19 M10 97% 98%
2017-19 M11 97% 98%
2017-19 M12 97% 98%
2017-19 M13 97% 98%
2017-19 M14 98% 98%
2017-19 M15 98% 98%
2017-19 M16 98% 98%
2017-19 M17 98% 98%
2017-19 M18 98% 98%
2017-19 M19 98% 98%
2017-19 M2 97% 98%
2017-19 M20 98% 98%
2017-19 M21 98% 98%
2017-19 M22 98% 98%
2017-19 M23 98% 98%
2017-19 M24 98% 98%
2017-19 M3 97% 98%
2017-19 M4 98% 98%
2017-19 M5 98% 98%
2017-19 M6 98% 98%
2017-19 M7 98% 98%
2017-19 M8 98% 98%
2017-19 M9 98% 98%
2019-21 M1 98% 98%
2019-21 M10 98% 98%
2019-21 M11 98% 98%
2019-21 M12 98% 98%
2019-21 M13 98% 98%
2019-21 M14 98% 98%
2019-21 M15 98% 98%
2019-21 M16 98% 98%
2019-21 M17 98% 98%
2019-21 M18 98% 98%
2019-21 M19 98% 98%
2019-21 M2 98% 98%
2019-21 M20 98% 98%
2019-21 M21 98% 98%
2019-21 M22 98% 98%
2019-21 M23 98% 98%
2019-21 M24 0% 98%
2019-21 M3 98% 98%
2019-21 M4 98% 98%
2019-21 M5 98% 98%
2019-21 M6 98% 98%
2019-21 M7 98% 98%
2019-21 M8 98% 98%
2019-21 M9 98% 98%
2021-23 M1 0% 98%
2021-23 M10 0% 98%
2021-23 M11 0% 98%
2021-23 M12 0% 98%
2021-23 M13 0% 98%
2021-23 M14 0% 98%
2021-23 M15 0% 98%
2021-23 M16 0% 98%
2021-23 M17 0% 98%
2021-23 M18 0% 98%
2021-23 M19 0% 98%
2021-23 M2 0% 98%
2021-23 M20 0% 98%
2021-23 M21 0% 98%
2021-23 M22 0% 98%
2021-23 M23 0% 98%
2021-23 M24 0% 98%
2021-23 M3 0% 98%
2021-23 M4 0% 98%
2021-23 M5 0% 98%
2021-23 M6 0% 98%
2021-23 M7 0% 98%
2021-23 M8 0% 98%
2021-23 M9 0% 98%

001607 - Percent of working-age adults with developmental disabilities in day programs who are employed

This measure is derived from Core Metric AD2.1, column AD2.1a. • This measures the percentage of the number of DD clients aged 21 through 61 who are employed as a result of receiving DD employment day services. • Earning a wage is one of the most self-affirming and cost-beneficial achievements for a person with a developmental disability. • Employment support continues to be a service emphasis and sustaining performance above 50% is important.
Biennium Period Actual Target
2017-19 Q1 66% 66%
2017-19 Q2 66% 66%
2017-19 Q3 65% 66%
2017-19 Q4 66% 66%
2017-19 Q5 67% 66%
2017-19 Q6 66% 66%
2017-19 Q7 65% 66%
2017-19 Q8 66% 67%
2019-21 Q1 66% 67%
2019-21 Q2 66% 67%
2019-21 Q3 65% 67%
2019-21 Q4 47% 67%
2019-21 Q5 43% 67%
2019-21 Q6 45% 67%
2019-21 Q7 45% 67%
2019-21 Q8 0% 67%
2021-23 Q1 0% 0%
2021-23 Q2 0% 0%
2021-23 Q3 0% 0%
2021-23 Q4 0% 0%
2021-23 Q5 0% 0%
2021-23 Q6 0% 0%
2021-23 Q7 0% 0%
2021-23 Q8 0% 0%

D034 - Individual and Family Services

Individual and Family Services waiver, prevents more costly interventions by promoting the long-term health and well-being of people with developmental disabilities, and by providing supports to their family caregivers. Services include assistive technology, behavior supports, community engagement, environmental and vehicular adaptations, respite, person-centered planning, specialized equipment and supplies, skilled nursing, peer mentoring, specialized nutrition, supported parenting, specialized evaluations, specialized clothing, occupational, speech and physical therapy, consultation and training and transportation to a waiver service. Funding includes federal match, and the number of people qualifying for services is limited by the funding available. Eligibility criteria are established in statute.

Developmental Disabilities

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 8,104,000 8,825,000 16,929,000
Medicaid Federal 10,212,000 8,615,000 18,827,000
001 - General Fund Totals 18,316,000 17,440,000 35,756,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 8,104,000.0 8,825,000.0 16,929,000.0
Other 10,212,000.0 8,615,000.0 18,827,000.0
Totals 18,316,000.0 17,440,000.0 35,756,000.0

001128 - Percent of clients with developmental disabilities served in home and community-based settings

This measure is derived from Core Metric AD1.2, column AD1.2l. • This measure reflects the response to consumer preferences for home and community-based care. It is also an indicator of efficiency, since community care is the least expensive. • Developing community-based supports and providing options to consumers has been an emphasis and is reflected in the sustained percentage.
Biennium Period Actual Target
2017-19 M1 97% 98%
2017-19 M10 97% 98%
2017-19 M11 97% 98%
2017-19 M12 97% 98%
2017-19 M13 97% 98%
2017-19 M14 98% 98%
2017-19 M15 98% 98%
2017-19 M16 98% 98%
2017-19 M17 98% 98%
2017-19 M18 98% 98%
2017-19 M19 98% 98%
2017-19 M2 97% 98%
2017-19 M20 98% 98%
2017-19 M21 98% 98%
2017-19 M22 98% 98%
2017-19 M23 98% 98%
2017-19 M24 98% 98%
2017-19 M3 97% 98%
2017-19 M4 98% 98%
2017-19 M5 98% 98%
2017-19 M6 98% 98%
2017-19 M7 98% 98%
2017-19 M8 98% 98%
2017-19 M9 98% 98%
2019-21 M1 98% 98%
2019-21 M10 98% 98%
2019-21 M11 98% 98%
2019-21 M12 98% 98%
2019-21 M13 98% 98%
2019-21 M14 98% 98%
2019-21 M15 98% 98%
2019-21 M16 98% 98%
2019-21 M17 98% 98%
2019-21 M18 98% 98%
2019-21 M19 98% 98%
2019-21 M2 98% 98%
2019-21 M20 98% 98%
2019-21 M21 98% 98%
2019-21 M22 98% 98%
2019-21 M23 98% 98%
2019-21 M24 0% 98%
2019-21 M3 98% 98%
2019-21 M4 98% 98%
2019-21 M5 98% 98%
2019-21 M6 98% 98%
2019-21 M7 98% 98%
2019-21 M8 98% 98%
2019-21 M9 98% 98%
2021-23 M1 0% 98%
2021-23 M10 0% 98%
2021-23 M11 0% 98%
2021-23 M12 0% 98%
2021-23 M13 0% 98%
2021-23 M14 0% 98%
2021-23 M15 0% 98%
2021-23 M16 0% 98%
2021-23 M17 0% 98%
2021-23 M18 0% 98%
2021-23 M19 0% 98%
2021-23 M2 0% 98%
2021-23 M20 0% 98%
2021-23 M21 0% 98%
2021-23 M22 0% 98%
2021-23 M23 0% 98%
2021-23 M24 0% 98%
2021-23 M3 0% 98%
2021-23 M4 0% 98%
2021-23 M5 0% 98%
2021-23 M6 0% 98%
2021-23 M7 0% 98%
2021-23 M8 0% 98%
2021-23 M9 0% 98%

D036 - Field Services

Field Services staff provide case management for clients with developmental disabilities. This includes assisting in determining service needs, providing ongoing information and referral, completing assessments and service plans, locating providers, and authorize services. Staff also develop and monitor contracted community services, provide technical assistance to private contractors, and coordinate the planning and delivery of training services with county governments.

Developmental Disabilities

Account FY 2022 FY 2023 Biennium Total
FTE 935.8 942.6 939.2
001 - General Fund
State 59,375,000 61,585,000 120,960,000
Medicaid Federal 44,185,000 45,156,000 89,341,000
001 - General Fund Totals 103,560,000 106,741,000 210,301,000
FY 2022 FY 2023 Biennium Total
FTES 935.8 942.6 939.2
GFS 59,375,000.0 61,585,000.0 120,960,000.0
Other 44,185,000.0 45,156,000.0 89,341,000.0
Totals 103,560,000.0 106,741,000.0 210,301,000.0

001128 - Percent of clients with developmental disabilities served in home and community-based settings

This measure is derived from Core Metric AD1.2, column AD1.2l. • This measure reflects the response to consumer preferences for home and community-based care. It is also an indicator of efficiency, since community care is the least expensive. • Developing community-based supports and providing options to consumers has been an emphasis and is reflected in the sustained percentage.
Biennium Period Actual Target
2017-19 M1 97% 98%
2017-19 M10 97% 98%
2017-19 M11 97% 98%
2017-19 M12 97% 98%
2017-19 M13 97% 98%
2017-19 M14 98% 98%
2017-19 M15 98% 98%
2017-19 M16 98% 98%
2017-19 M17 98% 98%
2017-19 M18 98% 98%
2017-19 M19 98% 98%
2017-19 M2 97% 98%
2017-19 M20 98% 98%
2017-19 M21 98% 98%
2017-19 M22 98% 98%
2017-19 M23 98% 98%
2017-19 M24 98% 98%
2017-19 M3 97% 98%
2017-19 M4 98% 98%
2017-19 M5 98% 98%
2017-19 M6 98% 98%
2017-19 M7 98% 98%
2017-19 M8 98% 98%
2017-19 M9 98% 98%
2019-21 M1 98% 98%
2019-21 M10 98% 98%
2019-21 M11 98% 98%
2019-21 M12 98% 98%
2019-21 M13 98% 98%
2019-21 M14 98% 98%
2019-21 M15 98% 98%
2019-21 M16 98% 98%
2019-21 M17 98% 98%
2019-21 M18 98% 98%
2019-21 M19 98% 98%
2019-21 M2 98% 98%
2019-21 M20 98% 98%
2019-21 M21 98% 98%
2019-21 M22 98% 98%
2019-21 M23 98% 98%
2019-21 M24 0% 98%
2019-21 M3 98% 98%
2019-21 M4 98% 98%
2019-21 M5 98% 98%
2019-21 M6 98% 98%
2019-21 M7 98% 98%
2019-21 M8 98% 98%
2019-21 M9 98% 98%
2021-23 M1 0% 98%
2021-23 M10 0% 98%
2021-23 M11 0% 98%
2021-23 M12 0% 98%
2021-23 M13 0% 98%
2021-23 M14 0% 98%
2021-23 M15 0% 98%
2021-23 M16 0% 98%
2021-23 M17 0% 98%
2021-23 M18 0% 98%
2021-23 M19 0% 98%
2021-23 M2 0% 98%
2021-23 M20 0% 98%
2021-23 M21 0% 98%
2021-23 M22 0% 98%
2021-23 M23 0% 98%
2021-23 M24 0% 98%
2021-23 M3 0% 98%
2021-23 M4 0% 98%
2021-23 M5 0% 98%
2021-23 M6 0% 98%
2021-23 M7 0% 98%
2021-23 M8 0% 98%
2021-23 M9 0% 98%

D065 - Office of Deaf and Hard of Hearing

The Office of the Deaf and Hard of Hearing contracts with Regional Service Centers of the Deaf and Hard of Hearing to provide client services to the Deaf, Hard of Hearing, and Deaf-Blind individuals and their families. Client services include case management, education, training, outreach, information, and referral. A similar contract with Deaf-Blind Service Center provides an additional service; support services provider (SSP) for the Deaf-Blind to live independently.

Long Term Care

Account FY 2022 FY 2023 Biennium Total
FTE 17.8 17.8 17.8
001 - General Fund
State 4,329,000 4,329,000 8,658,000
FY 2022 FY 2023 Biennium Total
FTES 17.8 17.8 17.8
GFS 4,329,000.0 4,329,000.0 8,658,000.0
Other
Totals 4,329,000.0 4,329,000.0 8,658,000.0

001126 - Clients and families receive case management services

Clients and families receive case management services in order to increase self-sufficiency.
Biennium Period Actual Target
2017-19 A2 572 600
2017-19 A3 570 690
2019-21 A2 485 690
2019-21 A3 0 0
2021-23 A2 0 0
2021-23 A3 0 0

D070 - Other Community Programs

Other Community Programs prevent the institutionalization of people with developmental disabilities by maintaining them safely in the community. Services include provider background checks, respite care for Medicaid waiver clients who live with their family, and support services paid under the federally required State Supplemental Payment program. It also includes crisis intervention diversion beds contracted with mental health Regional Support Networks (RSNs) to prevent state psychiatric hospitalization of clients with developmental disabilities.

Developmental Disabilities

Account FY 2022 FY 2023 Biennium Total
FTE 0.30 9.0 4.7
001 - General Fund
State 27,948,000 37,031,000 64,979,000
Medicaid Federal 24,196,000 29,415,000 53,611,000
001 - General Fund Totals 52,144,000 66,446,000 118,590,000
851 - Developmental Dis Comm Service Acct
State 1,000,000 1,000,000 2,000,000
FY 2022 FY 2023 Biennium Total
FTES 0.30 9.0 4.7
GFS 27,948,000.0 37,031,000.0 64,979,000.0
Other 25,196,000.0 30,415,000.0 55,611,000.0
Totals 53,144,000.0 67,446,000.0 120,590,000.0

001128 - Percent of clients with developmental disabilities served in home and community-based settings

This measure is derived from Core Metric AD1.2, column AD1.2l. • This measure reflects the response to consumer preferences for home and community-based care. It is also an indicator of efficiency, since community care is the least expensive. • Developing community-based supports and providing options to consumers has been an emphasis and is reflected in the sustained percentage.
Biennium Period Actual Target
2017-19 M1 97% 98%
2017-19 M10 97% 98%
2017-19 M11 97% 98%
2017-19 M12 97% 98%
2017-19 M13 97% 98%
2017-19 M14 98% 98%
2017-19 M15 98% 98%
2017-19 M16 98% 98%
2017-19 M17 98% 98%
2017-19 M18 98% 98%
2017-19 M19 98% 98%
2017-19 M2 97% 98%
2017-19 M20 98% 98%
2017-19 M21 98% 98%
2017-19 M22 98% 98%
2017-19 M23 98% 98%
2017-19 M24 98% 98%
2017-19 M3 97% 98%
2017-19 M4 98% 98%
2017-19 M5 98% 98%
2017-19 M6 98% 98%
2017-19 M7 98% 98%
2017-19 M8 98% 98%
2017-19 M9 98% 98%
2019-21 M1 98% 98%
2019-21 M10 98% 98%
2019-21 M11 98% 98%
2019-21 M12 98% 98%
2019-21 M13 98% 98%
2019-21 M14 98% 98%
2019-21 M15 98% 98%
2019-21 M16 98% 98%
2019-21 M17 98% 98%
2019-21 M18 98% 98%
2019-21 M19 98% 98%
2019-21 M2 98% 98%
2019-21 M20 98% 98%
2019-21 M21 98% 98%
2019-21 M22 98% 98%
2019-21 M23 98% 98%
2019-21 M24 0% 98%
2019-21 M3 98% 98%
2019-21 M4 98% 98%
2019-21 M5 98% 98%
2019-21 M6 98% 98%
2019-21 M7 98% 98%
2019-21 M8 98% 98%
2019-21 M9 98% 98%
2021-23 M1 0% 98%
2021-23 M10 0% 98%
2021-23 M11 0% 98%
2021-23 M12 0% 98%
2021-23 M13 0% 98%
2021-23 M14 0% 98%
2021-23 M15 0% 98%
2021-23 M16 0% 98%
2021-23 M17 0% 98%
2021-23 M18 0% 98%
2021-23 M19 0% 98%
2021-23 M2 0% 98%
2021-23 M20 0% 98%
2021-23 M21 0% 98%
2021-23 M22 0% 98%
2021-23 M23 0% 98%
2021-23 M24 0% 98%
2021-23 M3 0% 98%
2021-23 M4 0% 98%
2021-23 M5 0% 98%
2021-23 M6 0% 98%
2021-23 M7 0% 98%
2021-23 M8 0% 98%
2021-23 M9 0% 98%

D074 - Personal Care

Personal care services serve clients in a community setting instead of in institutions. Clients have a range of acuity and receive assistance with activities of daily living such as personal hygiene, toileting, bathing, dressing, cooking, assistance with medication, and eating. Clients receive assistance from the provider for completing household tasks which include shopping, laundry and housework, and transportation to medical appointments. The majority of clients live at home with their families and have contracted providers such as home care Agency Providers (APs) or Individual Providers (IPs). Some clients reside in Adult Family Homes or Boarding Homes. Clients meet the financial and functional eligibility criteria for either the Community First Choice (CFC) or Medicaid Personal Care (MPC) programs. This activity also includes statutorily required training for providers.

Developmental Disabilities

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 238,362,000 326,210,000 564,572,000
Local 217,000 217,000 434,000
Medicaid Federal 444,850,000 409,179,000 854,029,000
001 - General Fund Totals 683,429,000 735,606,000 1,419,035,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 238,362,000.0 326,210,000.0 564,572,000.0
Other 445,067,000.0 409,396,000.0 854,463,000.0
Totals 683,429,000.0 735,606,000.0 1,419,035,000.0

001128 - Percent of clients with developmental disabilities served in home and community-based settings

This measure is derived from Core Metric AD1.2, column AD1.2l. • This measure reflects the response to consumer preferences for home and community-based care. It is also an indicator of efficiency, since community care is the least expensive. • Developing community-based supports and providing options to consumers has been an emphasis and is reflected in the sustained percentage.
Biennium Period Actual Target
2017-19 M1 97% 98%
2017-19 M10 97% 98%
2017-19 M11 97% 98%
2017-19 M12 97% 98%
2017-19 M13 97% 98%
2017-19 M14 98% 98%
2017-19 M15 98% 98%
2017-19 M16 98% 98%
2017-19 M17 98% 98%
2017-19 M18 98% 98%
2017-19 M19 98% 98%
2017-19 M2 97% 98%
2017-19 M20 98% 98%
2017-19 M21 98% 98%
2017-19 M22 98% 98%
2017-19 M23 98% 98%
2017-19 M24 98% 98%
2017-19 M3 97% 98%
2017-19 M4 98% 98%
2017-19 M5 98% 98%
2017-19 M6 98% 98%
2017-19 M7 98% 98%
2017-19 M8 98% 98%
2017-19 M9 98% 98%
2019-21 M1 98% 98%
2019-21 M10 98% 98%
2019-21 M11 98% 98%
2019-21 M12 98% 98%
2019-21 M13 98% 98%
2019-21 M14 98% 98%
2019-21 M15 98% 98%
2019-21 M16 98% 98%
2019-21 M17 98% 98%
2019-21 M18 98% 98%
2019-21 M19 98% 98%
2019-21 M2 98% 98%
2019-21 M20 98% 98%
2019-21 M21 98% 98%
2019-21 M22 98% 98%
2019-21 M23 98% 98%
2019-21 M24 0% 98%
2019-21 M3 98% 98%
2019-21 M4 98% 98%
2019-21 M5 98% 98%
2019-21 M6 98% 98%
2019-21 M7 98% 98%
2019-21 M8 98% 98%
2019-21 M9 98% 98%
2021-23 M1 0% 98%
2021-23 M10 0% 98%
2021-23 M11 0% 98%
2021-23 M12 0% 98%
2021-23 M13 0% 98%
2021-23 M14 0% 98%
2021-23 M15 0% 98%
2021-23 M16 0% 98%
2021-23 M17 0% 98%
2021-23 M18 0% 98%
2021-23 M19 0% 98%
2021-23 M2 0% 98%
2021-23 M20 0% 98%
2021-23 M21 0% 98%
2021-23 M22 0% 98%
2021-23 M23 0% 98%
2021-23 M24 0% 98%
2021-23 M3 0% 98%
2021-23 M4 0% 98%
2021-23 M5 0% 98%
2021-23 M6 0% 98%
2021-23 M7 0% 98%
2021-23 M8 0% 98%
2021-23 M9 0% 98%

D076 - Professional Services

Professional Services are contracted professional services provided to clients with developmental disabilities. These Medicaid waiver clients receive services designed to maintain them in the community and prevent institutionalization. Services include medical and dental services, technical assistance, and therapeutic services like counseling/behavioral management, and speech, occupational, and physical therapy.

Developmental Disabilities

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 8,107,000 8,521,000 16,628,000
Medicaid Federal 12,448,000 8,032,000 20,480,000
001 - General Fund Totals 20,555,000 16,553,000 37,108,000
851 - Developmental Dis Comm Service Acct
State 50,000,000 50,000,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 8,107,000.0 8,521,000.0 16,628,000.0
Other 62,448,000.0 8,032,000.0 70,480,000.0
Totals 70,555,000.0 16,553,000.0 87,108,000.0

001128 - Percent of clients with developmental disabilities served in home and community-based settings

This measure is derived from Core Metric AD1.2, column AD1.2l. • This measure reflects the response to consumer preferences for home and community-based care. It is also an indicator of efficiency, since community care is the least expensive. • Developing community-based supports and providing options to consumers has been an emphasis and is reflected in the sustained percentage.
Biennium Period Actual Target
2017-19 M1 97% 98%
2017-19 M10 97% 98%
2017-19 M11 97% 98%
2017-19 M12 97% 98%
2017-19 M13 97% 98%
2017-19 M14 98% 98%
2017-19 M15 98% 98%
2017-19 M16 98% 98%
2017-19 M17 98% 98%
2017-19 M18 98% 98%
2017-19 M19 98% 98%
2017-19 M2 97% 98%
2017-19 M20 98% 98%
2017-19 M21 98% 98%
2017-19 M22 98% 98%
2017-19 M23 98% 98%
2017-19 M24 98% 98%
2017-19 M3 97% 98%
2017-19 M4 98% 98%
2017-19 M5 98% 98%
2017-19 M6 98% 98%
2017-19 M7 98% 98%
2017-19 M8 98% 98%
2017-19 M9 98% 98%
2019-21 M1 98% 98%
2019-21 M10 98% 98%
2019-21 M11 98% 98%
2019-21 M12 98% 98%
2019-21 M13 98% 98%
2019-21 M14 98% 98%
2019-21 M15 98% 98%
2019-21 M16 98% 98%
2019-21 M17 98% 98%
2019-21 M18 98% 98%
2019-21 M19 98% 98%
2019-21 M2 98% 98%
2019-21 M20 98% 98%
2019-21 M21 98% 98%
2019-21 M22 98% 98%
2019-21 M23 98% 98%
2019-21 M24 0% 98%
2019-21 M3 98% 98%
2019-21 M4 98% 98%
2019-21 M5 98% 98%
2019-21 M6 98% 98%
2019-21 M7 98% 98%
2019-21 M8 98% 98%
2019-21 M9 98% 98%
2021-23 M1 0% 98%
2021-23 M10 0% 98%
2021-23 M11 0% 98%
2021-23 M12 0% 98%
2021-23 M13 0% 98%
2021-23 M14 0% 98%
2021-23 M15 0% 98%
2021-23 M16 0% 98%
2021-23 M17 0% 98%
2021-23 M18 0% 98%
2021-23 M19 0% 98%
2021-23 M2 0% 98%
2021-23 M20 0% 98%
2021-23 M21 0% 98%
2021-23 M22 0% 98%
2021-23 M23 0% 98%
2021-23 M24 0% 98%
2021-23 M3 0% 98%
2021-23 M4 0% 98%
2021-23 M5 0% 98%
2021-23 M6 0% 98%
2021-23 M7 0% 98%
2021-23 M8 0% 98%
2021-23 M9 0% 98%

D079 - Program Support for Developmental Disabilities

Program Support staff provide administrative and technical support for all activities within the Division of Developmental Disabilities. Included are policy and program development, legislative and regional coordination, and coordination with Management Services (Long-Term Care activity E051) for fiscal planning, budgeting, and information technology.

Developmental Disabilities

Account FY 2022 FY 2023 Biennium Total
FTE 22.7 22.7 22.7
001 - General Fund
State 2,755,000 2,804,000 5,559,000
Medicaid Federal 2,134,000 2,150,000 4,284,000
001 - General Fund Totals 4,889,000 4,954,000 9,843,000
FY 2022 FY 2023 Biennium Total
FTES 22.7 22.7 22.7
GFS 2,755,000.0 2,804,000.0 5,559,000.0
Other 2,134,000.0 2,150,000.0 4,284,000.0
Totals 4,889,000.0 4,954,000.0 9,843,000.0
Expected Results

Central administration promotes consistency in the statewide application of legislative policy and programs and compliance with state and federal regulations. The administrative function provides for the infrastructure necessary to facilitate direct client services efficiently.

D086 - Residential Habilitation Facilities

Residential Habilitation Centers (RHCs) are four, state-operated facilities that provide 24/7 care for clients with developmental disabilities who meet federal Medicaid criteria for institutional level of care. Services include assessment, treatment, training, habilitative programs, recreation, and nursing care. RHCs also provide limited services to community clients including diagnostic, evaluation, consultation, emergency, licensed professional services, and a limited amount of out-of-home respite care services. Beginning July 1, 2012, RHCs will no longer serve individuals under the age of 16.

Developmental Disabilities

Account FY 2022 FY 2023 Biennium Total
FTE 2,641.2 2,641.3 2,641.3
001 - General Fund
State 116,530,000 126,365,000 242,895,000
Local 13,523,000 13,520,000 27,043,000
Medicaid Federal 124,853,000 117,951,000 242,804,000
001 - General Fund Totals 254,906,000 257,836,000 512,742,000
FY 2022 FY 2023 Biennium Total
FTES 2,641.2 2,641.3 2,641.3
GFS 116,530,000.0 126,365,000.0 242,895,000.0
Other 138,376,000.0 131,471,000.0 269,847,000.0
Totals 254,906,000.0 257,836,000.0 512,742,000.0

001128 - Percent of clients with developmental disabilities served in home and community-based settings

This measure is derived from Core Metric AD1.2, column AD1.2l. • This measure reflects the response to consumer preferences for home and community-based care. It is also an indicator of efficiency, since community care is the least expensive. • Developing community-based supports and providing options to consumers has been an emphasis and is reflected in the sustained percentage.
Biennium Period Actual Target
2017-19 M1 97% 98%
2017-19 M10 97% 98%
2017-19 M11 97% 98%
2017-19 M12 97% 98%
2017-19 M13 97% 98%
2017-19 M14 98% 98%
2017-19 M15 98% 98%
2017-19 M16 98% 98%
2017-19 M17 98% 98%
2017-19 M18 98% 98%
2017-19 M19 98% 98%
2017-19 M2 97% 98%
2017-19 M20 98% 98%
2017-19 M21 98% 98%
2017-19 M22 98% 98%
2017-19 M23 98% 98%
2017-19 M24 98% 98%
2017-19 M3 97% 98%
2017-19 M4 98% 98%
2017-19 M5 98% 98%
2017-19 M6 98% 98%
2017-19 M7 98% 98%
2017-19 M8 98% 98%
2017-19 M9 98% 98%
2019-21 M1 98% 98%
2019-21 M10 98% 98%
2019-21 M11 98% 98%
2019-21 M12 98% 98%
2019-21 M13 98% 98%
2019-21 M14 98% 98%
2019-21 M15 98% 98%
2019-21 M16 98% 98%
2019-21 M17 98% 98%
2019-21 M18 98% 98%
2019-21 M19 98% 98%
2019-21 M2 98% 98%
2019-21 M20 98% 98%
2019-21 M21 98% 98%
2019-21 M22 98% 98%
2019-21 M23 98% 98%
2019-21 M24 0% 98%
2019-21 M3 98% 98%
2019-21 M4 98% 98%
2019-21 M5 98% 98%
2019-21 M6 98% 98%
2019-21 M7 98% 98%
2019-21 M8 98% 98%
2019-21 M9 98% 98%
2021-23 M1 0% 98%
2021-23 M10 0% 98%
2021-23 M11 0% 98%
2021-23 M12 0% 98%
2021-23 M13 0% 98%
2021-23 M14 0% 98%
2021-23 M15 0% 98%
2021-23 M16 0% 98%
2021-23 M17 0% 98%
2021-23 M18 0% 98%
2021-23 M19 0% 98%
2021-23 M2 0% 98%
2021-23 M20 0% 98%
2021-23 M21 0% 98%
2021-23 M22 0% 98%
2021-23 M23 0% 98%
2021-23 M24 0% 98%
2021-23 M3 0% 98%
2021-23 M4 0% 98%
2021-23 M5 0% 98%
2021-23 M6 0% 98%
2021-23 M7 0% 98%
2021-23 M8 0% 98%
2021-23 M9 0% 98%

D087 - Residential Program

The Residential Program integrates clients with developmental disabilities into the community. Contracted Residential Programs, such as supported living and group homes, are provided as alternatives to institutionalization for clients who meet federal criteria for institutional level of care but choose to waive those services in favor of community placement. Clients meet the financial and functional eligibility criteria for the Medicaid Core waiver. Residential services can range from a few hours a month to up to 24/7 care based on acuity of the client.

Developmental Disabilities

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 319,870,000 400,585,000 720,455,000
Federal 140,000 140,000 280,000
Local 1,762,000 1,762,000 3,524,000
Medicaid Federal 474,054,000 389,902,000 863,956,000
001 - General Fund Totals 795,826,000 792,389,000 1,588,215,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 319,870,000.0 400,585,000.0 720,455,000.0
Other 475,956,000.0 391,804,000.0 867,760,000.0
Totals 795,826,000.0 792,389,000.0 1,588,215,000.0

001128 - Percent of clients with developmental disabilities served in home and community-based settings

This measure is derived from Core Metric AD1.2, column AD1.2l. • This measure reflects the response to consumer preferences for home and community-based care. It is also an indicator of efficiency, since community care is the least expensive. • Developing community-based supports and providing options to consumers has been an emphasis and is reflected in the sustained percentage.
Biennium Period Actual Target
2017-19 M1 97% 98%
2017-19 M10 97% 98%
2017-19 M11 97% 98%
2017-19 M12 97% 98%
2017-19 M13 97% 98%
2017-19 M14 98% 98%
2017-19 M15 98% 98%
2017-19 M16 98% 98%
2017-19 M17 98% 98%
2017-19 M18 98% 98%
2017-19 M19 98% 98%
2017-19 M2 97% 98%
2017-19 M20 98% 98%
2017-19 M21 98% 98%
2017-19 M22 98% 98%
2017-19 M23 98% 98%
2017-19 M24 98% 98%
2017-19 M3 97% 98%
2017-19 M4 98% 98%
2017-19 M5 98% 98%
2017-19 M6 98% 98%
2017-19 M7 98% 98%
2017-19 M8 98% 98%
2017-19 M9 98% 98%
2019-21 M1 98% 98%
2019-21 M10 98% 98%
2019-21 M11 98% 98%
2019-21 M12 98% 98%
2019-21 M13 98% 98%
2019-21 M14 98% 98%
2019-21 M15 98% 98%
2019-21 M16 98% 98%
2019-21 M17 98% 98%
2019-21 M18 98% 98%
2019-21 M19 98% 98%
2019-21 M2 98% 98%
2019-21 M20 98% 98%
2019-21 M21 98% 98%
2019-21 M22 98% 98%
2019-21 M23 98% 98%
2019-21 M24 0% 98%
2019-21 M3 98% 98%
2019-21 M4 98% 98%
2019-21 M5 98% 98%
2019-21 M6 98% 98%
2019-21 M7 98% 98%
2019-21 M8 98% 98%
2019-21 M9 98% 98%
2021-23 M1 0% 98%
2021-23 M10 0% 98%
2021-23 M11 0% 98%
2021-23 M12 0% 98%
2021-23 M13 0% 98%
2021-23 M14 0% 98%
2021-23 M15 0% 98%
2021-23 M16 0% 98%
2021-23 M17 0% 98%
2021-23 M18 0% 98%
2021-23 M19 0% 98%
2021-23 M2 0% 98%
2021-23 M20 0% 98%
2021-23 M21 0% 98%
2021-23 M22 0% 98%
2021-23 M23 0% 98%
2021-23 M24 0% 98%
2021-23 M3 0% 98%
2021-23 M4 0% 98%
2021-23 M5 0% 98%
2021-23 M6 0% 98%
2021-23 M7 0% 98%
2021-23 M8 0% 98%
2021-23 M9 0% 98%

D095 - State Operated Living Alternatives

The State Operated Living Alternatives (SOLA) program is similar to the “Residential Program” activity, except staffing supports are provided by state employees. While Residential Program contractors may choose not to serve some clients, SOLA is a 'zero-reject' option for clients who are not able to be placed in the Residential Program and otherwise would be in an RHC.

Developmental Disabilities

Account FY 2022 FY 2023 Biennium Total
FTE 869.6 974.7 922.2
001 - General Fund
State 30,704,000 42,496,000 73,200,000
Local 50,000 50,000 100,000
Medicaid Federal 44,601,000 41,909,000 86,510,000
001 - General Fund Totals 75,355,000 84,455,000 159,810,000
FY 2022 FY 2023 Biennium Total
FTES 869.6 974.7 922.2
GFS 30,704,000.0 42,496,000.0 73,200,000.0
Other 44,651,000.0 41,959,000.0 86,610,000.0
Totals 75,355,000.0 84,455,000.0 159,810,000.0

001128 - Percent of clients with developmental disabilities served in home and community-based settings

This measure is derived from Core Metric AD1.2, column AD1.2l. • This measure reflects the response to consumer preferences for home and community-based care. It is also an indicator of efficiency, since community care is the least expensive. • Developing community-based supports and providing options to consumers has been an emphasis and is reflected in the sustained percentage.
Biennium Period Actual Target
2017-19 M1 97% 98%
2017-19 M10 97% 98%
2017-19 M11 97% 98%
2017-19 M12 97% 98%
2017-19 M13 97% 98%
2017-19 M14 98% 98%
2017-19 M15 98% 98%
2017-19 M16 98% 98%
2017-19 M17 98% 98%
2017-19 M18 98% 98%
2017-19 M19 98% 98%
2017-19 M2 97% 98%
2017-19 M20 98% 98%
2017-19 M21 98% 98%
2017-19 M22 98% 98%
2017-19 M23 98% 98%
2017-19 M24 98% 98%
2017-19 M3 97% 98%
2017-19 M4 98% 98%
2017-19 M5 98% 98%
2017-19 M6 98% 98%
2017-19 M7 98% 98%
2017-19 M8 98% 98%
2017-19 M9 98% 98%
2019-21 M1 98% 98%
2019-21 M10 98% 98%
2019-21 M11 98% 98%
2019-21 M12 98% 98%
2019-21 M13 98% 98%
2019-21 M14 98% 98%
2019-21 M15 98% 98%
2019-21 M16 98% 98%
2019-21 M17 98% 98%
2019-21 M18 98% 98%
2019-21 M19 98% 98%
2019-21 M2 98% 98%
2019-21 M20 98% 98%
2019-21 M21 98% 98%
2019-21 M22 98% 98%
2019-21 M23 98% 98%
2019-21 M24 0% 98%
2019-21 M3 98% 98%
2019-21 M4 98% 98%
2019-21 M5 98% 98%
2019-21 M6 98% 98%
2019-21 M7 98% 98%
2019-21 M8 98% 98%
2019-21 M9 98% 98%
2021-23 M1 0% 98%
2021-23 M10 0% 98%
2021-23 M11 0% 98%
2021-23 M12 0% 98%
2021-23 M13 0% 98%
2021-23 M14 0% 98%
2021-23 M15 0% 98%
2021-23 M16 0% 98%
2021-23 M17 0% 98%
2021-23 M18 0% 98%
2021-23 M19 0% 98%
2021-23 M2 0% 98%
2021-23 M20 0% 98%
2021-23 M21 0% 98%
2021-23 M22 0% 98%
2021-23 M23 0% 98%
2021-23 M24 0% 98%
2021-23 M3 0% 98%
2021-23 M4 0% 98%
2021-23 M5 0% 98%
2021-23 M6 0% 98%
2021-23 M7 0% 98%
2021-23 M8 0% 98%
2021-23 M9 0% 98%

D107 - Community Crisis Stabilization Services

The Community Crisis Stabilization Services (CCSS) is a state operated community behavioral health program that provides stabilization services that enable an individual to remain in the community through a crisis or, if necessary, provides short term (up to 180-days) facility based services to stabilize the individual and return them successfully to their home community. Services are provided by a mobile participant team that includes the client’s natural supports and community providers as well as a crisis stabilization facility located in Lakewood, Washington. The program focuses on behavior stabilization, skill development, and supported transition to the community placement. Services include: individualized assessments; service planning; specialty treatment; collaborative treatment planning; transition planning; and in-home supports.

Developmental Disabilities

Account FY 2022 FY 2023 Biennium Total
FTE 54.7 54.7 54.7
001 - General Fund
State 4,330,000 4,532,000 8,862,000
Medicaid Federal 926,000 1,065,000 1,991,000
001 - General Fund Totals 5,256,000 5,597,000 10,853,000
FY 2022 FY 2023 Biennium Total
FTES 54.7 54.7 54.7
GFS 4,330,000.0 4,532,000.0 8,862,000.0
Other 926,000.0 1,065,000.0 1,991,000.0
Totals 5,256,000.0 5,597,000.0 10,853,000.0

001128 - Percent of clients with developmental disabilities served in home and community-based settings

This measure is derived from Core Metric AD1.2, column AD1.2l. • This measure reflects the response to consumer preferences for home and community-based care. It is also an indicator of efficiency, since community care is the least expensive. • Developing community-based supports and providing options to consumers has been an emphasis and is reflected in the sustained percentage.
Biennium Period Actual Target
2017-19 M1 97% 98%
2017-19 M10 97% 98%
2017-19 M11 97% 98%
2017-19 M12 97% 98%
2017-19 M13 97% 98%
2017-19 M14 98% 98%
2017-19 M15 98% 98%
2017-19 M16 98% 98%
2017-19 M17 98% 98%
2017-19 M18 98% 98%
2017-19 M19 98% 98%
2017-19 M2 97% 98%
2017-19 M20 98% 98%
2017-19 M21 98% 98%
2017-19 M22 98% 98%
2017-19 M23 98% 98%
2017-19 M24 98% 98%
2017-19 M3 97% 98%
2017-19 M4 98% 98%
2017-19 M5 98% 98%
2017-19 M6 98% 98%
2017-19 M7 98% 98%
2017-19 M8 98% 98%
2017-19 M9 98% 98%
2019-21 M1 98% 98%
2019-21 M10 98% 98%
2019-21 M11 98% 98%
2019-21 M12 98% 98%
2019-21 M13 98% 98%
2019-21 M14 98% 98%
2019-21 M15 98% 98%
2019-21 M16 98% 98%
2019-21 M17 98% 98%
2019-21 M18 98% 98%
2019-21 M19 98% 98%
2019-21 M2 98% 98%
2019-21 M20 98% 98%
2019-21 M21 98% 98%
2019-21 M22 98% 98%
2019-21 M23 98% 98%
2019-21 M24 0% 98%
2019-21 M3 98% 98%
2019-21 M4 98% 98%
2019-21 M5 98% 98%
2019-21 M6 98% 98%
2019-21 M7 98% 98%
2019-21 M8 98% 98%
2019-21 M9 98% 98%
2021-23 M1 0% 98%
2021-23 M10 0% 98%
2021-23 M11 0% 98%
2021-23 M12 0% 98%
2021-23 M13 0% 98%
2021-23 M14 0% 98%
2021-23 M15 0% 98%
2021-23 M16 0% 98%
2021-23 M17 0% 98%
2021-23 M18 0% 98%
2021-23 M19 0% 98%
2021-23 M2 0% 98%
2021-23 M20 0% 98%
2021-23 M21 0% 98%
2021-23 M22 0% 98%
2021-23 M23 0% 98%
2021-23 M24 0% 98%
2021-23 M3 0% 98%
2021-23 M4 0% 98%
2021-23 M5 0% 98%
2021-23 M6 0% 98%
2021-23 M7 0% 98%
2021-23 M8 0% 98%
2021-23 M9 0% 98%

E010 - Recoveries

Recovery of the cost of correctly paid long-term services and supports, Medicaid assistance, and related medical charges from the estates of decedents.  Recovery may be made from estates of recipients of state-funded long-term care services (without regard to age) and Medicaid services aged 55 and older at the time of death.  Proceeds from recoveries are used to offset the cost of medical and personal care delivered to current recipients.

Long Term Care

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State (9,775,000) (10,068,000) (19,843,000)
Medicaid Federal (10,354,000) (10,665,000) (21,019,000)
001 - General Fund Totals (20,129,000) (20,733,000) (40,862,000)
FY 2022 FY 2023 Biennium Total
FTES
GFS (9,775,000.0) (10,068,000.0) (19,843,000.0)
Other (10,354,000.0) (10,665,000.0) (21,019,000.0)
Totals (20,129,000.0) (20,733,000.0) (40,862,000.0)

001345 - Percent of long-term services and support clients served in home and community-based settings

This measure is derived from Core Metric AAH.1, column AA1.2a • This measure supports ALTSA Strategic Objective 4.1: Ensure seniors and individuals with a disability who are in need of long-term services and supports (LTSS) are supported in their community. • Background: Washington State is a leader in maintaining LTSS clients in the home and community. We top the nation in measures that look at the proportion of expenses spent on home and community care. • Importance: Developing home and community-based services has meant Washingtonians have a choice regarding where they receive care, and has produced a more cost effective method of delivering services.
Biennium Period Actual Target
2017-19 Q1 85% 86%
2017-19 Q2 85% 86%
2017-19 Q3 86% 86%
2017-19 Q4 86% 86%
2017-19 Q5 86% 86%
2017-19 Q6 86% 86%
2017-19 Q7 86% 86%
2017-19 Q8 87% 86%
2019-21 Q1 87% 87%
2019-21 Q2 87% 87%
2019-21 Q3 87% 87%
2019-21 Q4 88% 87%
2019-21 Q5 89% 87%
2019-21 Q6 89% 87%
2019-21 Q7 0% 87%
2019-21 Q8 0% 87%
2021-23 Q1 0% 0%
2021-23 Q2 0% 0%
2021-23 Q3 0% 0%
2021-23 Q4 0% 0%
2021-23 Q5 0% 0%
2021-23 Q6 0% 0%
2021-23 Q7 0% 0%
2021-23 Q8 0% 0%

001608 - Monthly Average Nursing Homes Caseload Excluding Veterans Homes

This measure is the Monthly NH FTE Caseload with a built in lag factor. Data derived from EMIS, column A163.
Biennium Period Actual Target
2017-19 Q1 9,578 9,500
2017-19 Q2 9,600 9,500
2017-19 Q3 9,393 9,500
2017-19 Q4 9,316 9,500
2017-19 Q5 9,462 9,500
2017-19 Q6 9,414 9,500
2017-19 Q7 9,393 9,500
2017-19 Q8 9,328 9,500
2019-21 Q1 9,281 9,500
2019-21 Q2 9,214 9,500
2019-21 Q3 9,067 9,500
2019-21 Q4 8,398 9,500
2019-21 Q5 8,159 9,500
2019-21 Q6 7,647 9,500
2019-21 Q7 7,419 9,500
2019-21 Q8 0 9,500
2021-23 Q1 0 0
2021-23 Q2 0 0
2021-23 Q3 0 0
2021-23 Q4 0 0
2021-23 Q5 0 0
2021-23 Q6 0 0
2021-23 Q7 0 0
2021-23 Q8 0 0

001937 - Clients who can be Served in the Community for Cost of One Nursing Home Client

Clients who can be served in the Community for the cost of one Nursing Home Client.
Biennium Period Actual Target
2017-19 Q1 3 3
2017-19 Q2 3 3
2017-19 Q3 3 3
2017-19 Q4 3 3
2017-19 Q5 3 3
2017-19 Q6 3 3
2017-19 Q7 3 3
2017-19 Q8 3 3
2019-21 Q1 3 3
2019-21 Q2 3 3
2019-21 Q3 3 3
2019-21 Q4 3 3
2019-21 Q5 3 3
2019-21 Q6 3 3
2019-21 Q7 0 3
2019-21 Q8 0 3
2021-23 Q1 0 0
2021-23 Q2 0 0
2021-23 Q3 0 0
2021-23 Q4 0 0
2021-23 Q5 0 0
2021-23 Q6 0 0
2021-23 Q7 0 0
2021-23 Q8 0 0

E049 - Adult Day Health Community Services

Adult Day Health Community Services (ADH) is a supervised daytime program providing nursing and rehabilitative therapy services to adults with medical or disabling conditions.  Services are provided in centers and clients typically attend an average of  2 to 3 days per week. Clients attending ADH also receive other services such as home care or residential services. Clients must be functionally and financially eligible for Medicaid, be enrolled on the Community Options Program Entry System (COPES) waiver, and have a skilled nursing or rehabilitation need, as determined by a doctor.  Case managers review eligibility and ongoing need for services.  ADH services are provided under contract, and centers are monitored by the Area Agencies on Aging (AAAs).

Long Term Care

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 2,404,000 2,821,000 5,225,000
Medicaid Federal 3,532,000 2,819,000 6,351,000
001 - General Fund Totals 5,936,000 5,640,000 11,576,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 2,404,000.0 2,821,000.0 5,225,000.0
Other 3,532,000.0 2,819,000.0 6,351,000.0
Totals 5,936,000.0 5,640,000.0 11,576,000.0

001345 - Percent of long-term services and support clients served in home and community-based settings

This measure is derived from Core Metric AAH.1, column AA1.2a • This measure supports ALTSA Strategic Objective 4.1: Ensure seniors and individuals with a disability who are in need of long-term services and supports (LTSS) are supported in their community. • Background: Washington State is a leader in maintaining LTSS clients in the home and community. We top the nation in measures that look at the proportion of expenses spent on home and community care. • Importance: Developing home and community-based services has meant Washingtonians have a choice regarding where they receive care, and has produced a more cost effective method of delivering services.
Biennium Period Actual Target
2017-19 Q1 85% 86%
2017-19 Q2 85% 86%
2017-19 Q3 86% 86%
2017-19 Q4 86% 86%
2017-19 Q5 86% 86%
2017-19 Q6 86% 86%
2017-19 Q7 86% 86%
2017-19 Q8 87% 86%
2019-21 Q1 87% 87%
2019-21 Q2 87% 87%
2019-21 Q3 87% 87%
2019-21 Q4 88% 87%
2019-21 Q5 89% 87%
2019-21 Q6 89% 87%
2019-21 Q7 0% 87%
2019-21 Q8 0% 87%
2021-23 Q1 0% 0%
2021-23 Q2 0% 0%
2021-23 Q3 0% 0%
2021-23 Q4 0% 0%
2021-23 Q5 0% 0%
2021-23 Q6 0% 0%
2021-23 Q7 0% 0%
2021-23 Q8 0% 0%

001937 - Clients who can be Served in the Community for Cost of One Nursing Home Client

Clients who can be served in the Community for the cost of one Nursing Home Client.
Biennium Period Actual Target
2017-19 Q1 3 3
2017-19 Q2 3 3
2017-19 Q3 3 3
2017-19 Q4 3 3
2017-19 Q5 3 3
2017-19 Q6 3 3
2017-19 Q7 3 3
2017-19 Q8 3 3
2019-21 Q1 3 3
2019-21 Q2 3 3
2019-21 Q3 3 3
2019-21 Q4 3 3
2019-21 Q5 3 3
2019-21 Q6 3 3
2019-21 Q7 0 3
2019-21 Q8 0 3
2021-23 Q1 0 0
2021-23 Q2 0 0
2021-23 Q3 0 0
2021-23 Q4 0 0
2021-23 Q5 0 0
2021-23 Q6 0 0
2021-23 Q7 0 0
2021-23 Q8 0 0

E050 - Adult Family Home Community Services

Adult Family Homes (AFHs) are contracted, private homes that serve between two and six residents. Clients receive room, board, laundry, necessary supervision, and assistance with activities of daily living, personal care, and social services. Some AFHs specialize in serving individuals with dementia, developmental disabilities, or mental illnesses. AFHs whose provider is a professional nurse will frequently provide limited nursing care for individuals with more complex nursing and medical needs. Clients residing in adult family homes meet the financial and functional eligibility criteria for either the Medicaid Personal Care (MPC) program or the Community Options Program Entry System (COPES) Medicaid waiver, or are vulnerable adults under Chapter 74.34 RCW, receiving state-funded adult protective services.

Long Term Care

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 165,203,000 223,051,000 388,254,000
Local 989,000 989,000 1,978,000
Medicaid Federal 283,193,000 248,596,000 531,789,000
001 - General Fund Totals 449,385,000 472,636,000 922,021,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 165,203,000.0 223,051,000.0 388,254,000.0
Other 284,182,000.0 249,585,000.0 533,767,000.0
Totals 449,385,000.0 472,636,000.0 922,021,000.0

001345 - Percent of long-term services and support clients served in home and community-based settings

This measure is derived from Core Metric AAH.1, column AA1.2a • This measure supports ALTSA Strategic Objective 4.1: Ensure seniors and individuals with a disability who are in need of long-term services and supports (LTSS) are supported in their community. • Background: Washington State is a leader in maintaining LTSS clients in the home and community. We top the nation in measures that look at the proportion of expenses spent on home and community care. • Importance: Developing home and community-based services has meant Washingtonians have a choice regarding where they receive care, and has produced a more cost effective method of delivering services.
Biennium Period Actual Target
2017-19 Q1 85% 86%
2017-19 Q2 85% 86%
2017-19 Q3 86% 86%
2017-19 Q4 86% 86%
2017-19 Q5 86% 86%
2017-19 Q6 86% 86%
2017-19 Q7 86% 86%
2017-19 Q8 87% 86%
2019-21 Q1 87% 87%
2019-21 Q2 87% 87%
2019-21 Q3 87% 87%
2019-21 Q4 88% 87%
2019-21 Q5 89% 87%
2019-21 Q6 89% 87%
2019-21 Q7 0% 87%
2019-21 Q8 0% 87%
2021-23 Q1 0% 0%
2021-23 Q2 0% 0%
2021-23 Q3 0% 0%
2021-23 Q4 0% 0%
2021-23 Q5 0% 0%
2021-23 Q6 0% 0%
2021-23 Q7 0% 0%
2021-23 Q8 0% 0%

001937 - Clients who can be Served in the Community for Cost of One Nursing Home Client

Clients who can be served in the Community for the cost of one Nursing Home Client.
Biennium Period Actual Target
2017-19 Q1 3 3
2017-19 Q2 3 3
2017-19 Q3 3 3
2017-19 Q4 3 3
2017-19 Q5 3 3
2017-19 Q6 3 3
2017-19 Q7 3 3
2017-19 Q8 3 3
2019-21 Q1 3 3
2019-21 Q2 3 3
2019-21 Q3 3 3
2019-21 Q4 3 3
2019-21 Q5 3 3
2019-21 Q6 3 3
2019-21 Q7 0 3
2019-21 Q8 0 3
2021-23 Q1 0 0
2021-23 Q2 0 0
2021-23 Q3 0 0
2021-23 Q4 0 0
2021-23 Q5 0 0
2021-23 Q6 0 0
2021-23 Q7 0 0
2021-23 Q8 0 0

E051 - Program Support for Long Term Care

Program Support for Aging and Long Term Care Support Adminstration (ALTSA) includes program support for ALTSA and management services support for both ALTSA and Developmental Disabilities. ALTSA program support staff ensure compliance with federal regulations, and develop specific services and agency policy for both Area Agencies on Aging (AAAs) and ALTSA field staff. Management services perform accounting and budget, contract management, forecasting caseloads and expenditures, data analysis, performance management, and information technology support for both ALTSA and Developmental Disabilities.

Long Term Care

Account FY 2022 FY 2023 Biennium Total
FTE 299.3 314.8 307.1
001 - General Fund
State 30,709,000 27,642,000 58,351,000
Federal 66,000 (95,000) (29,000)
Local 1,488,000 1,488,000 2,976,000
Medicaid Federal 39,174,000 28,867,000 68,041,000
001 - General Fund Totals 71,437,000 57,902,000 129,339,000
567 - Long-Term Servs & Sup Trust Account
State 3,877,000 6,996,000 10,873,000
FY 2022 FY 2023 Biennium Total
FTES 299.3 314.8 307.1
GFS 30,709,000.0 27,642,000.0 58,351,000.0
Other 44,605,000.0 37,256,000.0 81,861,000.0
Totals 75,314,000.0 64,898,000.0 140,212,000.0
Expected Results

Program support and management services insure compliance with state and federal regulations on programmatic and payment issues that allow Washington state to continue to participate in the federal Medicaid program. The administrative function provides for the infrastructure necessary to facilitate direct client services. Accurate accounting, data analysis, forecasting, rate structures, and budgeting improve efficiency, and insure transparency for external stakeholders.

E052 - Eligibility/Case Management Services

Eligibility/Case Management Services includes determining eligibility to receive Aging and Long Term Support Administration (ALTSA) services, information and referral, and case management services for clients, either via state staff or via contractor (Area Agencies on Aging for ongoing in-home clients only). Financial eligibility staff determine if clients qualify for ALTSA Medicaid or other services. Case management consists of assessing and reassessing functional eligibility (level of disability), updating and monitoring a plan of care, finding a placement or provider, coordinating non-department services in response to a client’s need, responding to emergencies and status changes, and providing any additional assistance a client may need to maintain their placement or in some cases move to a new setting.

Long Term Care

Account FY 2022 FY 2023 Biennium Total
FTE 1,029.9 1,078.2 1,054.1
001 - General Fund
State 110,550,000 112,133,000 222,683,000
Federal (501,000) (343,000) (844,000)
Medicaid Federal 114,264,000 113,218,000 227,482,000
001 - General Fund Totals 224,313,000 225,008,000 449,321,000
12T - Traumatic Brain Injury Account
State 2,271,000 2,273,000 4,544,000
Non-Appropriated 521,000 521,000 1,042,000
12T - Traumatic Brain Injury Account Totals 2,792,000 2,794,000 5,586,000
FY 2022 FY 2023 Biennium Total
FTES 1,029.9 1,078.2 1,054.1
GFS 110,550,000.0 112,133,000.0 222,683,000.0
Other 116,555,000.0 115,669,000.0 232,224,000.0
Totals 227,105,000.0 227,802,000.0 454,907,000.0
Expected Results

Staff ensure that individuals receive needed services for which they are eligible, ensure compliance with federal and state regulations, and monitor clients over time. The security and self-sufficiency of Washington's vulnerable adults are improved by the increased number of adults who live in their own homes or in community settings.

E053 - In-Home Services

Clients receiving in-home services have a range of acuity, and continue to live at home while receiving assistance with activities of daily living such as personal hygiene, toileting, bathing, dressing, cooking, assistance with medication, and eating. Clients may receive assistance with shopping, laundry, housework, or transportation to medical appointments. Contracted providers include home care agency providers (APs) or individual providers (IPs). Additional In-Home Services may include home-delivered meals, nutrition programs, adult day care, environmental modifications, special medical equipment, and skilled nursing care. Clients receiving In-Home Services meet the financial and functional eligibility criteria for either the Medicaid Personal Care (MPC) program or the Community Options Program Entry System (COPES) Medicaid waiver.

Long Term Care

Account FY 2022 FY 2023 Biennium Total
FTE 29.6 11.6 20.6
001 - General Fund
State 660,804,000 886,952,000 1,547,756,000
Federal 26,181,000 25,870,000 52,051,000
Local 194,000 194,000 388,000
Medicaid Federal 1,246,085,000 1,106,510,000 2,352,595,000
American Rescue Plan Act (ARPA) 20,239,000 19,315,000 39,554,000
CRRSA Federal Act 1,963,000 1,963,000
001 - General Fund Totals 1,955,466,000 2,038,841,000 3,994,307,000
FY 2022 FY 2023 Biennium Total
FTES 29.6 11.6 20.6
GFS 660,804,000.0 886,952,000.0 1,547,756,000.0
Other 1,294,662,000.0 1,151,889,000.0 2,446,551,000.0
Totals 1,955,466,000.0 2,038,841,000.0 3,994,307,000.0

001345 - Percent of long-term services and support clients served in home and community-based settings

This measure is derived from Core Metric AAH.1, column AA1.2a • This measure supports ALTSA Strategic Objective 4.1: Ensure seniors and individuals with a disability who are in need of long-term services and supports (LTSS) are supported in their community. • Background: Washington State is a leader in maintaining LTSS clients in the home and community. We top the nation in measures that look at the proportion of expenses spent on home and community care. • Importance: Developing home and community-based services has meant Washingtonians have a choice regarding where they receive care, and has produced a more cost effective method of delivering services.
Biennium Period Actual Target
2017-19 Q1 85% 86%
2017-19 Q2 85% 86%
2017-19 Q3 86% 86%
2017-19 Q4 86% 86%
2017-19 Q5 86% 86%
2017-19 Q6 86% 86%
2017-19 Q7 86% 86%
2017-19 Q8 87% 86%
2019-21 Q1 87% 87%
2019-21 Q2 87% 87%
2019-21 Q3 87% 87%
2019-21 Q4 88% 87%
2019-21 Q5 89% 87%
2019-21 Q6 89% 87%
2019-21 Q7 0% 87%
2019-21 Q8 0% 87%
2021-23 Q1 0% 0%
2021-23 Q2 0% 0%
2021-23 Q3 0% 0%
2021-23 Q4 0% 0%
2021-23 Q5 0% 0%
2021-23 Q6 0% 0%
2021-23 Q7 0% 0%
2021-23 Q8 0% 0%

001937 - Clients who can be Served in the Community for Cost of One Nursing Home Client

Clients who can be served in the Community for the cost of one Nursing Home Client.
Biennium Period Actual Target
2017-19 Q1 3 3
2017-19 Q2 3 3
2017-19 Q3 3 3
2017-19 Q4 3 3
2017-19 Q5 3 3
2017-19 Q6 3 3
2017-19 Q7 3 3
2017-19 Q8 3 3
2019-21 Q1 3 3
2019-21 Q2 3 3
2019-21 Q3 3 3
2019-21 Q4 3 3
2019-21 Q5 3 3
2019-21 Q6 3 3
2019-21 Q7 0 3
2019-21 Q8 0 3
2021-23 Q1 0 0
2021-23 Q2 0 0
2021-23 Q3 0 0
2021-23 Q4 0 0
2021-23 Q5 0 0
2021-23 Q6 0 0
2021-23 Q7 0 0
2021-23 Q8 0 0

E054 - Investigations/Quality Assurance for Vulnerable Adults

Adult Protective Services (APS) investigates reports of suspected abuse, abandonment, neglect, self-neglect, and financial exploitation of vulnerable adults living in their own homes. For facilities, Residential Care Services verifies that the facility itself and its staff who come in contact with vulnerable adults are providing appropriate services and quality care. This includes periodic surveying, inspecting, and certification/licensing of nursing homes, adult family homes and assisted living facilities, and monitoring the quality of service, including investigating complaints of abuse and neglect or perpetrators, and related enforcement actions. Quality Assurance includes the review of case management work, and the examination of payment authorizations to ensure compliance with federal and state laws, such as correct client eligibility determination and payment. Oversight and monitoring of home care agencies and certification of Supported Living providers are done under contract, otherwise services are state-staffed.

Long Term Care

Account FY 2022 FY 2023 Biennium Total
FTE 1,078.2 1,041.4 1,059.8
001 - General Fund
State 64,097,000 63,687,000 127,784,000
Federal 7,271,000 5,230,000 12,501,000
Local 15,905,000 15,631,000 31,536,000
Medicaid Federal 47,382,000 50,478,000 97,860,000
001 - General Fund Totals 134,655,000 135,026,000 269,681,000
FY 2022 FY 2023 Biennium Total
FTES 1,078.2 1,041.4 1,059.8
GFS 64,097,000.0 63,687,000.0 127,784,000.0
Other 70,558,000.0 71,339,000.0 141,897,000.0
Totals 134,655,000.0 135,026,000.0 269,681,000.0
Expected Results

Staff surveys and investigations contribute to the health, safety, and well being of clients served in nursing facilities and residential settings. APS investigations contribute to the health and safety of vulnerable adults. Quality assurance activities enable ADSA to use limited resources efficiently.

E055 - Residential Community Services

Assisted Living Facilities (ALF) are contracted facilities that may serve seven or more residents. Clients receive room and board, personal care, and assistance with medication. Some residents may receive limited nursing services, limited supervision, and specialized dementia care. ALFs include Adult Residential Care (ARC), Enhanced Adult Residential Care (EARC), and Assisted Living (AL). Clients residing in ALFs meet the financial and functional eligibility criteria for either the Medicaid Personal Care (MPC) program or the Community Options Program Entry System (COPES) Medicaid waiver, depending on the type of ALF in which they reside, or are vulnerable adults under Chapter 74.34 RCW, receiving state-funded Adult Protective Services.

Long Term Care

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 80,552,000 109,653,000 190,205,000
Local 101,000 101,000 202,000
Medicaid Federal 127,042,000 119,437,000 246,479,000
001 - General Fund Totals 207,695,000 229,191,000 436,886,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 80,552,000.0 109,653,000.0 190,205,000.0
Other 127,143,000.0 119,538,000.0 246,681,000.0
Totals 207,695,000.0 229,191,000.0 436,886,000.0

001345 - Percent of long-term services and support clients served in home and community-based settings

This measure is derived from Core Metric AAH.1, column AA1.2a • This measure supports ALTSA Strategic Objective 4.1: Ensure seniors and individuals with a disability who are in need of long-term services and supports (LTSS) are supported in their community. • Background: Washington State is a leader in maintaining LTSS clients in the home and community. We top the nation in measures that look at the proportion of expenses spent on home and community care. • Importance: Developing home and community-based services has meant Washingtonians have a choice regarding where they receive care, and has produced a more cost effective method of delivering services.
Biennium Period Actual Target
2017-19 Q1 85% 86%
2017-19 Q2 85% 86%
2017-19 Q3 86% 86%
2017-19 Q4 86% 86%
2017-19 Q5 86% 86%
2017-19 Q6 86% 86%
2017-19 Q7 86% 86%
2017-19 Q8 87% 86%
2019-21 Q1 87% 87%
2019-21 Q2 87% 87%
2019-21 Q3 87% 87%
2019-21 Q4 88% 87%
2019-21 Q5 89% 87%
2019-21 Q6 89% 87%
2019-21 Q7 0% 87%
2019-21 Q8 0% 87%
2021-23 Q1 0% 0%
2021-23 Q2 0% 0%
2021-23 Q3 0% 0%
2021-23 Q4 0% 0%
2021-23 Q5 0% 0%
2021-23 Q6 0% 0%
2021-23 Q7 0% 0%
2021-23 Q8 0% 0%

001937 - Clients who can be Served in the Community for Cost of One Nursing Home Client

Clients who can be served in the Community for the cost of one Nursing Home Client.
Biennium Period Actual Target
2017-19 Q1 3 3
2017-19 Q2 3 3
2017-19 Q3 3 3
2017-19 Q4 3 3
2017-19 Q5 3 3
2017-19 Q6 3 3
2017-19 Q7 3 3
2017-19 Q8 3 3
2019-21 Q1 3 3
2019-21 Q2 3 3
2019-21 Q3 3 3
2019-21 Q4 3 3
2019-21 Q5 3 3
2019-21 Q6 3 3
2019-21 Q7 0 3
2019-21 Q8 0 3
2021-23 Q1 0 0
2021-23 Q2 0 0
2021-23 Q3 0 0
2021-23 Q4 0 0
2021-23 Q5 0 0
2021-23 Q6 0 0
2021-23 Q7 0 0
2021-23 Q8 0 0

E064 - Nursing Home Services

The Aging and Long Term Support Administration (ALTSA) contracts with licensed and certified Nursing Homes to serve Medicaid-eligible persons who need post-hospital recuperative care, require nursing services, or have chronic disabilities necessitating long-term medical services. Nursing Homes provide 24-hour supervised nursing care, personal care, therapy, and supervised nutrition. There is a small amount of funding for nurse-aide training, and cash assistance is provided for persons leaving Nursing Homes to help re-establish them in independent living or in lower-cost community settings.

Long Term Care

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 300,598,000 344,864,000 645,462,000
Local 362,000 362,000 724,000
Medicaid Federal 432,046,000 427,785,000 859,831,000
001 - General Fund Totals 733,006,000 773,011,000 1,506,017,000
562 - Skilled Nursing Facility Net Trust
State 66,680,000 66,680,000 133,360,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 300,598,000.0 344,864,000.0 645,462,000.0
Other 499,088,000.0 494,827,000.0 993,915,000.0
Totals 799,686,000.0 839,691,000.0 1,639,377,000.0

001608 - Monthly Average Nursing Homes Caseload Excluding Veterans Homes

This measure is the Monthly NH FTE Caseload with a built in lag factor. Data derived from EMIS, column A163.
Biennium Period Actual Target
2017-19 Q1 9,578 9,500
2017-19 Q2 9,600 9,500
2017-19 Q3 9,393 9,500
2017-19 Q4 9,316 9,500
2017-19 Q5 9,462 9,500
2017-19 Q6 9,414 9,500
2017-19 Q7 9,393 9,500
2017-19 Q8 9,328 9,500
2019-21 Q1 9,281 9,500
2019-21 Q2 9,214 9,500
2019-21 Q3 9,067 9,500
2019-21 Q4 8,398 9,500
2019-21 Q5 8,159 9,500
2019-21 Q6 7,647 9,500
2019-21 Q7 7,419 9,500
2019-21 Q8 0 9,500
2021-23 Q1 0 0
2021-23 Q2 0 0
2021-23 Q3 0 0
2021-23 Q4 0 0
2021-23 Q5 0 0
2021-23 Q6 0 0
2021-23 Q7 0 0
2021-23 Q8 0 0

001937 - Clients who can be Served in the Community for Cost of One Nursing Home Client

Clients who can be served in the Community for the cost of one Nursing Home Client.
Biennium Period Actual Target
2017-19 Q1 3 3
2017-19 Q2 3 3
2017-19 Q3 3 3
2017-19 Q4 3 3
2017-19 Q5 3 3
2017-19 Q6 3 3
2017-19 Q7 3 3
2017-19 Q8 3 3
2019-21 Q1 3 3
2019-21 Q2 3 3
2019-21 Q3 3 3
2019-21 Q4 3 3
2019-21 Q5 3 3
2019-21 Q6 3 3
2019-21 Q7 0 3
2019-21 Q8 0 3
2021-23 Q1 0 0
2021-23 Q2 0 0
2021-23 Q3 0 0
2021-23 Q4 0 0
2021-23 Q5 0 0
2021-23 Q6 0 0
2021-23 Q7 0 0
2021-23 Q8 0 0

E077 - Managed Care Services

Aging and Disability Services Administration (ADSA) contracts with a vendor to provide managed care services that include medical care, Long-Term Care services, substance abuse treatment and mental health treatment under one service package and capitated payment per member per month. These programs help clients remain in the community for as long as possible by providing comprehensive health and social services to meet the unique needs of each client. Current contracts are for the Program of All-Inclusive Care for the Elderly (PACE) and the Washington Medicaid Integration Partnership (WMIP). The vendors assume all financial responsibility for medical expenses associated with meeting a client's needs for as long as the client remains enrolled in the program.

Long Term Care

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 17,336,000 23,337,000 40,673,000
Medicaid Federal 26,896,000 23,992,000 50,888,000
001 - General Fund Totals 44,232,000 47,329,000 91,561,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 17,336,000.0 23,337,000.0 40,673,000.0
Other 26,896,000.0 23,992,000.0 50,888,000.0
Totals 44,232,000.0 47,329,000.0 91,561,000.0

001345 - Percent of long-term services and support clients served in home and community-based settings

This measure is derived from Core Metric AAH.1, column AA1.2a • This measure supports ALTSA Strategic Objective 4.1: Ensure seniors and individuals with a disability who are in need of long-term services and supports (LTSS) are supported in their community. • Background: Washington State is a leader in maintaining LTSS clients in the home and community. We top the nation in measures that look at the proportion of expenses spent on home and community care. • Importance: Developing home and community-based services has meant Washingtonians have a choice regarding where they receive care, and has produced a more cost effective method of delivering services.
Biennium Period Actual Target
2017-19 Q1 85% 86%
2017-19 Q2 85% 86%
2017-19 Q3 86% 86%
2017-19 Q4 86% 86%
2017-19 Q5 86% 86%
2017-19 Q6 86% 86%
2017-19 Q7 86% 86%
2017-19 Q8 87% 86%
2019-21 Q1 87% 87%
2019-21 Q2 87% 87%
2019-21 Q3 87% 87%
2019-21 Q4 88% 87%
2019-21 Q5 89% 87%
2019-21 Q6 89% 87%
2019-21 Q7 0% 87%
2019-21 Q8 0% 87%
2021-23 Q1 0% 0%
2021-23 Q2 0% 0%
2021-23 Q3 0% 0%
2021-23 Q4 0% 0%
2021-23 Q5 0% 0%
2021-23 Q6 0% 0%
2021-23 Q7 0% 0%
2021-23 Q8 0% 0%

001937 - Clients who can be Served in the Community for Cost of One Nursing Home Client

Clients who can be served in the Community for the cost of one Nursing Home Client.
Biennium Period Actual Target
2017-19 Q1 3 3
2017-19 Q2 3 3
2017-19 Q3 3 3
2017-19 Q4 3 3
2017-19 Q5 3 3
2017-19 Q6 3 3
2017-19 Q7 3 3
2017-19 Q8 3 3
2019-21 Q1 3 3
2019-21 Q2 3 3
2019-21 Q3 3 3
2019-21 Q4 3 3
2019-21 Q5 3 3
2019-21 Q6 3 3
2019-21 Q7 0 3
2019-21 Q8 0 3
2021-23 Q1 0 0
2021-23 Q2 0 0
2021-23 Q3 0 0
2021-23 Q4 0 0
2021-23 Q5 0 0
2021-23 Q6 0 0
2021-23 Q7 0 0
2021-23 Q8 0 0

F006 - Automated Client Eligibility Systems (ACES)

The Automated Client Eligibility System (ACES) is a mission critical system in the DSHS Information Technology (IT) Portfolio. The system automates the eligibility determination and case maintenance process for the Temporary Assistance for Needy Families (TANF); Supplemental Nutrition Assistance Program (SNAP); and medical assistance programs.

Economic Services Administration

Account FY 2022 FY 2023 Biennium Total
FTE 131.4 129.7 130.6
001 - General Fund
State 31,628,000 29,065,000 60,693,000
Federal 11,569,000 11,031,000 22,600,000
Local 2,572,000 2,572,000 5,144,000
Medicaid Federal 7,198,000 7,108,000 14,306,000
Temporary Assistance for Needy Families 3,341,000 3,341,000 6,682,000
American Rescue Plan Act (ARPA) 76,000 76,000
001 - General Fund Totals 56,384,000 53,117,000 109,501,000
FY 2022 FY 2023 Biennium Total
FTES 131.4 129.7 130.6
GFS 31,628,000.0 29,065,000.0 60,693,000.0
Other 24,756,000.0 24,052,000.0 48,808,000.0
Totals 56,384,000.0 53,117,000.0 109,501,000.0
Expected Results

Timely and accurate eligibility determination and issuance of benefits to clients.

F010 - Child Support Enforcement

The Division of Child Support (DCS) establishes, modifies, and enforces child support orders and medical insurance obligations to support the needs of children with custodial or non-custodial parents residing in Washington State. Enforcement includes wage and/or other income withholding, IRS tax refund attachment, and interstate referrals. Services may include license revocation, personal property seizure, or referral for contempt. Families who receive Temporary Assistance for Needy Families (TANF)or Medicaid automatically receive full-collection services. In addition to collection services, DCS assists custodial parents with paternity establishment and services needed to locate non-custodial responsible parents for the purposes of collecting child support. DCS staffs work collaboratively with local and tribal governments to effectively provide these services throughout the State.

Economic Services Administration

Account FY 2022 FY 2023 Biennium Total
FTE 1,063.3 1,064.5 1,063.9
001 - General Fund
State 47,661,000 49,114,000 96,775,000
Federal (853,000) 85,000 (768,000)
Family Support/Child Welfare 112,175,000 112,248,000 224,423,000
001 - General Fund Totals 158,983,000 161,447,000 320,430,000
FY 2022 FY 2023 Biennium Total
FTES 1,063.3 1,064.5 1,063.9
GFS 47,661,000.0 49,114,000.0 96,775,000.0
Other 111,322,000.0 112,333,000.0 223,655,000.0
Totals 158,983,000.0 161,447,000.0 320,430,000.0

000461 - Progress made in the percentage of collections on child support cases in arrears

This measurement is based on an annual federal DCS performance report and begins on October 1st of each year - counting cases open during the current FFY and only payments received during the current FFY.
Biennium Period Actual Target
2017-19 Q1 62% 62%
2017-19 Q2 45% 45%
2017-19 Q3 54% 54%
2017-19 Q4 59% 60%
2017-19 Q5 62% 63%
2017-19 Q6 46% 44%
2017-19 Q7 54% 54%
2017-19 Q8 59% 60%
2019-21 Q1 63% 63%
2019-21 Q2 46% 46%
2019-21 Q3 54% 54%
2019-21 Q4 62% 59%
2019-21 Q5 74% 63%
2019-21 Q6 49% 46%
2019-21 Q7 60% 54%
2019-21 Q8 66% 59%
2021-23 Q1 0% 0%
2021-23 Q2 0% 0%
2021-23 Q3 0% 0%
2021-23 Q4 0% 0%
2021-23 Q5 0% 0%
2021-23 Q6 0% 0%
2021-23 Q7 0% 0%
2021-23 Q8 0% 0%

F011 - Retained Child Support

As a condition of eligibility for Temporary Assistance for Needy Families (TANF), custodial parents assign rights to child support payments to the state for each month they receive TANF. The Division of Child Support (DCS) collects millions of dollars annually on TANF and former TANF cases that are retained by the state.

Economic Services Administration

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State (14,225,000) (13,674,000) (27,899,000)
Family Support/Child Welfare (15,913,000) (13,674,000) (29,587,000)
001 - General Fund Totals (30,138,000) (27,348,000) (57,486,000)
FY 2022 FY 2023 Biennium Total
FTES
GFS (14,225,000.0) (13,674,000.0) (27,899,000.0)
Other (15,913,000.0) (13,674,000.0) (29,587,000.0)
Totals (30,138,000.0) (27,348,000.0) (57,486,000.0)

000459 - Percent of current child support owed that is collected

Percent of current child support owed that is collected.
Biennium Period Actual Target
2017-19 Q1 67% 67%
2017-19 Q2 67% 67%
2017-19 Q3 67% 67%
2017-19 Q4 68% 69%
2017-19 Q5 67% 67%
2017-19 Q6 68% 67%
2017-19 Q7 67% 67%
2017-19 Q8 69% 69%
2019-21 Q1 68% 68%
2019-21 Q2 67% 68%
2019-21 Q3 67% 67%
2019-21 Q4 67% 69%
2019-21 Q5 68% 67%
2019-21 Q6 67% 67%
2019-21 Q7 68% 67%
2019-21 Q8 0% 69%
2021-23 Q1 0% 0%
2021-23 Q2 0% 0%
2021-23 Q3 0% 0%
2021-23 Q4 0% 0%
2021-23 Q5 0% 0%
2021-23 Q6 0% 0%
2021-23 Q7 0% 0%
2021-23 Q8 0% 0%

F024 - Diversion Cash Assistance (DCA)

Diversion Cash Assistance (DCA) provides alternative assistance for families who have a short term need and do not wish to receive Temporary Assistance for Needy Families (TANF) assistance. Eligible families must meet the income and resource requirements for TANF, but demonstrate they expect to have income and resources to meet their long-term needs. DCA can help families with expenses such as housing, transportation, medical bills, and employment. This benefit is available once in each 12-month period for each adult applicant. If the recipient receives TANF cash assistance within 12 months of receiving DCA, a pro-rated portion of the DCA benefit is recovered by deduction from the recipient’s monthly cash grant.

Economic Services Administration

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 2,487,000 2,487,000 4,974,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 2,487,000.0 2,487,000.0 4,974,000.0
Other
Totals 2,487,000.0 2,487,000.0 4,974,000.0
Expected Results

Prevent families with short-term financial needs from entering the public assistance system.

F038 - Supplemental Nutrition Assistance Program (SNAP)

Community Services Division (CSD) staff determine eligibility and provide case management services for the federal Supplemental Nutrition Assistance Program (SNAP). SNAP provides food assistance to low-income individuals and families based on income and resource standards established by the federal government. This activity also includes federal funding for Basic Food Education and Outreach, Nutrition Education, and the Basic Food Employment and Training (BFE&T) program. The BFE&T program provides job search and skills training to SNAP recipients not participating in the state's Temporary Assistance for Needy Families (TANF) program.

Economic Services Administration

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 1,761,000 1,761,000 3,522,000
Federal 33,650,000 38,650,000 72,300,000
001 - General Fund Totals 35,411,000 40,411,000 75,822,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 1,761,000.0 1,761,000.0 3,522,000.0
Other 33,650,000.0 38,650,000.0 72,300,000.0
Totals 35,411,000.0 40,411,000.0 75,822,000.0

000555 - Food Stamp Accuracy Rate

Food Stamp accuracy rate.
Biennium Period Actual Target
2017-19 M1 98% 94%
2017-19 M10 95% 93%
2017-19 M11 94% 93%
2017-19 M12 95% 93%
2017-19 M13 95% 93%
2017-19 M14 97% 93%
2017-19 M15 94% 93%
2017-19 M16 93% 93%
2017-19 M17 95% 93%
2017-19 M18 95% 93%
2017-19 M19 96% 93%
2017-19 M2 98% 94%
2017-19 M20 96% 93%
2017-19 M21 95% 93%
2017-19 M22 96% 93%
2017-19 M23 96% 93%
2017-19 M24 96% 93%
2017-19 M3 98% 94%
2017-19 M4 95% 93%
2017-19 M5 95% 93%
2017-19 M6 94% 93%
2017-19 M7 94% 93%
2017-19 M8 94% 93%
2017-19 M9 94% 93%
2019-21 M1 96% 93%
2019-21 M10 0% 93%
2019-21 M11 0% 93%
2019-21 M12 92% 93%
2019-21 M13 92% 93%
2019-21 M14 98% 93%
2019-21 M15 98% 93%
2019-21 M16 0% 93%
2019-21 M17 0% 93%
2019-21 M18 0% 93%
2019-21 M19 0% 93%
2019-21 M2 95% 93%
2019-21 M20 0% 93%
2019-21 M21 0% 93%
2019-21 M22 0% 93%
2019-21 M23 0% 93%
2019-21 M24 0% 93%
2019-21 M3 95% 93%
2019-21 M4 96% 93%
2019-21 M5 92% 93%
2019-21 M6 94% 93%
2019-21 M7 90% 93%
2019-21 M8 90% 93%
2019-21 M9 0% 93%
2021-23 M1 0% 0%
2021-23 M10 0% 0%
2021-23 M11 0% 0%
2021-23 M12 0% 0%
2021-23 M13 0% 0%
2021-23 M14 0% 0%
2021-23 M15 0% 0%
2021-23 M16 0% 0%
2021-23 M17 0% 0%
2021-23 M18 0% 0%
2021-23 M19 0% 0%
2021-23 M2 0% 0%
2021-23 M20 0% 0%
2021-23 M21 0% 0%
2021-23 M22 0% 0%
2021-23 M23 0% 0%
2021-23 M24 0% 0%
2021-23 M3 0% 0%
2021-23 M4 0% 0%
2021-23 M5 0% 0%
2021-23 M6 0% 0%
2021-23 M7 0% 0%
2021-23 M8 0% 0%
2021-23 M9 0% 0%

F039 - Aged, Blind or Disabled and Pregnant Women Assistance Program

The Aged, Blind, or Disabled Program provides financial grants to low-income adults who are age 65 or older, blind, or likely to meet Supplemental Security Income (SSI) disability criteria. This activity also includes the cost of Incapacity Examinations and SSI Consultative Evaluations. The Pregnant Women Assistance Program provides financial grants to eligible women who are pregnant and ineligible for Temporary Assistance for Needy Families (TANF) program and State Family Assistance (SFA) for reasons other than a refusal to cooperate with TANF/SFA requirements.

Economic Services Administration

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 36,313,000 37,104,000 73,417,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 36,313,000.0 37,104,000.0 73,417,000.0
Other
Totals 36,313,000.0 37,104,000.0 73,417,000.0
Expected Results

Provide a safety net for disabled, elderly, and otherwise unemployable individuals.

F042 - Immigrant State Food Assistance

The Immigrant State Food Assistance Program (FAP) provides food assistance for legal immigrants who are no longer eligible for federal food assistance. Benefit are determined by the size of the household, as well as the net income of the assistance unit.

Economic Services Administration

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 19,246,000 19,146,000 38,392,000
706 - Coronavirus St Fiscal Recovery Fund
Federal 5,399,000 5,399,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 19,246,000.0 19,146,000.0 38,392,000.0
Other 5,399,000.0 5,399,000.0
Totals 24,645,000.0 19,146,000.0 43,791,000.0
Expected Results

Reduce hunger and food insecurity.

F068 - Other Client Services

Other Client Services includes Consolidated Emergency Assistance Program (CEAP), Ongoing Additional Requirements (OAR), Repatriation Program, Supplemental Security Income (SSI) State Supplemental Payments (SSP), and interpretative and translation services. The population served are primarily low-income individuals and families in need. State Supplemental Payments are expenditures necessary to maintain eligibility for Washington States' Title XIX program.

Economic Services Administration

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 34,587,000 34,602,000 69,189,000
Federal 3,318,000 3,318,000 6,636,000
Local 65,000 65,000 130,000
Medicaid Federal 431,000 431,000 862,000
American Rescue Plan Act (ARPA) 2,681,000 2,681,000
001 - General Fund Totals 41,082,000 38,416,000 79,498,000
07W - Domestic Violence Prevention Acct
State 1,202,000 1,202,000 2,404,000
706 - Coronavirus St Fiscal Recovery Fund
Federal 170,000,000 170,000,000 340,000,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 34,587,000.0 34,602,000.0 69,189,000.0
Other 177,697,000.0 175,016,000.0 352,713,000.0
Totals 212,284,000.0 209,618,000.0 421,902,000.0
Expected Results

Help low-income families meet their basic needs.

F078 - Program Support

Program Support staff provide administrative and technical support for all activities within the Community Services Division and Office of the Assistant Secretary. Included are policy and program development, legislative and regional coordination, fiscal planning, budgeting, quality assurance, and information technology.

Economic Services Administration

Account FY 2022 FY 2023 Biennium Total
FTE 262.6 261.5 262.1
001 - General Fund
State 27,292,000 28,493,000 55,785,000
Federal 3,930,000 3,969,000 7,899,000
Family Support/Child Welfare 3,045,000 3,072,000 6,117,000
Medicaid Federal 5,183,000 4,888,000 10,071,000
Temporary Assistance for Needy Families 8,339,000 7,660,000 15,999,000
American Rescue Plan Act (ARPA) 10,296,000 10,296,000 20,592,000
CRRSA Federal Act 568,000 568,000
001 - General Fund Totals 58,653,000 58,378,000 117,031,000
FY 2022 FY 2023 Biennium Total
FTES 262.6 261.5 262.1
GFS 27,292,000.0 28,493,000.0 55,785,000.0
Other 31,361,000.0 29,885,000.0 61,246,000.0
Totals 58,653,000.0 58,378,000.0 117,031,000.0
Expected Results

Provide the administrative and functional supports needed to ensure the delivery of timely, accurate services.

F083 - Refugee Assistance Program

Refugee Assistance provides assistance to needy refugees who have settled in Washington State and promotes economic self-sufficiency through the effective use of social services and financial assistance.  The populations served are refugees authorized by the U.S. State Department to immigrate into the country and are granted permanent residence.  In addition to cash assistance, services include case management, employment assistance, English training, skills training, preventive health, foster care, mental health and cultural adaptation, community development and technical assistance, volunteer services, naturalization services and social services.

Economic Services Administration

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 4,912,000 4,912,000 9,824,000
Federal 15,176,000 15,236,000 30,412,000
001 - General Fund Totals 20,088,000 20,148,000 40,236,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 4,912,000.0 4,912,000.0 9,824,000.0
Other 15,176,000.0 15,236,000.0 30,412,000.0
Totals 20,088,000.0 20,148,000.0 40,236,000.0
Expected Results

Help refugees establish a new life in the United States through resettlement assistance.

F100 - Temporary Assistance for Needy Families (TANF)

TANF grants provide monthly cash assistance to needy families with children and to low-income pregnant women. Eligibility is determined by comparing the family’s countable income to the grant payment standard for the applicant’s household size. Funding for the program is shared by state and federal governments.

Economic Services Administration

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 53,660,000 57,729,000 111,389,000
Temporary Assistance for Needy Families 141,061,000 129,195,000 270,256,000
American Rescue Plan Act (ARPA) 22,559,000 22,559,000
001 - General Fund Totals 217,280,000 186,924,000 404,204,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 53,660,000.0 57,729,000.0 111,389,000.0
Other 163,620,000.0 129,195,000.0 292,815,000.0
Totals 217,280,000.0 186,924,000.0 404,204,000.0

000457 - Percent of WorkFirst families meeting federally mandated work participation requirements

This measure is derived from Core Metric E3.1. The state's participation rate for a month is the number of TANF and SSP MOE families that include a work-eligible individual who is participating a minimum average of 30 hours per week in federally defined work activities, divided by the number of TANF and SSP MOE families that include a work-eligible individual, minus the number of families that are in their first 3 months of sanction (limited to 3 out of the last 12 months), and single custodial parents caring for a child under age 1 (limited to 12 months in that parent's lifetime). Both parents in two-parent families are included in this calculation.
Biennium Period Actual Target
2017-19 M1 35% 4%
2017-19 M10 50% 4%
2017-19 M11 51% 4%
2017-19 M12 49% 4%
2017-19 M13 50% 4%
2017-19 M14 50% 4%
2017-19 M15 51% 4%
2017-19 M16 53% 2%
2017-19 M17 52% 2%
2017-19 M18 50% 2%
2017-19 M19 51% 2%
2017-19 M2 41% 4%
2017-19 M20 49% 2%
2017-19 M21 49% 2%
2017-19 M22 50% 2%
2017-19 M23 51% 2%
2017-19 M24 49% 2%
2017-19 M3 44% 4%
2017-19 M4 50% 4%
2017-19 M5 51% 4%
2017-19 M6 51% 4%
2017-19 M7 52% 4%
2017-19 M8 50% 4%
2017-19 M9 50% 4%
2019-21 M1 50% 2%
2019-21 M10 37% 0%
2019-21 M11 34% 0%
2019-21 M12 34% 0%
2019-21 M13 34% 0%
2019-21 M14 34% 0%
2019-21 M15 35% 0%
2019-21 M16 36% 0%
2019-21 M17 36% 0%
2019-21 M18 35% 0%
2019-21 M19 36% 0%
2019-21 M2 50% 2%
2019-21 M20 36% 0%
2019-21 M21 36% 0%
2019-21 M22 37% 0%
2019-21 M23 34% 0%
2019-21 M24 0% 0%
2019-21 M3 51% 2%
2019-21 M4 52% 0%
2019-21 M5 51% 0%
2019-21 M6 50% 0%
2019-21 M7 49% 0%
2019-21 M8 47% 0%
2019-21 M9 45% 0%
2021-23 M1 0% 0%
2021-23 M10 0% 0%
2021-23 M11 0% 0%
2021-23 M12 0% 0%
2021-23 M13 0% 0%
2021-23 M14 0% 0%
2021-23 M15 0% 0%
2021-23 M16 0% 0%
2021-23 M17 0% 0%
2021-23 M18 0% 0%
2021-23 M19 0% 0%
2021-23 M2 0% 0%
2021-23 M20 0% 0%
2021-23 M21 0% 0%
2021-23 M22 0% 0%
2021-23 M23 0% 0%
2021-23 M24 0% 0%
2021-23 M3 0% 0%
2021-23 M4 0% 0%
2021-23 M5 0% 0%
2021-23 M6 0% 0%
2021-23 M7 0% 0%
2021-23 M8 0% 0%
2021-23 M9 0% 0%

F108 - WorkFirst Employment and Training

The WorkFirst Employment program offers job search, subsidized employment, vocational education, job readiness training, basic education, career counseling, and non-salaried work experience to TANF-eligible clients. This federally mandated program is designed to move clients from public assistance to permanent self-sufficiency.

Economic Services Administration

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 27,678,000 25,713,000 53,391,000
Temporary Assistance for Needy Families 94,283,000 94,056,000 188,339,000
001 - General Fund Totals 121,961,000 119,769,000 241,730,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 27,678,000.0 25,713,000.0 53,391,000.0
Other 94,283,000.0 94,056,000.0 188,339,000.0
Totals 121,961,000.0 119,769,000.0 241,730,000.0

000457 - Percent of WorkFirst families meeting federally mandated work participation requirements

This measure is derived from Core Metric E3.1. The state's participation rate for a month is the number of TANF and SSP MOE families that include a work-eligible individual who is participating a minimum average of 30 hours per week in federally defined work activities, divided by the number of TANF and SSP MOE families that include a work-eligible individual, minus the number of families that are in their first 3 months of sanction (limited to 3 out of the last 12 months), and single custodial parents caring for a child under age 1 (limited to 12 months in that parent's lifetime). Both parents in two-parent families are included in this calculation.
Biennium Period Actual Target
2017-19 M1 35% 4%
2017-19 M10 50% 4%
2017-19 M11 51% 4%
2017-19 M12 49% 4%
2017-19 M13 50% 4%
2017-19 M14 50% 4%
2017-19 M15 51% 4%
2017-19 M16 53% 2%
2017-19 M17 52% 2%
2017-19 M18 50% 2%
2017-19 M19 51% 2%
2017-19 M2 41% 4%
2017-19 M20 49% 2%
2017-19 M21 49% 2%
2017-19 M22 50% 2%
2017-19 M23 51% 2%
2017-19 M24 49% 2%
2017-19 M3 44% 4%
2017-19 M4 50% 4%
2017-19 M5 51% 4%
2017-19 M6 51% 4%
2017-19 M7 52% 4%
2017-19 M8 50% 4%
2017-19 M9 50% 4%
2019-21 M1 50% 2%
2019-21 M10 37% 0%
2019-21 M11 34% 0%
2019-21 M12 34% 0%
2019-21 M13 34% 0%
2019-21 M14 34% 0%
2019-21 M15 35% 0%
2019-21 M16 36% 0%
2019-21 M17 36% 0%
2019-21 M18 35% 0%
2019-21 M19 36% 0%
2019-21 M2 50% 2%
2019-21 M20 36% 0%
2019-21 M21 36% 0%
2019-21 M22 37% 0%
2019-21 M23 34% 0%
2019-21 M24 0% 0%
2019-21 M3 51% 2%
2019-21 M4 52% 0%
2019-21 M5 51% 0%
2019-21 M6 50% 0%
2019-21 M7 49% 0%
2019-21 M8 47% 0%
2019-21 M9 45% 0%
2021-23 M1 0% 0%
2021-23 M10 0% 0%
2021-23 M11 0% 0%
2021-23 M12 0% 0%
2021-23 M13 0% 0%
2021-23 M14 0% 0%
2021-23 M15 0% 0%
2021-23 M16 0% 0%
2021-23 M17 0% 0%
2021-23 M18 0% 0%
2021-23 M19 0% 0%
2021-23 M2 0% 0%
2021-23 M20 0% 0%
2021-23 M21 0% 0%
2021-23 M22 0% 0%
2021-23 M23 0% 0%
2021-23 M24 0% 0%
2021-23 M3 0% 0%
2021-23 M4 0% 0%
2021-23 M5 0% 0%
2021-23 M6 0% 0%
2021-23 M7 0% 0%
2021-23 M8 0% 0%
2021-23 M9 0% 0%

F109 - Child Care Subsidy Program

The Child Care Subsidy Program (CCSP) helps families with low incomes pay for child care while working or participating in WorkFirst. Community Services Division (CSD) staff determine eligibility and authorize child care services for the Working Connections Child Care (WCCC) and Seasonal Child Care (SCC) programs. The Department of Early Learning (DEL) administers the CCSP.

Economic Services Administration

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
Temporary Assistance for Needy Families 176,701,000 176,701,000 353,402,000
FY 2022 FY 2023 Biennium Total
FTES
GFS
Other 176,701,000.0 176,701,000.0 353,402,000.0
Totals 176,701,000.0 176,701,000.0 353,402,000.0
Expected Results

Provide access to affordable, safe, and developmentally appropriate child care. Help families and communities safeguard and improve the well-being of children in their own home and in out-of-home care.

F110 - Division of Disability Determination Services

The Division of Disability Determination Services (DDDS) is contracted with the Social Security Administration (SSA) to adjudicate medical eligibility for disability benefits under Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) rules and regulations. The DDDS processes claims for Non-Grant Medical Assistance (NGMA).

Economic Services Administration

Account FY 2022 FY 2023 Biennium Total
FTE 314.0 314.0 314.0
001 - General Fund
State 1,191,000 1,548,000 2,739,000
Federal 56,477,000 56,703,000 113,180,000
Medicaid Federal 1,531,000 1,531,000 3,062,000
001 - General Fund Totals 59,199,000 59,782,000 118,981,000
FY 2022 FY 2023 Biennium Total
FTES 314.0 314.0 314.0
GFS 1,191,000.0 1,548,000.0 2,739,000.0
Other 58,008,000.0 58,234,000.0 116,242,000.0
Totals 59,199,000.0 59,782,000.0 118,981,000.0
Expected Results

Provide accurate and timely disability decisions through efficient use of public resources and in accordance with Social Security Administration Regulations.

F120 - CSD Field Support Services

The CSD Field Support Services Activity is comprised of all CSD staff who are providing eligibility determination services and social work services to clients.

Economic Services Administration

Account FY 2022 FY 2023 Biennium Total
FTE 2,330.7 2,332.4 2,331.6
001 - General Fund
State 147,493,000 150,465,000 297,958,000
Federal 45,892,000 46,827,000 92,719,000
Family Support/Child Welfare (1,817,000) (1,844,000) (3,661,000)
Medicaid Federal 30,448,000 30,746,000 61,194,000
Temporary Assistance for Needy Families 12,162,000 12,840,000 25,002,000
CRRSA Federal Act 1,009,000 1,009,000
001 - General Fund Totals 235,187,000 239,034,000 474,221,000
FY 2022 FY 2023 Biennium Total
FTES 2,330.7 2,332.4 2,331.6
GFS 147,493,000.0 150,465,000.0 297,958,000.0
Other 87,694,000.0 88,569,000.0 176,263,000.0
Totals 235,187,000.0 239,034,000.0 474,221,000.0
Expected Results

Field staff that support multiple programs are accurately described in a consolidated activity

J103 - Vocational Rehabilitation Administration

Administration includes expenses necessary to carry out the administrative functions of the Vocational Rehabilitation (VR) program. Administrative activities are defined as statewide activities related to program planning and evaluation, information systems, budgeting, accounting, financial management, staff development, and quality assurance. Expenses include salaries and fringe benefits of staff who conduct administrative activities, including overhead costs. Administration includes costs incidental to carrying out the functions of the Rehabilitation Act of 1973, as amended, State Rehabilitation Council, as required by the Rehabilitation Act and the State Independent Living Council. Also included are funds expended for DSHS administrative indirect costs.

Vocational Rehabilitation

Account FY 2022 FY 2023 Biennium Total
FTE 1.8 3.9 2.9
001 - General Fund
State 139,000 137,000 276,000
Federal 2,650,000 2,876,000 5,526,000
001 - General Fund Totals 2,789,000 3,013,000 5,802,000
FY 2022 FY 2023 Biennium Total
FTES 1.8 3.9 2.9
GFS 139,000.0 137,000.0 276,000.0
Other 2,650,000.0 2,876,000.0 5,526,000.0
Totals 2,789,000.0 3,013,000.0 5,802,000.0
Expected Results

The DVR State Plan is effectively and efficiently administered. Federal standards and indicators including the number of employment outcomes and the rehabilitation rate are increased each federal fiscal year.

J104 - Vocational Counseling and Guidance

Vocational Counseling and Guidance includes expenses incidental to the provision of Vocational Rehabilitation (VR) services, directly. Expenses include salaries, fringe benefits, and personnel development of VR Counselors and Rehabilitation Technicians, as well as overhead costs. VR Counseling staff provide assessment, counseling, guidance, and placement services to assist individuals with disabilities in assessing their vocational interests and strengths, selecting a job goal, and identifying VR services needed to achieve employment. Counseling and Guidance expenses also include costs associated with personnel that provide support, supervision, and consultation for the provision of vocational rehabilitation services.

Vocational Rehabilitation

Account FY 2022 FY 2023 Biennium Total
FTE 294.4 294.1 294.3
001 - General Fund
State 9,735,000 9,257,000 18,992,000
Federal 19,488,000 20,782,000 40,270,000
001 - General Fund Totals 29,223,000 30,039,000 59,262,000
FY 2022 FY 2023 Biennium Total
FTES 294.4 294.1 294.3
GFS 9,735,000.0 9,257,000.0 18,992,000.0
Other 19,488,000.0 20,782,000.0 40,270,000.0
Totals 29,223,000.0 30,039,000.0 59,262,000.0

001310 - Number of individuals achieving employment outcomes

Number of individuals achieving employment outcomes
Biennium Period Actual Target
2017-19 Q1 808 765
2017-19 Q2 775 730
2017-19 Q3 694 660
2017-19 Q4 542 650
2017-19 Q5 741 630
2017-19 Q6 614 630
2017-19 Q7 527 630
2017-19 Q8 418 720
2019-21 Q1 479 540
2019-21 Q2 422 540
2019-21 Q3 455 540
2019-21 Q4 215 540
2019-21 Q5 271 300
2019-21 Q6 235 300
2019-21 Q7 259 300
2019-21 Q8 221 300
2021-23 Q1 0 0
2021-23 Q2 0 0
2021-23 Q3 0 0
2021-23 Q4 0 0
2021-23 Q5 0 0
2021-23 Q6 0 0
2021-23 Q7 0 0
2021-23 Q8 0 0

001312 - Rehabilitation Rate

The proportion of all cases closed in successful employment as a result of DVR services provided under an individualized plan.
Biennium Period Actual Target
2017-19 Q1 57% 0%
2017-19 Q2 54% 0%
2017-19 Q3 54% 0%
2017-19 Q4 50% 0%
2017-19 Q5 55% 0%
2017-19 Q6 56% 0%
2017-19 Q7 54% 0%
2017-19 Q8 50% 0%
2019-21 Q1 54% 0%
2019-21 Q2 49% 0%
2019-21 Q3 55% 0%
2019-21 Q4 49% 0%
2019-21 Q5 45% 0%
2019-21 Q6 41% 0%
2019-21 Q7 41% 0%
2019-21 Q8 38% 0%
2021-23 Q1 0% 0%
2021-23 Q2 0% 0%
2021-23 Q3 0% 0%
2021-23 Q4 0% 0%
2021-23 Q5 0% 0%
2021-23 Q6 0% 0%
2021-23 Q7 0% 0%
2021-23 Q8 0% 0%

J105 - Vocational Rehabilitation Direct Client Services

Direct client services include expenses for goods and services purchased from public or private vendors on behalf of the Vocational Rehabilitation (VR) client. Goods and services are purchased to assist the individuals with disabilities to overcome the unique employment barriers they experience. The division offers a variety of goods and services including assessment services for determining service eligibility and vocational rehabilitation needs, diagnostic or treatment services for physical or mental impairments, job readiness training, augmentative skills training, vocational and occupational skills training, transportation, personal assistance services, job search and job placement services, job retention services, follow up and follow along services, rehabilitation technology services, and post employment services.

Vocational Rehabilitation

Account FY 2022 FY 2023 Biennium Total
FTE 20.8 19.1 20.0
001 - General Fund
State 7,426,000 8,135,000 15,561,000
Federal 31,966,000 31,833,000 63,799,000
001 - General Fund Totals 39,392,000 39,968,000 79,360,000
FY 2022 FY 2023 Biennium Total
FTES 20.8 19.1 20.0
GFS 7,426,000.0 8,135,000.0 15,561,000.0
Other 31,966,000.0 31,833,000.0 63,799,000.0
Totals 39,392,000.0 39,968,000.0 79,360,000.0

001310 - Number of individuals achieving employment outcomes

Number of individuals achieving employment outcomes
Biennium Period Actual Target
2017-19 Q1 808 765
2017-19 Q2 775 730
2017-19 Q3 694 660
2017-19 Q4 542 650
2017-19 Q5 741 630
2017-19 Q6 614 630
2017-19 Q7 527 630
2017-19 Q8 418 720
2019-21 Q1 479 540
2019-21 Q2 422 540
2019-21 Q3 455 540
2019-21 Q4 215 540
2019-21 Q5 271 300
2019-21 Q6 235 300
2019-21 Q7 259 300
2019-21 Q8 221 300
2021-23 Q1 0 0
2021-23 Q2 0 0
2021-23 Q3 0 0
2021-23 Q4 0 0
2021-23 Q5 0 0
2021-23 Q6 0 0
2021-23 Q7 0 0
2021-23 Q8 0 0

K001 - Administration and Supporting Services

As part of the Secretary's Office and in direct support of the Secretary's initiatives, the Administration and Supporting Services program provides management, planning, evaluation and control of the operations for all programs within the Department of Social and Health Services.

Administration and Supporting Services

Account FY 2022 FY 2023 Biennium Total
FTE 593.9 594.4 594.2
001 - General Fund
State 40,193,000 39,856,000 80,049,000
Federal 11,038,000 10,855,000 21,893,000
Family Support/Child Welfare 643,000 639,000 1,282,000
Medicaid Federal 11,744,000 12,117,000 23,861,000
Temporary Assistance for Needy Families 2,370,000 2,370,000 4,740,000
001 - General Fund Totals 65,988,000 65,837,000 131,825,000
FY 2022 FY 2023 Biennium Total
FTES 593.9 594.4 594.2
GFS 40,193,000.0 39,856,000.0 80,049,000.0
Other 25,795,000.0 25,981,000.0 51,776,000.0
Totals 65,988,000.0 65,837,000.0 131,825,000.0
Expected Results

Provide policy direction and infrastructure services that ensures the department runs efficiently and makes the most effective use of public resources.

M001 - Program Support for SCC

Administrative Services consists of the Superintendant’s office and the staff who manage resident records, resident legal activity coordination, recruitment, disciplinary investigative process, internal policy and Washington Administrative Code preparation, processing and investigating of resident tort claims, and resident misbehavior hearings review. Includes funding for the Consolidated Institutional Business Services (CIBS).

Special Commitment Program

Account FY 2022 FY 2023 Biennium Total
FTE 9.0 9.0 9.0
001 - General Fund
State 1,304,000 1,315,000 2,619,000
FY 2022 FY 2023 Biennium Total
FTES 9.0 9.0 9.0
GFS 1,304,000.0 1,315,000.0 2,619,000.0
Other
Totals 1,304,000.0 1,315,000.0 2,619,000.0
Expected Results

These basic infrastructure services allow for the efficient and effective management of resident records and required legal responses, required staffing to maintain resident and staff safety, and other regulatory needs.

M005 - Facility and Island Operation

The Facility and Island Operations consists of managers and staff who provide direct support to the overall operation of McNeil Island. This includes the fire department, janitorial service, food service, investigations, information technology, and the safety officeri ncludes funding for the Consolidated Maintenance and Operation (CMO) division.

Special Commitment Program

Account FY 2022 FY 2023 Biennium Total
FTE 72.0 72.0 72.0
001 - General Fund
State 12,607,000 13,084,000 25,691,000
FY 2022 FY 2023 Biennium Total
FTES 72.0 72.0 72.0
GFS 12,607,000.0 13,084,000.0 25,691,000.0
Other
Totals 12,607,000.0 13,084,000.0 25,691,000.0
Expected Results

The resources purchased in this activity ensure staff, residents, other individuals, and the goods and services required can get to and from the SCC. This activity also provides care and maintenance of state and federal resources.

M010 - SCC Total Confinement Facility

The Total Confinement Facility includes managers and staff who operate the secure main facility consisting of low, medium, and high security living units capable of housing over 300 residents. This activity provides direct supervision and behavioral control of a residential population of adult sexually violent predators. It includes the health services clinic, forensic services, facility operations, and sex offender treatment services.

Special Commitment Program

Account FY 2022 FY 2023 Biennium Total
FTE 384.8 381.7 383.3
001 - General Fund
State 48,077,000 45,646,000 93,723,000
FY 2022 FY 2023 Biennium Total
FTES 384.8 381.7 383.3
GFS 48,077,000.0 45,646,000.0 93,723,000.0
Other
Totals 48,077,000.0 45,646,000.0 93,723,000.0

002204 - Completion Rate of Annual Forensic Evaluations

Maintain a completion rate of annual forensic evaluations of civilly committed sexually violent predators.
Biennium Period Actual Target
2017-19 Q1 26% 25%
2017-19 Q2 19% 25%
2017-19 Q3 17% 25%
2017-19 Q4 21% 25%
2017-19 Q5 16% 19%
2017-19 Q6 16% 19%
2017-19 Q7 18% 19%
2017-19 Q8 21% 19%
2019-21 Q1 15% 19%
2019-21 Q2 16% 19%
2019-21 Q3 16% 19%
2019-21 Q4 20% 19%
2019-21 Q5 17% 19%
2019-21 Q6 15% 19%
2019-21 Q7 11% 19%
2019-21 Q8 18% 19%
2021-23 Q1 0% 0%
2021-23 Q2 0% 0%
2021-23 Q3 0% 0%
2021-23 Q4 0% 0%
2021-23 Q5 0% 0%
2021-23 Q6 0% 0%
2021-23 Q7 0% 0%
2021-23 Q8 0% 0%

002208 - Rate of Residents in Advanced Phases of Treatment

Maintain the rate of residents in advanced phases of treatment.
Biennium Period Actual Target
2017-19 Q1 4% 10%
2017-19 Q2 4% 10%
2017-19 Q3 3% 10%
2017-19 Q4 5% 10%
2017-19 Q5 5% 10%
2017-19 Q6 5% 10%
2017-19 Q7 5% 10%
2017-19 Q8 3% 10%
2019-21 Q1 2% 10%
2019-21 Q2 2% 10%
2019-21 Q3 2% 10%
2019-21 Q4 2% 10%
2019-21 Q5 2% 10%
2019-21 Q6 1% 10%
2019-21 Q7 1% 10%
2019-21 Q8 1% 10%
2021-23 Q1 0% 0%
2021-23 Q2 0% 0%
2021-23 Q3 0% 0%
2021-23 Q4 0% 0%
2021-23 Q5 0% 0%
2021-23 Q6 0% 0%
2021-23 Q7 0% 0%
2021-23 Q8 0% 0%

002209 - Percent of residents voluntarily enrolled in Sex Offender treatment at the TCF

This measure relates to Core Metric SC1.3 • Sex offender treatment is offered to all residents Residents engage voluntarily if interested. • Engagement provides the opportunity to move toward a less restrictive alternative (LRA).
Biennium Period Actual Target
2017-19 Q1 62% 50%
2017-19 Q2 84% 50%
2017-19 Q3 64% 50%
2017-19 Q4 61% 50%
2017-19 Q5 69% 50%
2017-19 Q6 78% 50%
2017-19 Q7 82% 50%
2017-19 Q8 85% 65%
2019-21 Q1 88% 65%
2019-21 Q2 91% 65%
2019-21 Q3 81% 65%
2019-21 Q4 80% 65%
2019-21 Q5 87% 65%
2019-21 Q6 85% 65%
2019-21 Q7 79% 65%
2019-21 Q8 0% 0%
2021-23 Q1 0% 0%
2021-23 Q2 0% 0%
2021-23 Q3 0% 0%
2021-23 Q4 0% 0%
2021-23 Q5 0% 0%
2021-23 Q6 0% 0%
2021-23 Q7 0% 0%
2021-23 Q8 0% 0%

002269 - Resident to Resident Assaults

Maintain a low level of resident to resident assaults, EMIS column RS2269a.
Biennium Period Actual Target
2017-19 Q1 7 7
2017-19 Q2 8 7
2017-19 Q3 3 7
2017-19 Q4 2 7
2017-19 Q5 2 7
2017-19 Q6 1 7
2017-19 Q7 3 7
2017-19 Q8 3 7
2019-21 Q1 1 7
2019-21 Q2 3 7
2019-21 Q3 2 7
2019-21 Q4 4 7
2019-21 Q5 3 7
2019-21 Q6 3 7
2019-21 Q7 3 7
2019-21 Q8 4 7
2021-23 Q1 0 0
2021-23 Q2 0 0
2021-23 Q3 0 0
2021-23 Q4 0 0
2021-23 Q5 0 0
2021-23 Q6 0 0
2021-23 Q7 0 0
2021-23 Q8 0 0

002270 - Resident to Staff Assaults

Maintain a low level of resident to staff assaults.
Biennium Period Actual Target
2017-19 Q1 1% 3%
2017-19 Q2 10% 3%
2017-19 Q3 4% 3%
2017-19 Q4 4% 3%
2017-19 Q5 1% 3%
2017-19 Q6 0% 3%
2017-19 Q7 1% 3%
2017-19 Q8 2% 3%
2019-21 Q1 3% 3%
2019-21 Q2 1% 3%
2019-21 Q3 4% 3%
2019-21 Q4 3% 3%
2019-21 Q5 1% 3%
2019-21 Q6 1% 3%
2019-21 Q7 2% 3%
2019-21 Q8 0% 3%
2021-23 Q1 0% 0%
2021-23 Q2 0% 0%
2021-23 Q3 0% 0%
2021-23 Q4 0% 0%
2021-23 Q5 0% 0%
2021-23 Q6 0% 0%
2021-23 Q7 0% 0%
2021-23 Q8 0% 0%

M020 - Civil Commitment Less Restrictive Alternatives

Less restrictive alternatives (LRAs) include Secure Community Transition Facilities (SCTFs) and community placements. SCTFs provide less restrictive, alternative residential living and community transitional services for sex offenders who have been civilly committed and have received court-ordered conditional release from total confinement. The Pierce County SCTF is located on McNeil Island, and has the capacity to hold up to 24 residents. The King County SCTF can house up to six residents.

Special Commitment Program

Account FY 2022 FY 2023 Biennium Total
FTE 19.7 19.7 19.7
001 - General Fund
State 2,099,000 2,143,000 4,242,000
FY 2022 FY 2023 Biennium Total
FTES 19.7 19.7 19.7
GFS 2,099,000.0 2,143,000.0 4,242,000.0
Other
Totals 2,099,000.0 2,143,000.0 4,242,000.0

002790 - Residents in LRA Placement

Data is derived from EMIS: total of columns Z022, Z041, and Z024 using the last month of each quarter.
Biennium Period Actual Target
2017-19 Q1 54 55
2017-19 Q2 54 55
2017-19 Q3 60 55
2017-19 Q4 55 55
2017-19 Q5 69 70
2017-19 Q6 67 70
2017-19 Q7 66 70
2017-19 Q8 70 70
2019-21 Q1 72 75
2019-21 Q2 66 75
2019-21 Q3 72 80
2019-21 Q4 77 80
2019-21 Q5 75 85
2019-21 Q6 76 85
2019-21 Q7 76 85
2019-21 Q8 79 85
2021-23 Q1 0 0
2021-23 Q2 0 0
2021-23 Q3 0 0
2021-23 Q4 0 0
2021-23 Q5 0 0
2021-23 Q6 0 0
2021-23 Q7 0 0
2021-23 Q8 0 0

N073 - Payment to Other Agencies

This program consolidates payments the department makes to other support service agencies. Funding supports two categories of costs: (1) Department-wide services, including human resources, information services, self-insurance, insurance administration, other general administrative services, Office of Minority and Women Business Enterprises, Washington State Patrol, and payments to the Human Rights Commission; and (2) Revolving funds, which include State Archives, General Administration, the State Auditor, the Attorney General, and Administrative Hearings.

Payments to Other Agencies

Account FY 2022 FY 2023 Biennium Total
001 - General Fund
State 65,743,000 56,529,000 122,272,000
Federal 11,655,000 12,130,000 23,785,000
Family Support/Child Welfare 4,074,000 4,035,000 8,109,000
Medicaid Federal 9,106,000 9,199,000 18,305,000
Temporary Assistance for Needy Families 1,515,000 1,515,000 3,030,000
001 - General Fund Totals 92,093,000 83,408,000 175,501,000
FY 2022 FY 2023 Biennium Total
FTES
GFS 65,743,000.0 56,529,000.0 122,272,000.0
Other 26,350,000.0 26,879,000.0 53,229,000.0
Totals 92,093,000.0 83,408,000.0 175,501,000.0
Expected Results

The department will make timely accurate payments for the support services rendered by its government partners.

P001 - Information Systems Services

The Information System Services Division is the primary service provider for DSHS-wide information technology services. The Division is responsible for network infrastructure and support, electronic messaging, telephone and voice services, production control, data security and disaster recovery, enterprise application development services for DSHS Executive Administrations, support of the Imaging system and the Social Service Payment System, Internet/Intranet services, enterprise architecture, formulating agency IT policy, maintaining an IT portfolio, facilitating application governance and the setting of agency IT standards, and coordinating oversight reporting to the Technology Services Board.

Information System Services

Account FY 2022 FY 2023 Biennium Total
FTE 119.0 118.6 118.8
FY 2022 FY 2023 Biennium Total
FTES 119.0 118.6 118.8
GFS
Other
Totals
Expected Results

Provide an efficient and secure wide area network (WAN) and electronic messaging system; develop and maintain data security, disaster recovery and information technology (IT) policy and best practice for DSHS; administer and maintain the DSHS enterprise architecture and IT Portfolio programs, provide telephony, mainframe processing, internet/intranet and other supporting services.

Q001 - Consolidated Field Services

The Consolidated Field Services provides business support to offices in the field while reporting directly to headquarters. Consolidated Field Services consist of 1) Regional Business Centers (RBC) to provide budget-related functions, accounting, purchasing, fixed asset management, facilities management, vehicle management, and time and attendance for all DSHS programs; 2) Consolidated Institutional Business Services (CIBS) to provide shared business services to DSHS institutions; and 3) Consolidated Maintenance and Operations (CMO) to manage and schedule corrective and preventative maintenance for the DSHS’ institutional campuses through the use of maintenance staff teams.

Consolidated Field Services

Account FY 2022 FY 2023 Biennium Total
FTE 151.6 151.9 151.8
FY 2022 FY 2023 Biennium Total
FTES 151.6 151.9 151.8
GFS
Other
Totals
Expected Results

Increase operating efficiency while decreasing administrative costs that leads to fewer service disruptions for our most vulnerable citizens.