Healthy and Safe Communities

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 2024	FY 2025	Biennium Total

FTE	9,453.6	11,040.2	10,246.9
001 - General Fund
State	1,415,159,000	1,456,892,000	2,872,051,000
Local	8,431,000	8,801,000	17,232,000
Medicaid Federal	169,899,000	147,190,000	317,089,000
001 - General Fund Totals	1,593,489,000	1,612,883,000	3,206,372,000

	FY 2024	FY 2025	Biennium Total
FTES	4,860.6	5,759.5	5,310.1
GFS	806,638,000.0	779,405,000.0	1,586,043,000.0
Other	99,094,000.0	76,007,000.0	175,101,000.0
Totals	905,732,000.0	855,412,000.0	1,761,144,000.0

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
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	1	1
2021-23	Q2	1	1
2021-23	Q3	0	1
2021-23	Q4	1	1
2021-23	Q5	0	1
2021-23	Q6	0	1
2021-23	Q7	0	1
2021-23	Q8	1	1
2023-25	Q1	0	1
2023-25	Q2	0	1
2023-25	Q3	0	1
2023-25	Q4	0	1
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

001105 - Average Daily Utilization of State Hospital Civil Beds for Western State Hospital

Western Washington Regional Support Networks average daily utilization of state hospital civil beds.

Biennium	Period	Actual	Target
2019-21	Q1	483	485
2019-21	Q2	483	485
2019-21	Q3	470	485
2019-21	Q4	429	485
2019-21	Q5	397	467
2019-21	Q6	396	467
2019-21	Q7	397	467
2019-21	Q8	381	467
2021-23	Q1	354	437
2021-23	Q2	350	407
2021-23	Q3	352	377
2021-23	Q4	359	377
2021-23	Q5	367	347
2021-23	Q6	369	317
2021-23	Q7	391	287
2021-23	Q8	344	287
2023-25	Q1	282	287
2023-25	Q2	224	287
2023-25	Q3	261	287
2023-25	Q4	268	287
2023-25	Q5	256	287
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

001107 - Average Daily Utilization of State Hospital Civil Beds for Eastern State Hospital

Eastern Washington Regional Support Networks average daily utilization of state hospital civil beds.

Biennium	Period	Actual	Target
2019-21	Q1	150	192
2019-21	Q2	152	192
2019-21	Q3	146	192
2019-21	Q4	130	192
2019-21	Q5	106	162
2019-21	Q6	95	162
2019-21	Q7	117	162
2019-21	Q8	116	162
2021-23	Q1	108	192
2021-23	Q2	103	192
2021-23	Q3	99	192
2021-23	Q4	94	192
2021-23	Q5	102	192
2021-23	Q6	126	192
2021-23	Q7	137	192
2021-23	Q8	139	192
2023-25	Q1	149	192
2023-25	Q2	136	192
2023-25	Q3	128	192
2023-25	Q4	120	192
2023-25	Q5	120	192
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

002778 - Quarterly rates of seclusion hours at Eastern State Hospital

This measure is derived from Core Metric ABX.3, column ABX.3a • Identify treatment options to reduce use of seclusion that are consistent with the patient’s safety plan, developed by the patient and his/her treatment team. • Require daily review by clinical leadership of patients that have been in seclusion during the past 24 hours. • Employ the National Association of State Mental Health Program Directors Six Core Strategies to target interventions to the needs and challenges of specific areas of the hospitals. • Deploy the comprehensive patient care manual that includes a best practice guide to aggression management.

Biennium	Period	Actual	Target
2019-21	Q1	10	1
2019-21	Q2	2	1
2019-21	Q3	4	1
2019-21	Q4	8	1
2019-21	Q5	3	1
2019-21	Q6	5	1
2019-21	Q7	1	1
2019-21	Q8	0	1
2021-23	Q1	1	1
2021-23	Q2	1	1
2021-23	Q3	2	1
2021-23	Q4	3	1
2021-23	Q5	5	1
2021-23	Q6	2	1
2021-23	Q7	3	1
2021-23	Q8	4	1
2023-25	Q1	4	1
2023-25	Q2	7	1
2023-25	Q3	8	1
2023-25	Q4	4	1
2023-25	Q5	8	1
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

002779 - Quarterly rates of seclusion hours at Western State Hospital

This measure is derived from Core Metric ABX.3, column ABX.3b • Identify treatment options to reduce use of seclusion that are consistent with the patient’s safety plan, developed by the patient and his/her treatment team. • Require daily review by clinical leadership of patients that have been in seclusion during the past 24 hours. • Employ the National Association of State Mental Health Program Directors Six Core Strategies to target interventions to the needs and challenges of specific areas of the hospitals. • Deploy the comprehensive patient care manual that includes a best practice guide to aggression management.

Biennium	Period	Actual	Target
2019-21	Q1	1	0
2019-21	Q2	0	0
2019-21	Q3	1	0
2019-21	Q4	1	0
2019-21	Q5	1	0
2019-21	Q6	2	0
2019-21	Q7	1	0
2019-21	Q8	2	0
2021-23	Q1	1	1
2021-23	Q2	1	1
2021-23	Q3	1	1
2021-23	Q4	1	1
2021-23	Q5	1	1
2021-23	Q6	1	1
2021-23	Q7	3	1
2021-23	Q8	3	1
2023-25	Q1	2	1
2023-25	Q2	1	1
2023-25	Q3	1	1
2023-25	Q4	1	1
2023-25	Q5	1	1
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

002780 - Quarterly rates of seclusion hours at the Child Study and Treatment Center

This measure is derived from Core Metric ABX.12, column ABX.12a • Collaborative, evidence-based approaches are consistent with decreases in restrictive interventions at CSTC, as modeled by training in Motivational Interviewing on Ketron Cottage; Collaborative Problem solving on Camano Cottage; and Dialectical Behavior Therapy on Orcas Cottage.• Planning includes advancing skills in verbal de-escalation through training CSTC's Crisis Prevention (CPI) certified trainers in Life Space Crisis Intervention (LSCI); and partnering with the hospital-based schools in improving behavioral management in the classroom by training in re-education, Positive Behavioral Support, and LSCI. The “Therapeutic Classroom” meeting continues as a joint problem solving venue.

Biennium	Period	Actual	Target
2019-21	Q1	3	3
2019-21	Q2	3	3
2019-21	Q3	3	3
2019-21	Q4	6	3
2019-21	Q5	3	3
2019-21	Q6	3	3
2019-21	Q7	4	3
2019-21	Q8	3	3
2021-23	Q1	5	3
2021-23	Q2	4	3
2021-23	Q3	4	3
2021-23	Q4	5	3
2021-23	Q5	3	3
2021-23	Q6	4	3
2021-23	Q7	7	3
2021-23	Q8	4	3
2023-25	Q1	3	3
2023-25	Q2	5	3
2023-25	Q3	5	3
2023-25	Q4	6	3
2023-25	Q5	3	3
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

002781 - Quarterly rates of restraint hours at the Child Study and Treatment Center

This measure is derived from Core Metric ABX.12, column ABX.12b • Collaborative, evidence-based approaches are consistent with decreases in restrictive interventions at CSTC, as modeled by training in Motivational Interviewing on Ketron Cottage; Collaborative Problem solving on Camano Cottage; and Dialectical Behavior Therapy on Orcas Cottage.• Planning includes advancing skills in verbal de-escalation through training CSTC's Crisis Prevention (CPI) certified trainers in Life Space Crisis Intervention (LSCI); and partnering with the hospital-based schools in improving behavioral management in the classroom by training in re-education, Positive Behavioral Support, and LSCI. The “Therapeutic Classroom” meeting continues as a joint problem solving venue.

Biennium	Period	Actual	Target
2019-21	Q1	0	0
2019-21	Q2	0	0
2019-21	Q3	0	0
2019-21	Q4	0	0
2019-21	Q5	0	0
2019-21	Q6	0	0
2019-21	Q7	0	0
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
2023-25	Q1	0	0
2023-25	Q2	0	0
2023-25	Q3	0	0
2023-25	Q4	0	0
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

002782 - Quarterly rates of restraint hours at Eastern State Hospital

This measure is derived from Core Metric ABX.4, column ABX.4a. • Identify treatment options to reduce use of restraint that are consistent with the patient’s safety plan, which is developed by the patient and his/her treatment team. • Require daily review by clinical leadership of patients that have been in restraint during the past 24 hours. As a result of the review, the following actions may be taken: on-site conferencing with the registered nurse or medical doctor to review the patient’s status; revision of the patient’s treatment plan; and/or provision of clinical guidance and support. • Collect and review data to determine if patterns exist in the use of restraint across the hospitals. Employ the National Association of State Mental Health Program Directors (NASMHPD) Six Core Strategies to target specific interventions to the needs/challenges of specific areas of the hospitals.

Biennium	Period	Actual	Target
2019-21	Q1	0	0
2019-21	Q2	0	0
2019-21	Q3	0	0
2019-21	Q4	0	0
2019-21	Q5	0	0
2019-21	Q6	0	0
2019-21	Q7	0	0
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
2023-25	Q1	0	0
2023-25	Q2	0	0
2023-25	Q3	0	0
2023-25	Q4	0	0
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

002783 - Quarterly rates of restraint hours at Western State Hospital

This measure is derived from Core Metric ABX.4, column ABX.4b. • Identify treatment options to reduce use of restraint that are consistent with the patient’s safety plan, which is developed by the patient and his/her treatment team. • Require daily review by clinical leadership of patients that have been in restraint during the past 24 hours. As a result of the review, the following actions may be taken: on-site conferencing with the registered nurse or medical doctor to review the patient’s status; revision of the patient’s treatment plan; and/or provision of clinical guidance and support. • Collect and review data to determine if patterns exist in the use of restraint across the hospitals. Employ the National Association of State Mental Health Program Directors (NASMHPD) Six Core Strategies to target specific interventions to the needs/challenges of specific areas of the hospitals.

Biennium	Period	Actual	Target
2019-21	Q1	3	1
2019-21	Q2	3	1
2019-21	Q3	6	1
2019-21	Q4	6	1
2019-21	Q5	6	1
2019-21	Q6	7	1
2019-21	Q7	6	1
2019-21	Q8	4	1
2021-23	Q1	3	1
2021-23	Q2	3	1
2021-23	Q3	4	1
2021-23	Q4	5	1
2021-23	Q5	5	1
2021-23	Q6	5	1
2021-23	Q7	4	1
2021-23	Q8	3	1
2023-25	Q1	4	1
2023-25	Q2	3	1
2023-25	Q3	3	1
2023-25	Q4	3	1
2023-25	Q5	3	1
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	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 2024	FY 2025	Biennium Total

FTE	22.0	20.0	21.0
001 - General Fund
State	3,862,000	3,650,000	7,512,000

	FY 2024	FY 2025	Biennium Total
FTES	11.0	10.0	10.5
GFS	1,931,000.0	1,825,000.0	3,756,000.0
Other
Totals	1,931,000.0	1,825,000.0	3,756,000.0

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 2024	FY 2025	Biennium Total
001 - General Fund
State	157,548,000	175,964,000	333,512,000
Medicaid Federal	137,227,000	151,201,000	288,428,000
001 - General Fund Totals	294,775,000	327,165,000	621,940,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	72,101,000.0	85,237,000.0	157,338,000.0
Other	62,801,000.0	73,242,000.0	136,043,000.0
Totals	134,902,000.0	158,479,000.0	293,381,000.0

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
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	98%	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	98%	98%
2021-23	M10	98%	98%
2021-23	M11	98%	98%
2021-23	M12	98%	98%
2021-23	M13	98%	98%
2021-23	M14	98%	98%
2021-23	M15	98%	98%
2021-23	M16	98%	98%
2021-23	M17	98%	98%
2021-23	M18	99%	98%
2021-23	M19	99%	98%
2021-23	M2	98%	98%
2021-23	M20	99%	98%
2021-23	M21	99%	98%
2021-23	M22	99%	98%
2021-23	M23	99%	98%
2021-23	M24	99%	98%
2021-23	M3	98%	98%
2021-23	M4	98%	98%
2021-23	M5	98%	98%
2021-23	M6	98%	98%
2021-23	M7	98%	98%
2021-23	M8	98%	98%
2021-23	M9	98%	98%
2023-25	M1	99%	99%
2023-25	M10	99%	99%
2023-25	M11	99%	99%
2023-25	M12	99%	99%
2023-25	M13	99%	99%
2023-25	M14	99%	99%
2023-25	M15	99%	99%
2023-25	M16	0%	0%
2023-25	M17	0%	0%
2023-25	M18	0%	0%
2023-25	M19	0%	0%
2023-25	M2	99%	99%
2023-25	M20	0%	0%
2023-25	M21	0%	0%
2023-25	M22	0%	0%
2023-25	M23	0%	0%
2023-25	M24	0%	0%
2023-25	M3	99%	99%
2023-25	M4	99%	99%
2023-25	M5	99%	99%
2023-25	M6	99%	99%
2023-25	M7	99%	99%
2023-25	M8	99%	99%
2023-25	M9	99%	99%

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
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	51%	67%
2021-23	Q1	57%	67%
2021-23	Q2	58%	67%
2021-23	Q3	59%	67%
2021-23	Q4	61%	67%
2021-23	Q5	64%	67%
2021-23	Q6	64%	67%
2021-23	Q7	64%	67%
2021-23	Q8	64%	67%
2023-25	Q1	65%	0%
2023-25	Q2	65%	0%
2023-25	Q3	65%	0%
2023-25	Q4	0%	0%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	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 2024	FY 2025	Biennium Total
001 - General Fund
State	18,138,000	18,434,000	36,572,000
Medicaid Federal	18,072,000	18,214,000	36,286,000
001 - General Fund Totals	36,210,000	36,648,000	72,858,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	9,069,000.0	9,217,000.0	18,286,000.0
Other	9,036,000.0	9,107,000.0	18,143,000.0
Totals	18,105,000.0	18,324,000.0	36,429,000.0

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
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	98%	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	98%	98%
2021-23	M10	98%	98%
2021-23	M11	98%	98%
2021-23	M12	98%	98%
2021-23	M13	98%	98%
2021-23	M14	98%	98%
2021-23	M15	98%	98%
2021-23	M16	98%	98%
2021-23	M17	98%	98%
2021-23	M18	99%	98%
2021-23	M19	99%	98%
2021-23	M2	98%	98%
2021-23	M20	99%	98%
2021-23	M21	99%	98%
2021-23	M22	99%	98%
2021-23	M23	99%	98%
2021-23	M24	99%	98%
2021-23	M3	98%	98%
2021-23	M4	98%	98%
2021-23	M5	98%	98%
2021-23	M6	98%	98%
2021-23	M7	98%	98%
2021-23	M8	98%	98%
2021-23	M9	98%	98%
2023-25	M1	99%	99%
2023-25	M10	99%	99%
2023-25	M11	99%	99%
2023-25	M12	99%	99%
2023-25	M13	99%	99%
2023-25	M14	99%	99%
2023-25	M15	99%	99%
2023-25	M16	0%	0%
2023-25	M17	0%	0%
2023-25	M18	0%	0%
2023-25	M19	0%	0%
2023-25	M2	99%	99%
2023-25	M20	0%	0%
2023-25	M21	0%	0%
2023-25	M22	0%	0%
2023-25	M23	0%	0%
2023-25	M24	0%	0%
2023-25	M3	99%	99%
2023-25	M4	99%	99%
2023-25	M5	99%	99%
2023-25	M6	99%	99%
2023-25	M7	99%	99%
2023-25	M8	99%	99%
2023-25	M9	99%	99%

003122 - DDA - Individual and Family Services (H53) - Clients with Paid Services

Number of DDA clients with paid Individual and Family Services (H53)

Biennium	Period	Actual	Target
2021-23	M1	4,920	6,253
2021-23	M10	4,664	6,362
2021-23	M11	4,601	6,395
2021-23	M12	4,952	6,381
2021-23	M13	4,622	6,291
2021-23	M14	4,587	6,284
2021-23	M15	4,526	6,210
2021-23	M16	4,467	6,193
2021-23	M17	4,421	6,176
2021-23	M18	4,453	6,175
2021-23	M19	4,479	6,177
2021-23	M2	4,846	6,230
2021-23	M20	4,513	6,175
2021-23	M21	4,536	6,228
2021-23	M22	4,564	6,256
2021-23	M23	4,533	6,274
2021-23	M24	4,515	6,245
2021-23	M3	4,766	6,247
2021-23	M4	4,781	6,243
2021-23	M5	4,804	6,258
2021-23	M6	4,782	6,259
2021-23	M7	4,733	6,279
2021-23	M8	4,730	6,289
2021-23	M9	4,756	6,313
2023-25	M1	4,533	6,203
2023-25	M10	4,822	6,317
2023-25	M11	4,800	6,321
2023-25	M12	4,842	6,323
2023-25	M13	4,904	6,347
2023-25	M14	4,847	6,419
2023-25	M15	0	0
2023-25	M16	0	0
2023-25	M17	0	0
2023-25	M18	0	0
2023-25	M19	0	0
2023-25	M2	4,564	6,077
2023-25	M20	0	0
2023-25	M21	0	0
2023-25	M22	0	0
2023-25	M23	0	0
2023-25	M24	0	0
2023-25	M3	4,482	6,068
2023-25	M4	4,525	6,111
2023-25	M5	4,546	6,136
2023-25	M6	4,550	6,152
2023-25	M7	4,624	6,186
2023-25	M8	4,673	6,823
2023-25	M9	4,753	6,310

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 2024	FY 2025	Biennium Total

FTE	2,359.0	2,414.4	2,386.7
001 - General Fund
State	171,026,000	175,612,000	346,638,000
Medicaid Federal	130,800,000	134,449,000	265,249,000
001 - General Fund Totals	301,826,000	310,061,000	611,887,000

	FY 2024	FY 2025	Biennium Total
FTES	1,184.0	1,230.4	1,207.2
GFS	86,149,000.0	89,914,000.0	176,063,000.0
Other	65,862,000.0	68,831,000.0	134,693,000.0
Totals	152,011,000.0	158,745,000.0	310,756,000.0

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
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	98%	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	98%	98%
2021-23	M10	98%	98%
2021-23	M11	98%	98%
2021-23	M12	98%	98%
2021-23	M13	98%	98%
2021-23	M14	98%	98%
2021-23	M15	98%	98%
2021-23	M16	98%	98%
2021-23	M17	98%	98%
2021-23	M18	99%	98%
2021-23	M19	99%	98%
2021-23	M2	98%	98%
2021-23	M20	99%	98%
2021-23	M21	99%	98%
2021-23	M22	99%	98%
2021-23	M23	99%	98%
2021-23	M24	99%	98%
2021-23	M3	98%	98%
2021-23	M4	98%	98%
2021-23	M5	98%	98%
2021-23	M6	98%	98%
2021-23	M7	98%	98%
2021-23	M8	98%	98%
2021-23	M9	98%	98%
2023-25	M1	99%	99%
2023-25	M10	99%	99%
2023-25	M11	99%	99%
2023-25	M12	99%	99%
2023-25	M13	99%	99%
2023-25	M14	99%	99%
2023-25	M15	99%	99%
2023-25	M16	0%	0%
2023-25	M17	0%	0%
2023-25	M18	0%	0%
2023-25	M19	0%	0%
2023-25	M2	99%	99%
2023-25	M20	0%	0%
2023-25	M21	0%	0%
2023-25	M22	0%	0%
2023-25	M23	0%	0%
2023-25	M24	0%	0%
2023-25	M3	99%	99%
2023-25	M4	99%	99%
2023-25	M5	99%	99%
2023-25	M6	99%	99%
2023-25	M7	99%	99%
2023-25	M8	99%	99%
2023-25	M9	99%	99%

002691 - Percent of initial assessments completed on time for clients with developmental disabilities

This measure is derived from Core Metric ADX.1, column ADX.1b. • This measures the percentage of initial assessments for clients receiving DDA HCBS waiver or Medicaid Personal Care services that are completed on or before the end of their Individual Service Plan and the percentage of assessments completed within 30 days for New and No-Paid service clients who have requested a DDA paid service. • Late initial assessments are related to case managers waiting to complete assessments until clients/families have identified a paid provider. DDA is looking at steps to refine our process to account for the need to complete an assessment on-time and the requirement to have a paid provider identified before the assessment can be completed.

Biennium	Period	Actual	Target
2019-21	M1	78%	98%
2019-21	M10	56%	98%
2019-21	M11	94%	98%
2019-21	M12	97%	98%
2019-21	M13	68%	90%
2019-21	M14	100%	90%
2019-21	M15	100%	90%
2019-21	M16	60%	90%
2019-21	M17	94%	90%
2019-21	M18	100%	90%
2019-21	M19	70%	90%
2019-21	M2	94%	98%
2019-21	M20	95%	90%
2019-21	M21	100%	90%
2019-21	M22	71%	90%
2019-21	M23	92%	90%
2019-21	M24	96%	90%
2019-21	M3	100%	98%
2019-21	M4	71%	98%
2019-21	M5	92%	98%
2019-21	M6	92%	98%
2019-21	M7	93%	98%
2019-21	M8	100%	98%
2019-21	M9	90%	98%
2021-23	M1	58%	95%
2021-23	M10	70%	95%
2021-23	M11	80%	95%
2021-23	M12	96%	95%
2021-23	M13	100%	99%
2021-23	M14	100%	99%
2021-23	M15	97%	99%
2021-23	M16	70%	99%
2021-23	M17	94%	99%
2021-23	M18	93%	99%
2021-23	M19	91%	99%
2021-23	M2	88%	95%
2021-23	M20	91%	99%
2021-23	M21	92%	99%
2021-23	M22	79%	99%
2021-23	M23	75%	99%
2021-23	M24	79%	99%
2021-23	M3	93%	95%
2021-23	M4	100%	95%
2021-23	M5	100%	95%
2021-23	M6	100%	95%
2021-23	M7	77%	95%
2021-23	M8	100%	95%
2021-23	M9	90%	95%
2023-25	M1	68%	99%
2023-25	M10	61%	99%
2023-25	M11	63%	99%
2023-25	M12	75%	99%
2023-25	M13	0%	0%
2023-25	M14	0%	0%
2023-25	M15	0%	0%
2023-25	M16	0%	0%
2023-25	M17	0%	0%
2023-25	M18	0%	0%
2023-25	M19	0%	0%
2023-25	M2	70%	99%
2023-25	M20	0%	0%
2023-25	M21	0%	0%
2023-25	M22	0%	0%
2023-25	M23	0%	0%
2023-25	M24	0%	0%
2023-25	M3	81%	99%
2023-25	M4	68%	99%
2023-25	M5	71%	99%
2023-25	M6	68%	99%
2023-25	M7	68%	99%
2023-25	M8	68%	99%
2023-25	M9	71%	99%

002710 - Percent of assessments completed on time for developmental disabilities clients requesting services

This measure is derived from Strategic Plan measure 1.1 (ADX.1), average of columns, ADX.1e, ADX.1h, and ADX.1k reporting last month of each quarter. • This measures the percentage of assessments for clients receiving DDA HCBS waiver or Medicaid Personal Care services that are completed on or before the end of their Individual Service Plan and the percentage of assessments completed within 30 days for New and No-Paid service clients who have requested a DDA paid service. • Late initial assessments are related to case managers waiting to complete assessments until clients/families have identified a paid provider. DDA is looking at steps to refine our process to account for the need to complete an assessment on-time and the requirement to have a paid provider identified before the assessment can be completed. • Updated discussion and action plans for this measure are located in the DDA Strategic Plan, Strategic Objective 1.1.

Biennium	Period	Actual	Target
2019-21	Q1	99%	99%
2019-21	Q2	100%	99%
2019-21	Q3	99%	100%
2019-21	Q4	100%	100%
2019-21	Q5	99%	100%
2019-21	Q6	99%	99%
2019-21	Q7	99%	99%
2019-21	Q8	99%	99%
2021-23	Q1	99%	99%
2021-23	Q2	80%	99%
2021-23	Q3	99%	99%
2021-23	Q4	99%	99%
2021-23	Q5	98%	99%
2021-23	Q6	99%	99%
2021-23	Q7	99%	99%
2021-23	Q8	100%	99%
2023-25	Q1	99%	99%
2023-25	Q2	99%	99%
2023-25	Q3	99%	99%
2023-25	Q4	100%	99%
2023-25	Q5	99%	99%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

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 2024	FY 2025	Biennium Total

FTE	35.2	36.2	35.7
001 - General Fund
State	10,164,000	11,090,000	21,254,000

	FY 2024	FY 2025	Biennium Total
FTES	17.6	18.6	18.1
GFS	5,070,000.0	5,996,000.0	11,066,000.0
Other
Totals	5,070,000.0	5,996,000.0	11,066,000.0

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
2019-21	A2	485	690
2019-21	A3	546	690
2021-23	A2	535	700
2021-23	A3	556	700
2023-25	A2	240	700
2023-25	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 2024	FY 2025	Biennium Total
001 - General Fund
State	74,658,000	78,284,000	152,942,000
Medicaid Federal	52,767,000	55,054,000	107,821,000
001 - General Fund Totals	127,425,000	133,338,000	260,763,000
851 - Developmental Dis Comm Service Acct
State	62,240,000	2,000,000	64,240,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	38,683,000.0	41,634,000.0	80,317,000.0
Other	58,835,000.0	30,229,000.0	89,064,000.0
Totals	97,518,000.0	71,863,000.0	169,381,000.0

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
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	98%	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	98%	98%
2021-23	M10	98%	98%
2021-23	M11	98%	98%
2021-23	M12	98%	98%
2021-23	M13	98%	98%
2021-23	M14	98%	98%
2021-23	M15	98%	98%
2021-23	M16	98%	98%
2021-23	M17	98%	98%
2021-23	M18	99%	98%
2021-23	M19	99%	98%
2021-23	M2	98%	98%
2021-23	M20	99%	98%
2021-23	M21	99%	98%
2021-23	M22	99%	98%
2021-23	M23	99%	98%
2021-23	M24	99%	98%
2021-23	M3	98%	98%
2021-23	M4	98%	98%
2021-23	M5	98%	98%
2021-23	M6	98%	98%
2021-23	M7	98%	98%
2021-23	M8	98%	98%
2021-23	M9	98%	98%
2023-25	M1	99%	99%
2023-25	M10	99%	99%
2023-25	M11	99%	99%
2023-25	M12	99%	99%
2023-25	M13	99%	99%
2023-25	M14	99%	99%
2023-25	M15	99%	99%
2023-25	M16	0%	0%
2023-25	M17	0%	0%
2023-25	M18	0%	0%
2023-25	M19	0%	0%
2023-25	M2	99%	99%
2023-25	M20	0%	0%
2023-25	M21	0%	0%
2023-25	M22	0%	0%
2023-25	M23	0%	0%
2023-25	M24	0%	0%
2023-25	M3	99%	99%
2023-25	M4	99%	99%
2023-25	M5	99%	99%
2023-25	M6	99%	99%
2023-25	M7	99%	99%
2023-25	M8	99%	99%
2023-25	M9	99%	99%

003121 - DDA - Respite Services (H81) - Clients with Paid Services

Number of DDA clients with paid Respite Services (H81)

Biennium	Period	Actual
2021-23	M1	3,083
2021-23	M10	3,072
2021-23	M11	3,132
2021-23	M12	3,999
2021-23	M13	3,345
2021-23	M14	3,453
2021-23	M15	3,378
2021-23	M16	3,483
2021-23	M17	3,433
2021-23	M18	3,520
2021-23	M19	3,558
2021-23	M2	3,058
2021-23	M20	3,557
2021-23	M21	3,702
2021-23	M22	3,694
2021-23	M23	3,797
2021-23	M24	3,935
2021-23	M3	3,088
2021-23	M4	3,137
2021-23	M5	3,124
2021-23	M6	3,113
2021-23	M7	2,957
2021-23	M8	2,933
2021-23	M9	3,114
2023-25	M1	3,960
2023-25	M10	4,123
2023-25	M11	4,197
2023-25	M12	4,261
2023-25	M13	4,238
2023-25	M14	4,085
2023-25	M15	0
2023-25	M16	0
2023-25	M17	0
2023-25	M18	0
2023-25	M19	0
2023-25	M2	4,036
2023-25	M20	0
2023-25	M21	0
2023-25	M22	0
2023-25	M23	0
2023-25	M24	0
2023-25	M3	3,907
2023-25	M4	4,041
2023-25	M5	3,972
2023-25	M6	3,947
2023-25	M7	3,933
2023-25	M8	3,965
2023-25	M9	4,101

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 2024	FY 2025	Biennium Total
001 - General Fund
State	749,068,000	815,179,000	1,564,247,000
Local	434,000	434,000	868,000
Medicaid Federal	970,966,000	1,015,199,000	1,986,165,000
001 - General Fund Totals	1,720,468,000	1,830,812,000	3,551,280,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	378,100,000.0	408,302,000.0	786,402,000.0
Other	492,221,000.0	510,770,000.0	1,002,991,000.0
Totals	870,321,000.0	919,072,000.0	1,789,393,000.0

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
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	98%	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	98%	98%
2021-23	M10	98%	98%
2021-23	M11	98%	98%
2021-23	M12	98%	98%
2021-23	M13	98%	98%
2021-23	M14	98%	98%
2021-23	M15	98%	98%
2021-23	M16	98%	98%
2021-23	M17	98%	98%
2021-23	M18	99%	98%
2021-23	M19	99%	98%
2021-23	M2	98%	98%
2021-23	M20	99%	98%
2021-23	M21	99%	98%
2021-23	M22	99%	98%
2021-23	M23	99%	98%
2021-23	M24	99%	98%
2021-23	M3	98%	98%
2021-23	M4	98%	98%
2021-23	M5	98%	98%
2021-23	M6	98%	98%
2021-23	M7	98%	98%
2021-23	M8	98%	98%
2021-23	M9	98%	98%
2023-25	M1	99%	99%
2023-25	M10	99%	99%
2023-25	M11	99%	99%
2023-25	M12	99%	99%
2023-25	M13	99%	99%
2023-25	M14	99%	99%
2023-25	M15	99%	99%
2023-25	M16	0%	0%
2023-25	M17	0%	0%
2023-25	M18	0%	0%
2023-25	M19	0%	0%
2023-25	M2	99%	99%
2023-25	M20	0%	0%
2023-25	M21	0%	0%
2023-25	M22	0%	0%
2023-25	M23	0%	0%
2023-25	M24	0%	0%
2023-25	M3	99%	99%
2023-25	M4	99%	99%
2023-25	M5	99%	99%
2023-25	M6	99%	99%
2023-25	M7	99%	99%
2023-25	M8	99%	99%
2023-25	M9	99%	99%

003120 - DDA - Personal Care (H52) - Clients with Paid Services - Actual

Number of DDA clients with paid Personal Care services (H52)

Biennium	Period	Actual	Target
2021-23	M1	16,416	0
2021-23	M10	15,895	0
2021-23	M11	15,942	0
2021-23	M12	18,561	0
2021-23	M13	16,023	0
2021-23	M14	16,183	0
2021-23	M15	16,232	0
2021-23	M16	16,244	0
2021-23	M17	16,245	0
2021-23	M18	16,305	0
2021-23	M19	16,459	0
2021-23	M2	16,405	0
2021-23	M20	16,464	0
2021-23	M21	16,620	0
2021-23	M22	16,698	0
2021-23	M23	16,835	0
2021-23	M24	16,895	0
2021-23	M3	16,268	0
2021-23	M4	16,312	0
2021-23	M5	16,330	0
2021-23	M6	16,280	0
2021-23	M7	16,173	0
2021-23	M8	16,156	0
2021-23	M9	16,110	0
2023-25	M1	16,946	16,561
2023-25	M10	17,639	16,899
2023-25	M11	17,760	16,937
2023-25	M12	17,897	16,973
2023-25	M13	18,000	16,994
2023-25	M14	18,012	17,020
2023-25	M15	0	0
2023-25	M16	0	0
2023-25	M17	0	0
2023-25	M18	0	0
2023-25	M19	0	0
2023-25	M2	17,007	16,588
2023-25	M20	0	0
2023-25	M21	0	0
2023-25	M22	0	0
2023-25	M23	0	0
2023-25	M24	0	0
2023-25	M3	16,992	16,553
2023-25	M4	17,149	16,701
2023-25	M5	17,185	16,743
2023-25	M6	17,106	16,770
2023-25	M7	17,204	16,804
2023-25	M8	17,324	16,837
2023-25	M9	17,492	16,866

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 2024	FY 2025	Biennium Total
001 - General Fund
State	25,375,000	32,004,000	57,379,000
Medicaid Federal	22,334,000	26,415,000	48,749,000
001 - General Fund Totals	47,709,000	58,419,000	106,128,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	12,754,000.0	16,681,000.0	29,435,000.0
Other	11,167,000.0	13,752,000.0	24,919,000.0
Totals	23,921,000.0	30,433,000.0	54,354,000.0

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
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	98%	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	98%	98%
2021-23	M10	98%	98%
2021-23	M11	98%	98%
2021-23	M12	98%	98%
2021-23	M13	98%	98%
2021-23	M14	98%	98%
2021-23	M15	98%	98%
2021-23	M16	98%	98%
2021-23	M17	98%	98%
2021-23	M18	99%	98%
2021-23	M19	99%	98%
2021-23	M2	98%	98%
2021-23	M20	99%	98%
2021-23	M21	99%	98%
2021-23	M22	99%	98%
2021-23	M23	99%	98%
2021-23	M24	99%	98%
2021-23	M3	98%	98%
2021-23	M4	98%	98%
2021-23	M5	98%	98%
2021-23	M6	98%	98%
2021-23	M7	98%	98%
2021-23	M8	98%	98%
2021-23	M9	98%	98%
2023-25	M1	99%	99%
2023-25	M10	99%	99%
2023-25	M11	99%	99%
2023-25	M12	99%	99%
2023-25	M13	99%	99%
2023-25	M14	99%	99%
2023-25	M15	99%	99%
2023-25	M16	0%	0%
2023-25	M17	0%	0%
2023-25	M18	0%	0%
2023-25	M19	0%	0%
2023-25	M2	99%	99%
2023-25	M20	0%	0%
2023-25	M21	0%	0%
2023-25	M22	0%	0%
2023-25	M23	0%	0%
2023-25	M24	0%	0%
2023-25	M3	99%	99%
2023-25	M4	99%	99%
2023-25	M5	99%	99%
2023-25	M6	99%	99%
2023-25	M7	99%	99%
2023-25	M8	99%	99%
2023-25	M9	99%	99%

003119 - DDA - Professional Services (H54) - Clients with Paid Services

Number of DDA clients with paid Professional Services (H54)

Biennium	Period	Actual
2021-23	M1	1,625
2021-23	M10	1,801
2021-23	M11	1,810
2021-23	M12	1,914
2021-23	M13	1,886
2021-23	M14	1,973
2021-23	M15	1,974
2021-23	M16	2,014
2021-23	M17	2,036
2021-23	M18	2,036
2021-23	M19	2,128
2021-23	M2	1,584
2021-23	M20	2,163
2021-23	M21	2,233
2021-23	M22	2,286
2021-23	M23	2,377
2021-23	M24	2,355
2021-23	M3	1,613
2021-23	M4	1,668
2021-23	M5	1,659
2021-23	M6	1,665
2021-23	M7	1,657
2021-23	M8	1,701
2021-23	M9	1,788
2023-25	M1	2,339
2023-25	M10	2,649
2023-25	M11	2,618
2023-25	M12	2,627
2023-25	M13	2,602
2023-25	M14	2,574
2023-25	M15	0
2023-25	M16	0
2023-25	M17	0
2023-25	M18	0
2023-25	M19	0
2023-25	M2	2,428
2023-25	M20	0
2023-25	M21	0
2023-25	M22	0
2023-25	M23	0
2023-25	M24	0
2023-25	M3	2,430
2023-25	M4	2,496
2023-25	M5	2,510
2023-25	M6	2,497
2023-25	M7	2,519
2023-25	M8	2,570
2023-25	M9	2,656

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 2024	FY 2025	Biennium Total

FTE	47.4	47.4	47.4
001 - General Fund
State	7,817,000	7,971,000	15,788,000
Medicaid Federal	5,672,000	5,716,000	11,388,000
001 - General Fund Totals	13,489,000	13,687,000	27,176,000

	FY 2024	FY 2025	Biennium Total
FTES	23.7	23.7	23.7
GFS	3,648,000.0	3,726,000.0	7,374,000.0
Other	2,660,000.0	2,683,000.0	5,343,000.0
Totals	6,308,000.0	6,409,000.0	12,717,000.0

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 2024	FY 2025	Biennium Total

FTE	5,334.6	5,335.8	5,335.2
001 - General Fund
State	277,275,000	281,696,000	558,971,000
Local	19,520,000	19,456,000	38,976,000
Medicaid Federal	255,932,000	254,043,000	509,975,000
001 - General Fund Totals	552,727,000	555,195,000	1,107,922,000

	FY 2024	FY 2025	Biennium Total
FTES	2,667.3	2,668.4	2,667.9
GFS	138,715,000.0	141,014,000.0	279,729,000.0
Other	137,748,000.0	136,858,000.0	274,606,000.0
Totals	276,463,000.0	277,872,000.0	554,335,000.0

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
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	98%	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	98%	98%
2021-23	M10	98%	98%
2021-23	M11	98%	98%
2021-23	M12	98%	98%
2021-23	M13	98%	98%
2021-23	M14	98%	98%
2021-23	M15	98%	98%
2021-23	M16	98%	98%
2021-23	M17	98%	98%
2021-23	M18	99%	98%
2021-23	M19	99%	98%
2021-23	M2	98%	98%
2021-23	M20	99%	98%
2021-23	M21	99%	98%
2021-23	M22	99%	98%
2021-23	M23	99%	98%
2021-23	M24	99%	98%
2021-23	M3	98%	98%
2021-23	M4	98%	98%
2021-23	M5	98%	98%
2021-23	M6	98%	98%
2021-23	M7	98%	98%
2021-23	M8	98%	98%
2021-23	M9	98%	98%
2023-25	M1	99%	99%
2023-25	M10	99%	99%
2023-25	M11	99%	99%
2023-25	M12	99%	99%
2023-25	M13	99%	99%
2023-25	M14	99%	99%
2023-25	M15	99%	99%
2023-25	M16	0%	0%
2023-25	M17	0%	0%
2023-25	M18	0%	0%
2023-25	M19	0%	0%
2023-25	M2	99%	99%
2023-25	M20	0%	0%
2023-25	M21	0%	0%
2023-25	M22	0%	0%
2023-25	M23	0%	0%
2023-25	M24	0%	0%
2023-25	M3	99%	99%
2023-25	M4	99%	99%
2023-25	M5	99%	99%
2023-25	M6	99%	99%
2023-25	M7	99%	99%
2023-25	M8	99%	99%
2023-25	M9	99%	99%

002711 - Average length of stay at Residential Habilitation Centers (RHCs)

This measure is derived from SP Measure 4.2, column ADX.12a. • Emergent Short Term Stays are taxing on RHC staffing, funding, and bed space. Improved communication between the families, regional offices and the RHCs will aid in providing timely and consistent supports for individuals with developmental disabilities. • Updated discussion and action plans for this measure are located in the DDA Strategic Plan, Strategic Objective 4.2.

Biennium	Period	Actual	Target
2019-21	A2	167	120
2019-21	A3	236	90
2021-23	A2	129	120
2021-23	A3	131	120
2023-25	A2	0	0
2023-25	A3	0	0

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 2024	FY 2025	Biennium Total
001 - General Fund
State	951,761,000	970,945,000	1,922,706,000
Local	3,524,000	3,524,000	7,048,000
Medicaid Federal	963,205,000	944,325,000	1,907,530,000
001 - General Fund Totals	1,918,490,000	1,918,794,000	3,837,284,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	476,129,000.0	490,262,000.0	966,391,000.0
Other	484,684,000.0	477,914,000.0	962,598,000.0
Totals	960,813,000.0	968,176,000.0	1,928,989,000.0

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
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	98%	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	98%	98%
2021-23	M10	98%	98%
2021-23	M11	98%	98%
2021-23	M12	98%	98%
2021-23	M13	98%	98%
2021-23	M14	98%	98%
2021-23	M15	98%	98%
2021-23	M16	98%	98%
2021-23	M17	98%	98%
2021-23	M18	99%	98%
2021-23	M19	99%	98%
2021-23	M2	98%	98%
2021-23	M20	99%	98%
2021-23	M21	99%	98%
2021-23	M22	99%	98%
2021-23	M23	99%	98%
2021-23	M24	99%	98%
2021-23	M3	98%	98%
2021-23	M4	98%	98%
2021-23	M5	98%	98%
2021-23	M6	98%	98%
2021-23	M7	98%	98%
2021-23	M8	98%	98%
2021-23	M9	98%	98%
2023-25	M1	99%	99%
2023-25	M10	99%	99%
2023-25	M11	99%	99%
2023-25	M12	99%	99%
2023-25	M13	99%	99%
2023-25	M14	99%	99%
2023-25	M15	99%	99%
2023-25	M16	0%	0%
2023-25	M17	0%	0%
2023-25	M18	0%	0%
2023-25	M19	0%	0%
2023-25	M2	99%	99%
2023-25	M20	0%	0%
2023-25	M21	0%	0%
2023-25	M22	0%	0%
2023-25	M23	0%	0%
2023-25	M24	0%	0%
2023-25	M3	99%	99%
2023-25	M4	99%	99%
2023-25	M5	99%	99%
2023-25	M6	99%	99%
2023-25	M7	99%	99%
2023-25	M8	99%	99%
2023-25	M9	99%	99%

003118 - DDA - Residential Programs (H51) by Month of Service - Clients with Paid Services

Number of DDA clients with paid Residential Services (H51)

Biennium	Period	Actual	Target
2021-23	M1	4,563	0
2021-23	M10	4,513	0
2021-23	M11	4,503	0
2021-23	M12	4,483	0
2021-23	M13	4,456	0
2021-23	M14	4,503	0
2021-23	M15	4,462	0
2021-23	M16	4,443	0
2021-23	M17	4,491	0
2021-23	M18	4,468	0
2021-23	M19	4,442	0
2021-23	M2	4,590	0
2021-23	M20	4,472	0
2021-23	M21	4,465	0
2021-23	M22	4,463	0
2021-23	M23	4,504	0
2021-23	M24	4,501	0
2021-23	M3	4,558	0
2021-23	M4	4,546	0
2021-23	M5	4,570	0
2021-23	M6	4,525	0
2021-23	M7	4,480	0
2021-23	M8	4,519	0
2021-23	M9	4,490	0
2023-25	M1	4,504	4,308
2023-25	M10	4,565	4,350
2023-25	M11	4,586	4,355
2023-25	M12	4,531	4,360
2023-25	M13	4,580	4,366
2023-25	M14	4,519	4,373
2023-25	M15	0	0
2023-25	M16	0	0
2023-25	M17	0	0
2023-25	M18	0	0
2023-25	M19	0	0
2023-25	M2	4,499	4,309
2023-25	M20	0	0
2023-25	M21	0	0
2023-25	M22	0	0
2023-25	M23	0	0
2023-25	M24	0	0
2023-25	M3	4,481	4,308
2023-25	M4	4,544	4,314
2023-25	M5	4,514	4,325
2023-25	M6	4,523	4,329
2023-25	M7	4,532	4,335
2023-25	M8	4,532	4,340
2023-25	M9	4,562	4,344

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 2024	FY 2025	Biennium Total

FTE	1,947.4	1,947.4	1,947.4
001 - General Fund
State	99,911,000	101,342,000	201,253,000
Local	100,000	100,000	200,000
Medicaid Federal	98,168,000	97,752,000	195,920,000
001 - General Fund Totals	198,179,000	199,194,000	397,373,000

	FY 2024	FY 2025	Biennium Total
FTES	973.7	973.7	973.7
GFS	49,979,000.0	50,706,000.0	100,685,000.0
Other	49,139,000.0	48,976,000.0	98,115,000.0
Totals	99,118,000.0	99,682,000.0	198,800,000.0

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
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	98%	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	98%	98%
2021-23	M10	98%	98%
2021-23	M11	98%	98%
2021-23	M12	98%	98%
2021-23	M13	98%	98%
2021-23	M14	98%	98%
2021-23	M15	98%	98%
2021-23	M16	98%	98%
2021-23	M17	98%	98%
2021-23	M18	99%	98%
2021-23	M19	99%	98%
2021-23	M2	98%	98%
2021-23	M20	99%	98%
2021-23	M21	99%	98%
2021-23	M22	99%	98%
2021-23	M23	99%	98%
2021-23	M24	99%	98%
2021-23	M3	98%	98%
2021-23	M4	98%	98%
2021-23	M5	98%	98%
2021-23	M6	98%	98%
2021-23	M7	98%	98%
2021-23	M8	98%	98%
2021-23	M9	98%	98%
2023-25	M1	99%	99%
2023-25	M10	99%	99%
2023-25	M11	99%	99%
2023-25	M12	99%	99%
2023-25	M13	99%	99%
2023-25	M14	99%	99%
2023-25	M15	99%	99%
2023-25	M16	0%	0%
2023-25	M17	0%	0%
2023-25	M18	0%	0%
2023-25	M19	0%	0%
2023-25	M2	99%	99%
2023-25	M20	0%	0%
2023-25	M21	0%	0%
2023-25	M22	0%	0%
2023-25	M23	0%	0%
2023-25	M24	0%	0%
2023-25	M3	99%	99%
2023-25	M4	99%	99%
2023-25	M5	99%	99%
2023-25	M6	99%	99%
2023-25	M7	99%	99%
2023-25	M8	99%	99%
2023-25	M9	99%	99%

003116 - DDA - State Operated Living Alternatives (SOLA - H59) Residents

Number of DDA clients with paid Professional Services (H54)

Biennium	Period	Actual
2021-23	M1	215
2021-23	M10	210
2021-23	M11	207
2021-23	M12	210
2021-23	M13	212
2021-23	M14	214
2021-23	M15	211
2021-23	M16	212
2021-23	M17	209
2021-23	M18	213
2021-23	M19	213
2021-23	M2	217
2021-23	M20	214
2021-23	M21	214
2021-23	M22	212
2021-23	M23	219
2021-23	M24	220
2021-23	M3	213
2021-23	M4	213
2021-23	M5	213
2021-23	M6	209
2021-23	M7	209
2021-23	M8	211
2021-23	M9	212
2023-25	M1	221
2023-25	M10	227
2023-25	M11	228
2023-25	M12	222
2023-25	M13	228
2023-25	M14	225
2023-25	M15	0
2023-25	M16	0
2023-25	M17	0
2023-25	M18	0
2023-25	M19	0
2023-25	M2	223
2023-25	M20	0
2023-25	M21	0
2023-25	M22	0
2023-25	M23	0
2023-25	M24	0
2023-25	M3	222
2023-25	M4	221
2023-25	M5	219
2023-25	M6	222
2023-25	M7	226
2023-25	M8	227
2023-25	M9	226

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 2024	FY 2025	Biennium Total

FTE	117.4	259.2	188.3
001 - General Fund
State	11,966,000	27,319,000	39,285,000
Medicaid Federal	2,627,000	7,320,000	9,947,000
001 - General Fund Totals	14,593,000	34,639,000	49,232,000

	FY 2024	FY 2025	Biennium Total
FTES	60.7	165.1	112.9
GFS	7,090,000.0	18,638,000.0	25,728,000.0
Other	1,312,000.0	5,067,000.0	6,379,000.0
Totals	8,402,000.0	23,705,000.0	32,107,000.0

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
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	98%	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	98%	98%
2021-23	M10	98%	98%
2021-23	M11	98%	98%
2021-23	M12	98%	98%
2021-23	M13	98%	98%
2021-23	M14	98%	98%
2021-23	M15	98%	98%
2021-23	M16	98%	98%
2021-23	M17	98%	98%
2021-23	M18	99%	98%
2021-23	M19	99%	98%
2021-23	M2	98%	98%
2021-23	M20	99%	98%
2021-23	M21	99%	98%
2021-23	M22	99%	98%
2021-23	M23	99%	98%
2021-23	M24	99%	98%
2021-23	M3	98%	98%
2021-23	M4	98%	98%
2021-23	M5	98%	98%
2021-23	M6	98%	98%
2021-23	M7	98%	98%
2021-23	M8	98%	98%
2021-23	M9	98%	98%
2023-25	M1	99%	99%
2023-25	M10	99%	99%
2023-25	M11	99%	99%
2023-25	M12	99%	99%
2023-25	M13	99%	99%
2023-25	M14	99%	99%
2023-25	M15	99%	99%
2023-25	M16	0%	0%
2023-25	M17	0%	0%
2023-25	M18	0%	0%
2023-25	M19	0%	0%
2023-25	M2	99%	99%
2023-25	M20	0%	0%
2023-25	M21	0%	0%
2023-25	M22	0%	0%
2023-25	M23	0%	0%
2023-25	M24	0%	0%
2023-25	M3	99%	99%
2023-25	M4	99%	99%
2023-25	M5	99%	99%
2023-25	M6	99%	99%
2023-25	M7	99%	99%
2023-25	M8	99%	99%
2023-25	M9	99%	99%

003117 - DDA - Community Crisis Stabilization Services (H60) Residents

Number of residents in Community Crisis Stabilization Services (H60)

Biennium	Period	Actual
2021-23	M1	3
2021-23	M10	4
2021-23	M11	3
2021-23	M12	3
2021-23	M13	3
2021-23	M14	3
2021-23	M15	4
2021-23	M16	4
2021-23	M17	4
2021-23	M18	5
2021-23	M19	3
2021-23	M2	2
2021-23	M20	3
2021-23	M21	3
2021-23	M22	4
2021-23	M23	7
2021-23	M24	5
2021-23	M3	2
2021-23	M4	2
2021-23	M5	1
2021-23	M6	0
2021-23	M7	1
2021-23	M8	3
2021-23	M9	3
2023-25	M1	5
2023-25	M10	4
2023-25	M11	3
2023-25	M12	3
2023-25	M13	3
2023-25	M14	3
2023-25	M15	0
2023-25	M16	0
2023-25	M17	0
2023-25	M18	0
2023-25	M19	0
2023-25	M2	7
2023-25	M20	0
2023-25	M21	0
2023-25	M22	0
2023-25	M23	0
2023-25	M24	0
2023-25	M3	6
2023-25	M4	7
2023-25	M5	9
2023-25	M6	6
2023-25	M7	6
2023-25	M8	5
2023-25	M9	4

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 2024	FY 2025	Biennium Total
001 - General Fund
State	(8,831,000)	(9,222,000)	(18,053,000)
Medicaid Federal	(10,502,000)	(10,548,000)	(21,050,000)
001 - General Fund Totals	(19,333,000)	(19,770,000)	(39,103,000)

	FY 2024	FY 2025	Biennium Total
FTES
GFS	(8,831,000.0)	(9,222,000.0)	(18,053,000.0)
Other	(10,502,000.0)	(10,548,000.0)	(21,050,000.0)
Totals	(19,333,000.0)	(19,770,000.0)	(39,103,000.0)

001316 - Maximize recoveries for DSHS, DEL, and HCA

Recoveries for the Department of Social and Health Services (DSHS) provided by the Office of Financial Recovery (OFR). (Dollars are rounded to thousands prior to the 2009-11 Biennium.)

Biennium	Period	Actual	Target
2019-21	M1	$24,427,742.00	$21,741,220.00
2019-21	M10	$28,269,908.00	$21,719,412.00
2019-21	M11	$20,171,233.00	$21,246,413.00
2019-21	M12	$34,855,543.00	$21,384,856.00
2019-21	M13	$21,008,415.00	$19,031,199.00
2019-21	M14	$24,223,421.00	$19,384,262.00
2019-21	M15	$22,476,113.00	$19,039,547.00
2019-21	M16	$22,722,272.00	$18,935,744.00
2019-21	M17	$22,603,489.00	$19,196,705.00
2019-21	M18	$70,194,919.00	$19,467,646.00
2019-21	M19	$53,930,939.00	$19,139,746.00
2019-21	M2	$24,638,376.00	$22,617,547.00
2019-21	M20	$32,170,458.00	$19,007,409.00
2019-21	M21	$26,609,201.00	$19,054,394.00
2019-21	M22	$23,898,251.00	$18,920,602.00
2019-21	M23	$23,774,217.00	$18,929,754.00
2019-21	M24	$53,498,501.00	$19,589,897.00
2019-21	M3	$23,473,315.00	$21,764,252.00
2019-21	M4	$22,455,962.00	$21,782,975.00
2019-21	M5	$22,859,568.00	$22,015,426.00
2019-21	M6	$22,237,214.00	$22,378,556.00
2019-21	M7	$21,688,956.00	$22,864,829.00
2019-21	M8	$24,365,961.00	$22,212,056.00
2019-21	M9	$23,729,290.00	$22,536,499.00
2021-23	M1	$23,687,428.00	$24,521,874.00
2021-23	M10	$36,316,188.00	$26,041,746.00
2021-23	M11	$24,592,363.00	$24,835,278.00
2021-23	M12	$29,327,374.00	$36,194,650.00
2021-23	M13	$23,049,405.00	$25,752,321.00
2021-23	M14	$28,839,556.00	$26,496,793.00
2021-23	M15	$24,013,063.00	$26,799,291.00
2021-23	M16	$21,788,791.00	$26,817,089.00
2021-23	M17	$22,627,407.00	$28,175,070.00
2021-23	M18	$21,610,191.00	$27,078,073.00
2021-23	M19	$22,731,482.00	$26,978,985.00
2021-23	M2	$25,211,447.00	$25,113,210.00
2021-23	M20	$22,067,718.00	$27,510,471.00
2021-23	M21	$21,266,946.00	$27,600,044.00
2021-23	M22	$29,559,848.00	$29,869,051.00
2021-23	M23	$35,305,004.00	$27,406,309.00
2021-23	M24	$31,332,867.00	$39,578,177.00
2021-23	M3	$27,365,649.00	$24,235,782.00
2021-23	M4	$29,462,921.00	$24,402,450.00
2021-23	M5	$25,019,399.00	$25,734,697.00
2021-23	M6	$22,307,649.00	$24,703,054.00
2021-23	M7	$25,437,315.00	$24,464,563.00
2021-23	M8	$23,109,052.00	$25,080,598.00
2021-23	M9	$23,408,601.00	$24,856,316.00
2023-25	M1	$29,727,570.00	$23,284,800.00
2023-25	M10	$26,834,895.00	$29,324,485.00
2023-25	M11	$34,866,433.00	$26,846,927.00
2023-25	M12	$41,905,163.00	$34,077,008.00
2023-25	M13	$27,774,956.00	$25,327,923.00
2023-25	M14	$29,238,781.00	$25,505,588.00
2023-25	M15	$27,635,012.00	$26,134,035.00
2023-25	M16	$0.00	$0.00
2023-25	M17	$0.00	$0.00
2023-25	M18	$0.00	$0.00
2023-25	M19	$0.00	$0.00
2023-25	M2	$27,189,384.00	$24,685,554.00
2023-25	M20	$0.00	$0.00
2023-25	M21	$0.00	$0.00
2023-25	M22	$0.00	$0.00
2023-25	M23	$0.00	$0.00
2023-25	M24	$0.00	$0.00
2023-25	M3	$28,803,223.00	$25,288,778.00
2023-25	M4	$26,956,932.00	$24,927,148.00
2023-25	M5	$39,608,268.00	$25,290,712.00
2023-25	M6	$30,758,674.00	$24,359,851.00
2023-25	M7	$26,212,194.00	$24,979,300.00
2023-25	M8	$28,492,180.00	$24,925,647.00
2023-25	M9	$29,945,555.00	$25,125,329.00

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
2019-21	Q1	9,281	9,500
2019-21	Q2	9,215	9,500
2019-21	Q3	9,069	9,500
2019-21	Q4	8,406	9,500
2019-21	Q5	8,170	9,500
2019-21	Q6	7,805	9,500
2019-21	Q7	7,461	9,500
2019-21	Q8	7,642	9,500
2021-23	Q1	7,715	8,600
2021-23	Q2	7,506	8,600
2021-23	Q3	7,232	8,600
2021-23	Q4	7,383	8,600
2021-23	Q5	7,425	8,600
2021-23	Q6	7,404	8,600
2021-23	Q7	7,296	8,600
2021-23	Q8	0	8,600
2023-25	Q1	0	0
2023-25	Q2	0	0
2023-25	Q3	0	0
2023-25	Q4	0	0
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	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
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	3	3
2019-21	Q8	3	3
2021-23	Q1	3	3
2021-23	Q2	3	3
2021-23	Q3	3	3
2021-23	Q4	3	3
2021-23	Q5	3	3
2021-23	Q6	3	3
2021-23	Q7	3	3
2021-23	Q8	0	3
2023-25	Q1	0	0
2023-25	Q2	0	0
2023-25	Q3	0	0
2023-25	Q4	0	0
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

002699 - Number of people assisted to transition to home and community-based settings from nursing homes

This measure is derived from Core Metric AAH.2 • This measure supports ALTSA Strategic Objective 4.2: Increase the number of individuals ALTSA is able to assist in transitioning to their homes or the community from nursing homes. • Background: Federal match is maximized by utilizing the federal Money Follows the Person/Roads to Community Living (RCL) program to help people who choose to relocate. RCL participants report greater satisfaction with life after transition. Lack of affordable housing and complex medical or behavioral health needs can be barriers to relocation. • Importance: The majority of individuals who require support choose to receive help in their home or a community-based setting.

Biennium	Period	Actual	Target
2019-21	Q1	1,042	950
2019-21	Q2	942	950
2019-21	Q3	976	950
2019-21	Q4	823	950
2019-21	Q5	742	950
2019-21	Q6	808	950
2019-21	Q7	812	950
2019-21	Q8	793	1,110
2021-23	Q1	682	976
2021-23	Q2	739	976
2021-23	Q3	711	976
2021-23	Q4	770	976
2021-23	Q5	745	976
2021-23	Q6	761	976
2021-23	Q7	851	976
2021-23	Q8	987	976
2023-25	Q1	1,026	950
2023-25	Q2	999	950
2023-25	Q3	1,020	950
2023-25	Q4	1,123	950
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	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 2024	FY 2025	Biennium Total
001 - General Fund
State	6,593,000	7,140,000	13,733,000
Medicaid Federal	6,881,000	7,139,000	14,020,000
001 - General Fund Totals	13,474,000	14,279,000	27,753,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	3,392,000.0	3,997,000.0	7,389,000.0
Other	3,550,000.0	3,997,000.0	7,547,000.0
Totals	6,942,000.0	7,994,000.0	14,936,000.0

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
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	3	3
2019-21	Q8	3	3
2021-23	Q1	3	3
2021-23	Q2	3	3
2021-23	Q3	3	3
2021-23	Q4	3	3
2021-23	Q5	3	3
2021-23	Q6	3	3
2021-23	Q7	3	3
2021-23	Q8	0	3
2023-25	Q1	0	0
2023-25	Q2	0	0
2023-25	Q3	0	0
2023-25	Q4	0	0
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

002699 - Number of people assisted to transition to home and community-based settings from nursing homes

This measure is derived from Core Metric AAH.2 • This measure supports ALTSA Strategic Objective 4.2: Increase the number of individuals ALTSA is able to assist in transitioning to their homes or the community from nursing homes. • Background: Federal match is maximized by utilizing the federal Money Follows the Person/Roads to Community Living (RCL) program to help people who choose to relocate. RCL participants report greater satisfaction with life after transition. Lack of affordable housing and complex medical or behavioral health needs can be barriers to relocation. • Importance: The majority of individuals who require support choose to receive help in their home or a community-based setting.

Biennium	Period	Actual	Target
2019-21	Q1	1,042	950
2019-21	Q2	942	950
2019-21	Q3	976	950
2019-21	Q4	823	950
2019-21	Q5	742	950
2019-21	Q6	808	950
2019-21	Q7	812	950
2019-21	Q8	793	1,110
2021-23	Q1	682	976
2021-23	Q2	739	976
2021-23	Q3	711	976
2021-23	Q4	770	976
2021-23	Q5	745	976
2021-23	Q6	761	976
2021-23	Q7	851	976
2021-23	Q8	987	976
2023-25	Q1	1,026	950
2023-25	Q2	999	950
2023-25	Q3	1,020	950
2023-25	Q4	1,123	950
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	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 2024	FY 2025	Biennium Total
001 - General Fund
State	623,799,000	681,410,000	1,305,209,000
Local	1,978,000	1,978,000	3,956,000
Medicaid Federal	796,675,000	823,994,000	1,620,669,000
001 - General Fund Totals	1,422,452,000	1,507,382,000	2,929,834,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	320,397,000.0	356,195,000.0	676,592,000.0
Other	412,974,000.0	427,783,000.0	840,757,000.0
Totals	733,371,000.0	783,978,000.0	1,517,349,000.0

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
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	3	3
2019-21	Q8	3	3
2021-23	Q1	3	3
2021-23	Q2	3	3
2021-23	Q3	3	3
2021-23	Q4	3	3
2021-23	Q5	3	3
2021-23	Q6	3	3
2021-23	Q7	3	3
2021-23	Q8	0	3
2023-25	Q1	0	0
2023-25	Q2	0	0
2023-25	Q3	0	0
2023-25	Q4	0	0
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

003038 - Percentage of clients whose hospital stay is 100 days or more from the date of referral

This measure is derived from Core Metric AAH.22 * This measure supports ALTSA Strategic Objective 2.2: Support people to transition from Acute Hospitals to Services in their home or communities.

Biennium	Period	Actual	Target
2019-21	Q1	0%	0%
2019-21	Q2	0%	0%
2019-21	Q3	0%	0%
2019-21	Q4	0%	0%
2019-21	Q5	0%	0%
2019-21	Q6	0%	0%
2019-21	Q7	0%	0%
2019-21	Q8	0%	0%
2021-23	Q1	6%	9%
2021-23	Q2	4%	5%
2021-23	Q3	7%	5%
2021-23	Q4	8%	5%
2021-23	Q5	8%	5%
2021-23	Q6	6%	5%
2021-23	Q7	5%	5%
2021-23	Q8	4%	5%
2023-25	Q1	4%	5%
2023-25	Q2	5%	5%
2023-25	Q3	5%	5%
2023-25	Q4	5%	5%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

003039 - Percentage of clients who transition from acute care hospitals 30 days or less from date of referral

This measure is derived from Core Metric AAH.23 * This measure supports ALTSA Strategic Objective 2.2: Support people to transition from Acute Hospitals to Services in their home or communities

Biennium	Period	Actual	Target
2019-21	Q1	0%	0%
2019-21	Q2	0%	0%
2019-21	Q3	0%	0%
2019-21	Q4	0%	0%
2019-21	Q5	0%	0%
2019-21	Q6	0%	0%
2019-21	Q7	0%	0%
2019-21	Q8	0%	0%
2021-23	Q1	73%	75%
2021-23	Q2	73%	75%
2021-23	Q3	72%	75%
2021-23	Q4	71%	75%
2021-23	Q5	71%	75%
2021-23	Q6	73%	75%
2021-23	Q7	73%	75%
2021-23	Q8	78%	75%
2023-25	Q1	75%	75%
2023-25	Q2	78%	75%
2023-25	Q3	78%	75%
2023-25	Q4	78%	75%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

002990 - Percentage of clients whose hospital stay is 100 days or more from the date of referral

This measure is derived from Core Metric AAH.22 * This measure supports ALTSA Strategic Objective 2.2: Support people to transition from Acute Hospitals to Services in their home or communities.

Biennium	Period	Actual	Target
2021-23	Q1	6%	0%
2021-23	Q2	4%	0%
2021-23	Q3	7%	0%
2021-23	Q4	8%	0%
2021-23	Q5	8%	0%
2021-23	Q6	6%	0%
2021-23	Q7	5%	0%
2021-23	Q8	4%	0%
2023-25	Q1	0%	0%
2023-25	Q2	0%	0%
2023-25	Q3	0%	0%
2023-25	Q4	0%	0%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	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 2024	FY 2025	Biennium Total

FTE	655.2	706.8	681.0
001 - General Fund
State	57,108,000	53,628,000	110,736,000
Federal	(499,000)	(1,399,000)	(1,898,000)
Local	1,200,000	1,200,000	2,400,000
Medicaid Federal	59,263,000	52,975,000	112,238,000
001 - General Fund Totals	117,072,000	106,404,000	223,476,000
567 - Long-Term Servs & Sup Trust Account
State	36,116,000	61,886,000	98,002,000

	FY 2024	FY 2025	Biennium Total
FTES	345.6	372.9	359.3
GFS	31,233,000.0	30,091,000.0	61,324,000.0
Other	52,353,000.0	62,995,000.0	115,348,000.0
Totals	83,586,000.0	93,086,000.0	176,672,000.0

002693 - Percent of financial eligibility determinations completed in 45 days or overdue with good cause

This measure is derived from Core Metric AAH.7, column AAH.7d • This measure supports ALTSA Strategic Objective 4.3: Ensure individuals who apply for services receive them timely so they are supported in the setting of their choice. • Importance: Providing services in a timely manner avoids problems such as loss of mobility, poor nourishment, medication errors, and other problems that can produce poor health outcomes.

Biennium	Period	Actual	Target
2019-21	Q1	96%	93%
2019-21	Q2	94%	93%
2019-21	Q3	96%	93%
2019-21	Q4	96%	93%
2019-21	Q5	95%	93%
2019-21	Q6	95%	93%
2019-21	Q7	97%	93%
2019-21	Q8	97%	96%
2021-23	Q1	97%	96%
2021-23	Q2	97%	96%
2021-23	Q3	97%	96%
2021-23	Q4	98%	96%
2021-23	Q5	95%	96%
2021-23	Q6	93%	96%
2021-23	Q7	96%	96%
2021-23	Q8	96%	96%
2023-25	Q1	94%	96%
2023-25	Q2	94%	96%
2023-25	Q3	92%	96%
2023-25	Q4	0%	0%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

002700 - Timely determination of functional eligibility (annual re-assessment)

This measure is derived from Core Metric AAH.5, column AAH.5v • This measure supports ALTSA Strategic Objective 4.3: Ensure individuals who apply for services receive them timely so they are supported in the setting of their choice. • Importance: Providing services in a timely manner avoids problems such as loss of mobility, poor nourishment, medication errors, and other problems that can produce poor health outcomes.

Biennium	Period	Actual	Target
2019-21	Q1	97%	97%
2019-21	Q2	97%	97%
2019-21	Q3	97%	97%
2019-21	Q4	97%	97%
2019-21	Q5	97%	97%
2019-21	Q6	97%	97%
2019-21	Q7	97%	97%
2019-21	Q8	97%	98%
2021-23	Q1	96%	98%
2021-23	Q2	96%	98%
2021-23	Q3	94%	98%
2021-23	Q4	93%	98%
2021-23	Q5	93%	98%
2021-23	Q6	91%	98%
2021-23	Q7	94%	98%
2021-23	Q8	96%	98%
2023-25	Q1	96%	97%
2023-25	Q2	96%	97%
2023-25	Q3	96%	97%
2023-25	Q4	97%	97%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

002705 - Maintain Timely Quality Assurance of Home and Community Services Case Management

This measure is derived from Core Metric AAH.9, column AAH.9a • Updated discussion and action plans for this measure are located in the ALTSA Strategic Plan, Strategic Objective 3.3.

Biennium	Period	Actual	Target
2019-21	A2	100%	100%
2019-21	A3	100%	100%
2021-23	A2	100%	100%
2021-23	A3	100%	100%
2023-25	A2	0%	0%
2023-25	A3	0%	0%

002706 - Timely Completion of Quality Assurance Monitoring for Area Agencies on Aging (AAAs): Annual Visits

This measure is derived from Core Metric AAH.10, column AAH.10b. • Updated discussion and action plans for this measure are located in the ALTSA Strategic Plan, Strategic Objective 3.3.

Biennium	Period	Actual	Target
2019-21	A2	20%	100%
2019-21	A3	0%	100%
2021-23	A2	75%	100%
2021-23	A3	100%	100%
2023-25	A2	0%	0%
2023-25	A3	0%	0%

002707 - Timely Quality Assurance for Intermediate Care Facilities

This measure is derived from Core Metric AAR.2, column AAR.2c • This measure supports ALTSA Strategic Objective 2.2: Affirm Residential Habilitation Centers (RHCs) and other ICF/IIDs and certified Supported Living are providing quality care and residents are safe through timely quality assurance activities. • Importance: This measure ensures quality assurance activities are completed timely to help promote quality of care and protect vulnerable adults from abuse and neglect. • Background: Certification for Supported Living requires on-site visits and inspections of providers, not each client's individual home.

Biennium	Period	Actual	Target
2019-21	A2	0%	100%
2019-21	A3	0%	100%
2021-23	A2	0%	90%
2021-23	A3	0%	90%
2023-25	A2	0%	0%
2023-25	A3	0%	0%

002708 - Percent of nursing home deficiencies sent to the facility within 10 working days

This measure is derived from Core Metric AAR.6. • This measure supports ALTSA Strategic Objective 3.3: Timely quality assurance and oversight activities to ensure evidence of compliance with federal, state and program requirements.

Biennium	Period	Actual	Target
2019-21	Q1	100%	100%
2019-21	Q2	99%	100%
2019-21	Q3	97%	100%
2019-21	Q4	100%	95%
2019-21	Q5	100%	95%
2019-21	Q6	95%	95%
2019-21	Q7	98%	95%
2019-21	Q8	100%	95%
2021-23	Q1	100%	90%
2021-23	Q2	99%	90%
2021-23	Q3	99%	90%
2021-23	Q4	98%	90%
2021-23	Q5	100%	90%
2021-23	Q6	100%	90%
2021-23	Q7	100%	90%
2021-23	Q8	100%	90%
2023-25	Q1	98%	90%
2023-25	Q2	100%	90%
2023-25	Q3	99%	90%
2023-25	Q4	100%	90%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

002773 - Vulnerable adult abuse and neglect investigations completed within 90 days

This measure is derived from Core Metric AAC.2, column AAC.2f • This measure supports ALTSA Strategic Objective 3.2: Ensure investigations are thorough, documented properly, and completed timely. This measures the combined percentage of in-home and facility-based abuse and neglect investigations, that are resolved within 90 days, a timeliness measure. • Background: Sometimes the welfare of the victim is best served by keeping the investigation open for a longer period of time, but most investigations should be resolved within 90 days. "Good cause" reasons for investigations to be open longer than 90 days include requests from law enforcement, pending guardianships or protective services, or unusual difficulty accessing evidence or witnesses. • Importance: Challenges include converting to a new data system (TIVA) in May 2014 and incorporating facility perpetrator investigations beginning September 2014. Delays create re-work for staff and can delay findings against perpetrators.

Biennium	Period	Actual	Target
2019-21	Q1	66%	95%
2019-21	Q2	49%	95%
2019-21	Q3	45%	95%
2019-21	Q4	44%	95%
2019-21	Q5	44%	95%
2019-21	Q6	39%	95%
2019-21	Q7	38%	95%
2019-21	Q8	34%	95%
2021-23	Q1	23%	98%
2021-23	Q2	18%	98%
2021-23	Q3	14%	98%
2021-23	Q4	15%	98%
2021-23	Q5	13%	90%
2021-23	Q6	10%	90%
2021-23	Q7	11%	90%
2021-23	Q8	13%	90%
2023-25	Q1	14%	75%
2023-25	Q2	13%	75%
2023-25	Q3	14%	75%
2023-25	Q4	15%	75%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

002777 - Timely Quality Assurance for Supported Living

This measure is derived from Core Metric AAR.2, column AAR.2f • This measure supports ALTSA Strategic Objective 2.2: Affirm Residential Habilitation Centers (RHCs) and other ICF/IIDs and certified Supported Living are providing quality care and residents are safe through timely quality assurance activities. • Importance: This measure ensures quality assurance activities are completed timely to help promote quality of care and protect vulnerable adults from abuse and neglect. • Background: Certification for Supported Living requires on-site visits and inspections of providers, not each client's individual home.

Biennium	Period	Actual	Target
2019-21	A2	0%	95%
2019-21	A3	0%	95%
2021-23	A2	100%	90%
2021-23	A3	30%	85%
2023-25	A2	0%	0%
2023-25	A3	0%	0%

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 2024	FY 2025	Biennium Total

FTE	2,445.7	2,575.9	2,510.8
001 - General Fund
State	315,137,000	331,698,000	646,835,000
Federal	2,957,000	5,754,000	8,711,000
Medicaid Federal	312,781,000	323,127,000	635,908,000
001 - General Fund Totals	630,875,000	660,579,000	1,291,454,000
12T - Traumatic Brain Injury Account
State	5,584,000	4,488,000	10,072,000

	FY 2024	FY 2025	Biennium Total
FTES	1,218.9	1,298.2	1,258.6
GFS	159,146,000.0	169,795,000.0	328,941,000.0
Other	163,352,000.0	172,638,000.0	335,990,000.0
Totals	322,498,000.0	342,433,000.0	664,931,000.0

002693 - Percent of financial eligibility determinations completed in 45 days or overdue with good cause

This measure is derived from Core Metric AAH.7, column AAH.7d • This measure supports ALTSA Strategic Objective 4.3: Ensure individuals who apply for services receive them timely so they are supported in the setting of their choice. • Importance: Providing services in a timely manner avoids problems such as loss of mobility, poor nourishment, medication errors, and other problems that can produce poor health outcomes.

Biennium	Period	Actual	Target
2019-21	Q1	96%	93%
2019-21	Q2	94%	93%
2019-21	Q3	96%	93%
2019-21	Q4	96%	93%
2019-21	Q5	95%	93%
2019-21	Q6	95%	93%
2019-21	Q7	97%	93%
2019-21	Q8	97%	96%
2021-23	Q1	97%	96%
2021-23	Q2	97%	96%
2021-23	Q3	97%	96%
2021-23	Q4	98%	96%
2021-23	Q5	95%	96%
2021-23	Q6	93%	96%
2021-23	Q7	96%	96%
2021-23	Q8	96%	96%
2023-25	Q1	94%	96%
2023-25	Q2	94%	96%
2023-25	Q3	92%	96%
2023-25	Q4	0%	0%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

002700 - Timely determination of functional eligibility (annual re-assessment)

This measure is derived from Core Metric AAH.5, column AAH.5v • This measure supports ALTSA Strategic Objective 4.3: Ensure individuals who apply for services receive them timely so they are supported in the setting of their choice. • Importance: Providing services in a timely manner avoids problems such as loss of mobility, poor nourishment, medication errors, and other problems that can produce poor health outcomes.

Biennium	Period	Actual	Target
2019-21	Q1	97%	97%
2019-21	Q2	97%	97%
2019-21	Q3	97%	97%
2019-21	Q4	97%	97%
2019-21	Q5	97%	97%
2019-21	Q6	97%	97%
2019-21	Q7	97%	97%
2019-21	Q8	97%	98%
2021-23	Q1	96%	98%
2021-23	Q2	96%	98%
2021-23	Q3	94%	98%
2021-23	Q4	93%	98%
2021-23	Q5	93%	98%
2021-23	Q6	91%	98%
2021-23	Q7	94%	98%
2021-23	Q8	96%	98%
2023-25	Q1	96%	97%
2023-25	Q2	96%	97%
2023-25	Q3	96%	97%
2023-25	Q4	97%	97%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

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 2024	FY 2025	Biennium Total

FTE	46.6	28.6	37.6
001 - General Fund
State	2,046,950,000	2,231,439,000	4,278,389,000
Federal	52,896,000	59,358,000	112,254,000
Local	16,406,000	20,300,000	36,706,000
Medicaid Federal	2,716,555,000	2,782,714,000	5,499,269,000
001 - General Fund Totals	4,832,807,000	5,093,811,000	9,926,618,000

	FY 2024	FY 2025	Biennium Total
FTES	10.6	9.0	9.8
GFS	1,012,483,000.0	1,114,887,000.0	2,127,370,000.0
Other	1,392,383,000.0	1,438,046,000.0	2,830,429,000.0
Totals	2,404,866,000.0	2,552,933,000.0	4,957,799,000.0

001316 - Maximize recoveries for DSHS, DEL, and HCA

Recoveries for the Department of Social and Health Services (DSHS) provided by the Office of Financial Recovery (OFR). (Dollars are rounded to thousands prior to the 2009-11 Biennium.)

Biennium	Period	Actual	Target
2019-21	M1	$24,427,742.00	$21,741,220.00
2019-21	M10	$28,269,908.00	$21,719,412.00
2019-21	M11	$20,171,233.00	$21,246,413.00
2019-21	M12	$34,855,543.00	$21,384,856.00
2019-21	M13	$21,008,415.00	$19,031,199.00
2019-21	M14	$24,223,421.00	$19,384,262.00
2019-21	M15	$22,476,113.00	$19,039,547.00
2019-21	M16	$22,722,272.00	$18,935,744.00
2019-21	M17	$22,603,489.00	$19,196,705.00
2019-21	M18	$70,194,919.00	$19,467,646.00
2019-21	M19	$53,930,939.00	$19,139,746.00
2019-21	M2	$24,638,376.00	$22,617,547.00
2019-21	M20	$32,170,458.00	$19,007,409.00
2019-21	M21	$26,609,201.00	$19,054,394.00
2019-21	M22	$23,898,251.00	$18,920,602.00
2019-21	M23	$23,774,217.00	$18,929,754.00
2019-21	M24	$53,498,501.00	$19,589,897.00
2019-21	M3	$23,473,315.00	$21,764,252.00
2019-21	M4	$22,455,962.00	$21,782,975.00
2019-21	M5	$22,859,568.00	$22,015,426.00
2019-21	M6	$22,237,214.00	$22,378,556.00
2019-21	M7	$21,688,956.00	$22,864,829.00
2019-21	M8	$24,365,961.00	$22,212,056.00
2019-21	M9	$23,729,290.00	$22,536,499.00
2021-23	M1	$23,687,428.00	$24,521,874.00
2021-23	M10	$36,316,188.00	$26,041,746.00
2021-23	M11	$24,592,363.00	$24,835,278.00
2021-23	M12	$29,327,374.00	$36,194,650.00
2021-23	M13	$23,049,405.00	$25,752,321.00
2021-23	M14	$28,839,556.00	$26,496,793.00
2021-23	M15	$24,013,063.00	$26,799,291.00
2021-23	M16	$21,788,791.00	$26,817,089.00
2021-23	M17	$22,627,407.00	$28,175,070.00
2021-23	M18	$21,610,191.00	$27,078,073.00
2021-23	M19	$22,731,482.00	$26,978,985.00
2021-23	M2	$25,211,447.00	$25,113,210.00
2021-23	M20	$22,067,718.00	$27,510,471.00
2021-23	M21	$21,266,946.00	$27,600,044.00
2021-23	M22	$29,559,848.00	$29,869,051.00
2021-23	M23	$35,305,004.00	$27,406,309.00
2021-23	M24	$31,332,867.00	$39,578,177.00
2021-23	M3	$27,365,649.00	$24,235,782.00
2021-23	M4	$29,462,921.00	$24,402,450.00
2021-23	M5	$25,019,399.00	$25,734,697.00
2021-23	M6	$22,307,649.00	$24,703,054.00
2021-23	M7	$25,437,315.00	$24,464,563.00
2021-23	M8	$23,109,052.00	$25,080,598.00
2021-23	M9	$23,408,601.00	$24,856,316.00
2023-25	M1	$29,727,570.00	$23,284,800.00
2023-25	M10	$26,834,895.00	$29,324,485.00
2023-25	M11	$34,866,433.00	$26,846,927.00
2023-25	M12	$41,905,163.00	$34,077,008.00
2023-25	M13	$27,774,956.00	$25,327,923.00
2023-25	M14	$29,238,781.00	$25,505,588.00
2023-25	M15	$27,635,012.00	$26,134,035.00
2023-25	M16	$0.00	$0.00
2023-25	M17	$0.00	$0.00
2023-25	M18	$0.00	$0.00
2023-25	M19	$0.00	$0.00
2023-25	M2	$27,189,384.00	$24,685,554.00
2023-25	M20	$0.00	$0.00
2023-25	M21	$0.00	$0.00
2023-25	M22	$0.00	$0.00
2023-25	M23	$0.00	$0.00
2023-25	M24	$0.00	$0.00
2023-25	M3	$28,803,223.00	$25,288,778.00
2023-25	M4	$26,956,932.00	$24,927,148.00
2023-25	M5	$39,608,268.00	$25,290,712.00
2023-25	M6	$30,758,674.00	$24,359,851.00
2023-25	M7	$26,212,194.00	$24,979,300.00
2023-25	M8	$28,492,180.00	$24,925,647.00
2023-25	M9	$29,945,555.00	$25,125,329.00

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
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	90%	87%
2019-21	Q8	89%	87%
2021-23	Q1	89%	88%
2021-23	Q2	89%	88%
2021-23	Q3	90%	88%
2021-23	Q4	90%	89%
2021-23	Q5	90%	89%
2021-23	Q6	90%	89%
2021-23	Q7	90%	89%
2021-23	Q8	90%	89%
2023-25	Q1	90%	90%
2023-25	Q2	90%	90%
2023-25	Q3	91%	90%
2023-25	Q4	91%	90%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	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
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	3	3
2019-21	Q8	3	3
2021-23	Q1	3	3
2021-23	Q2	3	3
2021-23	Q3	3	3
2021-23	Q4	3	3
2021-23	Q5	3	3
2021-23	Q6	3	3
2021-23	Q7	3	3
2021-23	Q8	0	3
2023-25	Q1	0	0
2023-25	Q2	0	0
2023-25	Q3	0	0
2023-25	Q4	0	0
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

002699 - Number of people assisted to transition to home and community-based settings from nursing homes

This measure is derived from Core Metric AAH.2 • This measure supports ALTSA Strategic Objective 4.2: Increase the number of individuals ALTSA is able to assist in transitioning to their homes or the community from nursing homes. • Background: Federal match is maximized by utilizing the federal Money Follows the Person/Roads to Community Living (RCL) program to help people who choose to relocate. RCL participants report greater satisfaction with life after transition. Lack of affordable housing and complex medical or behavioral health needs can be barriers to relocation. • Importance: The majority of individuals who require support choose to receive help in their home or a community-based setting.

Biennium	Period	Actual	Target
2019-21	Q1	1,042	950
2019-21	Q2	942	950
2019-21	Q3	976	950
2019-21	Q4	823	950
2019-21	Q5	742	950
2019-21	Q6	808	950
2019-21	Q7	812	950
2019-21	Q8	793	1,110
2021-23	Q1	682	976
2021-23	Q2	739	976
2021-23	Q3	711	976
2021-23	Q4	770	976
2021-23	Q5	745	976
2021-23	Q6	761	976
2021-23	Q7	851	976
2021-23	Q8	987	976
2023-25	Q1	1,026	950
2023-25	Q2	999	950
2023-25	Q3	1,020	950
2023-25	Q4	1,123	950
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	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 2024	FY 2025	Biennium Total

FTE	2,180.8	2,303.5	2,242.2
001 - General Fund
State	158,216,000	170,892,000	329,108,000
Federal	22,211,000	21,053,000	43,264,000
Local	31,262,000	31,262,000	62,524,000
Medicaid Federal	109,793,000	117,479,000	227,272,000
001 - General Fund Totals	321,482,000	340,686,000	662,168,000

	FY 2024	FY 2025	Biennium Total
FTES	1,101.2	1,181.6	1,141.4
GFS	79,394,000.0	87,967,000.0	167,361,000.0
Other	79,738,000.0	84,577,000.0	164,315,000.0
Totals	159,132,000.0	172,544,000.0	331,676,000.0

002705 - Maintain Timely Quality Assurance of Home and Community Services Case Management

This measure is derived from Core Metric AAH.9, column AAH.9a • Updated discussion and action plans for this measure are located in the ALTSA Strategic Plan, Strategic Objective 3.3.

Biennium	Period	Actual	Target
2019-21	A2	100%	100%
2019-21	A3	100%	100%
2021-23	A2	100%	100%
2021-23	A3	100%	100%
2023-25	A2	0%	0%
2023-25	A3	0%	0%

002706 - Timely Completion of Quality Assurance Monitoring for Area Agencies on Aging (AAAs): Annual Visits

This measure is derived from Core Metric AAH.10, column AAH.10b. • Updated discussion and action plans for this measure are located in the ALTSA Strategic Plan, Strategic Objective 3.3.

Biennium	Period	Actual	Target
2019-21	A2	20%	100%
2019-21	A3	0%	100%
2021-23	A2	75%	100%
2021-23	A3	100%	100%
2023-25	A2	0%	0%
2023-25	A3	0%	0%

002707 - Timely Quality Assurance for Intermediate Care Facilities

This measure is derived from Core Metric AAR.2, column AAR.2c • This measure supports ALTSA Strategic Objective 2.2: Affirm Residential Habilitation Centers (RHCs) and other ICF/IIDs and certified Supported Living are providing quality care and residents are safe through timely quality assurance activities. • Importance: This measure ensures quality assurance activities are completed timely to help promote quality of care and protect vulnerable adults from abuse and neglect. • Background: Certification for Supported Living requires on-site visits and inspections of providers, not each client's individual home.

Biennium	Period	Actual	Target
2019-21	A2	0%	100%
2019-21	A3	0%	100%
2021-23	A2	0%	90%
2021-23	A3	0%	90%
2023-25	A2	0%	0%
2023-25	A3	0%	0%

002708 - Percent of nursing home deficiencies sent to the facility within 10 working days

This measure is derived from Core Metric AAR.6. • This measure supports ALTSA Strategic Objective 3.3: Timely quality assurance and oversight activities to ensure evidence of compliance with federal, state and program requirements.

Biennium	Period	Actual	Target
2019-21	Q1	100%	100%
2019-21	Q2	99%	100%
2019-21	Q3	97%	100%
2019-21	Q4	100%	95%
2019-21	Q5	100%	95%
2019-21	Q6	95%	95%
2019-21	Q7	98%	95%
2019-21	Q8	100%	95%
2021-23	Q1	100%	90%
2021-23	Q2	99%	90%
2021-23	Q3	99%	90%
2021-23	Q4	98%	90%
2021-23	Q5	100%	90%
2021-23	Q6	100%	90%
2021-23	Q7	100%	90%
2021-23	Q8	100%	90%
2023-25	Q1	98%	90%
2023-25	Q2	100%	90%
2023-25	Q3	99%	90%
2023-25	Q4	100%	90%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

002773 - Vulnerable adult abuse and neglect investigations completed within 90 days

This measure is derived from Core Metric AAC.2, column AAC.2f • This measure supports ALTSA Strategic Objective 3.2: Ensure investigations are thorough, documented properly, and completed timely. This measures the combined percentage of in-home and facility-based abuse and neglect investigations, that are resolved within 90 days, a timeliness measure. • Background: Sometimes the welfare of the victim is best served by keeping the investigation open for a longer period of time, but most investigations should be resolved within 90 days. "Good cause" reasons for investigations to be open longer than 90 days include requests from law enforcement, pending guardianships or protective services, or unusual difficulty accessing evidence or witnesses. • Importance: Challenges include converting to a new data system (TIVA) in May 2014 and incorporating facility perpetrator investigations beginning September 2014. Delays create re-work for staff and can delay findings against perpetrators.

Biennium	Period	Actual	Target
2019-21	Q1	66%	95%
2019-21	Q2	49%	95%
2019-21	Q3	45%	95%
2019-21	Q4	44%	95%
2019-21	Q5	44%	95%
2019-21	Q6	39%	95%
2019-21	Q7	38%	95%
2019-21	Q8	34%	95%
2021-23	Q1	23%	98%
2021-23	Q2	18%	98%
2021-23	Q3	14%	98%
2021-23	Q4	15%	98%
2021-23	Q5	13%	90%
2021-23	Q6	10%	90%
2021-23	Q7	11%	90%
2021-23	Q8	13%	90%
2023-25	Q1	14%	75%
2023-25	Q2	13%	75%
2023-25	Q3	14%	75%
2023-25	Q4	15%	75%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

002777 - Timely Quality Assurance for Supported Living

This measure is derived from Core Metric AAR.2, column AAR.2f • This measure supports ALTSA Strategic Objective 2.2: Affirm Residential Habilitation Centers (RHCs) and other ICF/IIDs and certified Supported Living are providing quality care and residents are safe through timely quality assurance activities. • Importance: This measure ensures quality assurance activities are completed timely to help promote quality of care and protect vulnerable adults from abuse and neglect. • Background: Certification for Supported Living requires on-site visits and inspections of providers, not each client's individual home.

Biennium	Period	Actual	Target
2019-21	A2	0%	95%
2019-21	A3	0%	95%
2021-23	A2	100%	90%
2021-23	A3	30%	85%
2023-25	A2	0%	0%
2023-25	A3	0%	0%

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 2024	FY 2025	Biennium Total
001 - General Fund
State	314,686,000	358,432,000	673,118,000
Local	202,000	202,000	404,000
Medicaid Federal	361,385,000	398,755,000	760,140,000
001 - General Fund Totals	676,273,000	757,389,000	1,433,662,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	153,779,000.0	180,826,000.0	334,605,000.0
Other	177,624,000.0	202,021,000.0	379,645,000.0
Totals	331,403,000.0	382,847,000.0	714,250,000.0

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
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	3	3
2019-21	Q8	3	3
2021-23	Q1	3	3
2021-23	Q2	3	3
2021-23	Q3	3	3
2021-23	Q4	3	3
2021-23	Q5	3	3
2021-23	Q6	3	3
2021-23	Q7	3	3
2021-23	Q8	0	3
2023-25	Q1	0	0
2023-25	Q2	0	0
2023-25	Q3	0	0
2023-25	Q4	0	0
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

002699 - Number of people assisted to transition to home and community-based settings from nursing homes

This measure is derived from Core Metric AAH.2 • This measure supports ALTSA Strategic Objective 4.2: Increase the number of individuals ALTSA is able to assist in transitioning to their homes or the community from nursing homes. • Background: Federal match is maximized by utilizing the federal Money Follows the Person/Roads to Community Living (RCL) program to help people who choose to relocate. RCL participants report greater satisfaction with life after transition. Lack of affordable housing and complex medical or behavioral health needs can be barriers to relocation. • Importance: The majority of individuals who require support choose to receive help in their home or a community-based setting.

Biennium	Period	Actual	Target
2019-21	Q1	1,042	950
2019-21	Q2	942	950
2019-21	Q3	976	950
2019-21	Q4	823	950
2019-21	Q5	742	950
2019-21	Q6	808	950
2019-21	Q7	812	950
2019-21	Q8	793	1,110
2021-23	Q1	682	976
2021-23	Q2	739	976
2021-23	Q3	711	976
2021-23	Q4	770	976
2021-23	Q5	745	976
2021-23	Q6	761	976
2021-23	Q7	851	976
2021-23	Q8	987	976
2023-25	Q1	1,026	950
2023-25	Q2	999	950
2023-25	Q3	1,020	950
2023-25	Q4	1,123	950
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

002775 - Timely licensing re-inspections of assisted living facilities

This measure is derived from Core Metric AAR.1, column AA2.1i • This measure supports ALTSA Strategic Objective 2.1: Affirm adult family homes, assisted living facilities, and nursing homes, are providing quality care and residents are safe through timely re-inspections. • Importance: Licensing re-inspections are a valuable tool to ensure the quality of care. They are unannounced, and occur periodically within statutory requirements.

Biennium	Period	Actual	Target
2019-21	Q1	100%	99%
2019-21	Q2	100%	99%
2019-21	Q3	100%	99%
2019-21	Q4	0%	50%
2019-21	Q5	0%	50%
2019-21	Q6	0%	50%
2019-21	Q7	0%	50%
2019-21	Q8	0%	50%
2021-23	Q1	0%	90%
2021-23	Q2	0%	90%
2021-23	Q3	0%	90%
2021-23	Q4	0%	90%
2021-23	Q5	13%	90%
2021-23	Q6	27%	90%
2021-23	Q7	15%	90%
2021-23	Q8	22%	90%
2023-25	Q1	12%	85%
2023-25	Q2	25%	85%
2023-25	Q3	38%	85%
2023-25	Q4	41%	85%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	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 2024	FY 2025	Biennium Total
001 - General Fund
State	771,606,000	878,892,000	1,650,498,000
Local	724,000	724,000	1,448,000
Medicaid Federal	1,010,538,000	1,092,686,000	2,103,224,000
001 - General Fund Totals	1,782,868,000	1,972,302,000	3,755,170,000
562 - Skilled Nursing Facility Net Trust
State	133,360,000	133,360,000	266,720,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	371,184,000.0	428,414,000.0	799,598,000.0
Other	563,888,000.0	607,595,000.0	1,171,483,000.0
Totals	935,072,000.0	1,036,009,000.0	1,971,081,000.0

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
2019-21	Q1	9,281	9,500
2019-21	Q2	9,215	9,500
2019-21	Q3	9,069	9,500
2019-21	Q4	8,406	9,500
2019-21	Q5	8,170	9,500
2019-21	Q6	7,805	9,500
2019-21	Q7	7,461	9,500
2019-21	Q8	7,642	9,500
2021-23	Q1	7,715	8,600
2021-23	Q2	7,506	8,600
2021-23	Q3	7,232	8,600
2021-23	Q4	7,383	8,600
2021-23	Q5	7,425	8,600
2021-23	Q6	7,404	8,600
2021-23	Q7	7,296	8,600
2021-23	Q8	0	8,600
2023-25	Q1	0	0
2023-25	Q2	0	0
2023-25	Q3	0	0
2023-25	Q4	0	0
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	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.

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Biennium	Period	Actual	Target
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	3	3
2019-21	Q8

Office of Financial Management

Budget

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Healthy and Safe Communities

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

Mental Health

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

001105 - Average Daily Utilization of State Hospital Civil Beds for Western State Hospital

001107 - Average Daily Utilization of State Hospital Civil Beds for Eastern State Hospital

002778 - Quarterly rates of seclusion hours at Eastern State Hospital

002779 - Quarterly rates of seclusion hours at Western State Hospital

002780 - Quarterly rates of seclusion hours at the Child Study and Treatment Center

002781 - Quarterly rates of restraint hours at the Child Study and Treatment Center

002782 - Quarterly rates of restraint hours at Eastern State Hospital

002783 - Quarterly rates of restraint hours at Western State Hospital

C900 - Program Support for Mental Health

Mental Health

Expected Results

D028 - Employment and Day Programs

Developmental Disabilities

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

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

D034 - Individual and Family Services

Developmental Disabilities

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

003122 - DDA - Individual and Family Services (H53) - Clients with Paid Services

D036 - Field Services

Developmental Disabilities

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

002691 - Percent of initial assessments completed on time for clients with developmental disabilities

002710 - Percent of assessments completed on time for developmental disabilities clients requesting services

D065 - Office of Deaf and Hard of Hearing

Long Term Care

001126 - Clients and families receive case management services

D070 - Other Community Programs

Developmental Disabilities

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

003121 - DDA - Respite Services (H81) - Clients with Paid Services

D074 - Personal Care

Developmental Disabilities

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

003120 - DDA - Personal Care (H52) - Clients with Paid Services - Actual

D076 - Professional Services

Developmental Disabilities

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

003119 - DDA - Professional Services (H54) - Clients with Paid Services

D079 - Program Support for Developmental Disabilities

Developmental Disabilities

Expected Results

D086 - Residential Habilitation Facilities

Developmental Disabilities

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

002711 - Average length of stay at Residential Habilitation Centers (RHCs)

D087 - Residential Program

Developmental Disabilities

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

003118 - DDA - Residential Programs (H51) by Month of Service - Clients with Paid Services

D095 - State Operated Living Alternatives

Developmental Disabilities

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

003116 - DDA - State Operated Living Alternatives (SOLA - H59) Residents

D107 - Community Crisis Stabilization Services

Developmental Disabilities

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

003117 - DDA - Community Crisis Stabilization Services (H60) Residents

E010 - Recoveries

Long Term Care

001316 - Maximize recoveries for DSHS, DEL, and HCA

001608 - Monthly Average Nursing Homes Caseload Excluding Veterans Homes

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

002699 - Number of people assisted to transition to home and community-based settings from nursing homes

E049 - Adult Day Health Community Services

Long Term Care

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

002699 - Number of people assisted to transition to home and community-based settings from nursing homes

E050 - Adult Family Home Community Services

Long Term Care