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	0
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	0	0
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	0	0
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	0	0
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	0	0
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	4	3
2023-25	Q4	6	3
2023-25	Q5	0	0
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	0	0
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	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	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	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%

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	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	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	4,527	6,203
2023-25	M10	4,792	6,317
2023-25	M11	4,745	6,321
2023-25	M12	0	0
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	4,558	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	4,474	6,068
2023-25	M4	4,519	6,111
2023-25	M5	4,538	6,136
2023-25	M6	4,542	6,152
2023-25	M7	4,617	6,186
2023-25	M8	4,661	6,823
2023-25	M9	4,738	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	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	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	0%	0%
2023-25	M11	0%	0%
2023-25	M12	0%	0%
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%	0%
2023-25	Q4	100%	0%
2023-25	Q5	0%	0%
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	0	0
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	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	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	3,958
2023-25	M10	3,925
2023-25	M11	3,874
2023-25	M12	0
2023-25	M13	0
2023-25	M14	0
2023-25	M15	0
2023-25	M16	0
2023-25	M17	0
2023-25	M18	0
2023-25	M19	0
2023-25	M2	4,029
2023-25	M20	0
2023-25	M21	0
2023-25	M22	0
2023-25	M23	0
2023-25	M24	0
2023-25	M3	3,895
2023-25	M4	4,024
2023-25	M5	3,950
2023-25	M6	3,920
2023-25	M7	3,897
2023-25	M8	3,930
2023-25	M9	4,046

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	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	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
2021-23	M1	16,416
2021-23	M10	15,895
2021-23	M11	15,942
2021-23	M12	18,561
2021-23	M13	16,023
2021-23	M14	16,183
2021-23	M15	16,232
2021-23	M16	16,244
2021-23	M17	16,245
2021-23	M18	16,305
2021-23	M19	16,459
2021-23	M2	16,405
2021-23	M20	16,464
2021-23	M21	16,620
2021-23	M22	16,698
2021-23	M23	16,835
2021-23	M24	16,895
2021-23	M3	16,268
2021-23	M4	16,312
2021-23	M5	16,330
2021-23	M6	16,280
2021-23	M7	16,173
2021-23	M8	16,156
2021-23	M9	16,110
2023-25	M1	16,946
2023-25	M10	17,613
2023-25	M11	17,644
2023-25	M12	0
2023-25	M13	0
2023-25	M14	0
2023-25	M15	0
2023-25	M16	0
2023-25	M17	0
2023-25	M18	0
2023-25	M19	0
2023-25	M2	17,000
2023-25	M20	0
2023-25	M21	0
2023-25	M22	0
2023-25	M23	0
2023-25	M24	0
2023-25	M3	16,989
2023-25	M4	17,143
2023-25	M5	17,175
2023-25	M6	17,098
2023-25	M7	17,193
2023-25	M8	17,314
2023-25	M9	17,480

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	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	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	2,338
2023-25	M10	2,558
2023-25	M11	2,453
2023-25	M12	0
2023-25	M13	0
2023-25	M14	0
2023-25	M15	0
2023-25	M16	0
2023-25	M17	0
2023-25	M18	0
2023-25	M19	0
2023-25	M2	2,420
2023-25	M20	0
2023-25	M21	0
2023-25	M22	0
2023-25	M23	0
2023-25	M24	0
2023-25	M3	2,411
2023-25	M4	2,489
2023-25	M5	2,504
2023-25	M6	2,481
2023-25	M7	2,494
2023-25	M8	2,553
2023-25	M9	2,608

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	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	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	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	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
2021-23	M1	4,563
2021-23	M10	4,513
2021-23	M11	4,503
2021-23	M12	4,483
2021-23	M13	4,456
2021-23	M14	4,503
2021-23	M15	4,462
2021-23	M16	4,443
2021-23	M17	4,491
2021-23	M18	4,468
2021-23	M19	4,442
2021-23	M2	4,590
2021-23	M20	4,472
2021-23	M21	4,465
2021-23	M22	4,463
2021-23	M23	4,504
2021-23	M24	4,501
2021-23	M3	4,558
2021-23	M4	4,546
2021-23	M5	4,570
2021-23	M6	4,525
2021-23	M7	4,480
2021-23	M8	4,519
2021-23	M9	4,490
2023-25	M1	4,504
2023-25	M10	4,551
2023-25	M11	4,569
2023-25	M12	0
2023-25	M13	0
2023-25	M14	0
2023-25	M15	0
2023-25	M16	0
2023-25	M17	0
2023-25	M18	0
2023-25	M19	0
2023-25	M2	4,499
2023-25	M20	0
2023-25	M21	0
2023-25	M22	0
2023-25	M23	0
2023-25	M24	0
2023-25	M3	4,481
2023-25	M4	4,544
2023-25	M5	4,514
2023-25	M6	4,522
2023-25	M7	4,530
2023-25	M8	4,529
2023-25	M9	4,555

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	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	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	228
2023-25	M11	229
2023-25	M12	0
2023-25	M13	0
2023-25	M14	0
2023-25	M15	0
2023-25	M16	0
2023-25	M17	0
2023-25	M18	0
2023-25	M19	0
2023-25	M2	222
2023-25	M20	0
2023-25	M21	0
2023-25	M22	0
2023-25	M23	0
2023-25	M24	0
2023-25	M3	221
2023-25	M4	220
2023-25	M5	218
2023-25	M6	221
2023-25	M7	226
2023-25	M8	228
2023-25	M9	227

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	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	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	0
2023-25	M13	0
2023-25	M14	0
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	$0.00	$0.00
2023-25	M14	$0.00	$0.00
2023-25	M15	$0.00	$0.00
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	0	0
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	0	0
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	0%	0%
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	0%	0%
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	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%

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	0%	0%
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	0%	0%
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	0%	0%
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	0%	90%
2021-23	A3	0%	90%
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	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%

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	0%	0%
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	$0.00	$0.00
2023-25	M14	$0.00	$0.00
2023-25	M15	$0.00	$0.00
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	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	0	0
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	0%	0%
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	0%	0%
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	0%	90%
2021-23	A3	0%	90%
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	0	0
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	0%	0%
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.

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	0	0
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	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	0%	0%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

002776 - Timely licensing re-inspections of nursing homes

This measure is derived from Core Metric AAR.1, column AA2.1l • 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%	99%
2019-21	Q5	0%	99%
2019-21	Q6	0%	99%
2019-21	Q7	0%	99%
2019-21	Q8	0%	99%
2021-23	Q1	0%	90%
2021-23	Q2	0%	90%
2021-23	Q3	0%	90%
2021-23	Q4	0%	90%
2021-23	Q5	4%	90%
2021-23	Q6	0%	90%
2021-23	Q7	12%	90%
2021-23	Q8	52%	85%
2023-25	Q1	65%	85%
2023-25	Q2	77%	85%
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%

E077 - Managed Care Services

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

Long Term Care

Account	FY 2024	FY 2025	Biennium Total
001 - General Fund
State	75,213,000	85,368,000	160,581,000
Medicaid Federal	81,175,000	88,742,000	169,917,000
001 - General Fund Totals	156,388,000	174,110,000	330,498,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	40,847,000.0	46,650,000.0	87,497,000.0
Other	44,326,000.0	48,609,000.0	92,935,000.0
Totals	85,173,000.0	95,259,000.0	180,432,000.0

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

This measure is derived from Core Metric AAH.1, column AA1.2a • This measure supports ALTSA Strategic Objective 4.1: Ensure seniors and individuals with a disability who are in need of long-term services and supports (LTSS) are supported in their community. • Background: Washington State is a leader in maintaining LTSS clients in the home and community. We top the nation in measures that look at the proportion of expenses spent on home and community care. • Importance: Developing home and community-based services has meant Washingtonians have a choice regarding where they receive care, and has produced a more cost effective method of delivering services.

Biennium	Period	Actual	Target
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	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

F006 - Automated Client Eligibility Systems (ACES)

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

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total

FTE	262.3	259.6	261.0
001 - General Fund
State	82,670,000	75,406,000	158,076,000
Federal	29,113,000	27,851,000	56,964,000
Local	5,144,000	5,144,000	10,288,000
Family Support/Child Welfare	98,000	82,000	180,000
Medicaid Federal	23,199,000	19,376,000	42,575,000
Temporary Assistance for Needy Families	7,236,000	7,245,000	14,481,000
001 - General Fund Totals	147,460,000	135,104,000	282,564,000

	FY 2024	FY 2025	Biennium Total
FTES	131.2	130.4	130.8
GFS	47,487,000.0	40,972,000.0	88,459,000.0
Other	38,305,000.0	32,989,000.0	71,294,000.0
Totals	85,792,000.0	73,961,000.0	159,753,000.0

Expected Results

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

F010 - Child Support Enforcement

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

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total

FTE	2,161.4	2,161.8	2,161.6
001 - General Fund
State	111,816,000	112,632,000	224,448,000
Federal	16,606,000	14,384,000	30,990,000
Family Support/Child Welfare	223,618,000	226,754,000	450,372,000
Medicaid Federal	4,000	4,000	8,000
001 - General Fund Totals	352,044,000	353,774,000	705,818,000

	FY 2024	FY 2025	Biennium Total
FTES	1,080.7	1,080.9	1,080.8
GFS	55,908,000.0	56,316,000.0	112,224,000.0
Other	120,114,000.0	120,571,000.0	240,685,000.0
Totals	176,022,000.0	176,887,000.0	352,909,000.0

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

This measurement is based on an annual federal DCS performance report and begins on October 1st of each year - counting cases open during the current FFY and only payments received during the current FFY.

Biennium	Period	Actual	Target
2019-21	Q1	63%	63%
2019-21	Q2	46%	46%
2019-21	Q3	54%	54%
2019-21	Q4	62%	59%
2019-21	Q5	74%	63%
2019-21	Q6	49%	46%
2019-21	Q7	60%	54%
2019-21	Q8	66%	59%
2021-23	Q1	69%	69%
2021-23	Q2	44%	44%
2021-23	Q3	54%	55%
2021-23	Q4	60%	61%
2021-23	Q5	64%	63%
2021-23	Q6	44%	45%
2021-23	Q7	54%	54%
2021-23	Q8	59%	59%
2023-25	Q1	62%	62%
2023-25	Q2	45%	44%
2023-25	Q3	54%	53%
2023-25	Q4	59%	59%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

F011 - Retained Child Support

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

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total
001 - General Fund
State	(30,240,000)	(31,057,000)	(61,297,000)
Family Support/Child Welfare	(31,899,000)	(31,056,000)	(62,955,000)
001 - General Fund Totals	(62,139,000)	(62,113,000)	(124,252,000)

	FY 2024	FY 2025	Biennium Total
FTES
GFS	(16,061,000.0)	(17,301,000.0)	(33,362,000.0)
Other	(17,174,000.0)	(17,300,000.0)	(34,474,000.0)
Totals	(33,235,000.0)	(34,601,000.0)	(67,836,000.0)

000459 - Percent of current child support owed that is collected

Percent of current child support owed that is collected.

Biennium	Period	Actual	Target
2019-21	Q1	68%	68%
2019-21	Q2	67%	68%
2019-21	Q3	67%	67%
2019-21	Q4	67%	69%
2019-21	Q5	68%	67%
2019-21	Q6	67%	67%
2019-21	Q7	68%	67%
2019-21	Q8	71%	69%
2021-23	Q1	68%	68%
2021-23	Q2	64%	67%
2021-23	Q3	65%	67%
2021-23	Q4	66%	68%
2021-23	Q5	65%	67%
2021-23	Q6	66%	67%
2021-23	Q7	66%	67%
2021-23	Q8	67%	69%
2023-25	Q1	65%	65%
2023-25	Q2	65%	65%
2023-25	Q3	65%	65%
2023-25	Q4	67%	67%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

F016 - Office of Financial Recovery

The Office of Financial Recovery (OFR) is the centralized collection office for funds owed to the Department of Social and Health Services (DSHS) and partner agencies. OFR recovers revenues, collects overpayments, and bills and collects fees in the following major collection programs: Estate Recovery, Client Overpayments, Food Assistance Overpayments, Vendor Overpayments, Supplemental Security Income, Medical Premiums, Juvenile Rehabilitation, Developmental Disabilities, Mental Health, and Time Loss.

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total
001 - General Fund
State	532,000	608,000	1,140,000
Federal	(94,000)	(102,000)	(196,000)
001 - General Fund Totals	438,000	506,000	944,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	266,000.0	304,000.0	570,000.0
Other	(47,000.0)	(51,000.0)	(98,000.0)
Totals	219,000.0	253,000.0	472,000.0

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	$0.00	$0.00
2023-25	M14	$0.00	$0.00
2023-25	M15	$0.00	$0.00
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

F024 - Diversion Cash Assistance (DCA)

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

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total
001 - General Fund
State	4,974,000	4,974,000	9,948,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	2,487,000.0	2,487,000.0	4,974,000.0
Other
Totals	2,487,000.0	2,487,000.0	4,974,000.0

Expected Results

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

F038 - Supplemental Nutrition Assistance Program (SNAP)

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

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total

FTE	0.90	1.8	1.4
001 - General Fund
State	6,329,000	7,318,000	13,647,000
Federal	67,907,000	79,667,000	147,574,000
001 - General Fund Totals	74,236,000	86,985,000	161,221,000

	FY 2024	FY 2025	Biennium Total
FTES	0.90	1.8	1.4
GFS	3,468,000.0	4,842,000.0	8,310,000.0
Other	34,257,000.0	41,017,000.0	75,274,000.0
Totals	37,725,000.0	45,859,000.0	83,584,000.0

000555 - Food Stamp Accuracy Rate

Food Stamp accuracy rate.

Biennium	Period	Actual	Target
2019-21	M1	96%	93%
2019-21	M10	0%	93%
2019-21	M11	0%	93%
2019-21	M12	92%	93%
2019-21	M13	92%	93%
2019-21	M14	98%	93%
2019-21	M15	98%	93%
2019-21	M16	0%	93%
2019-21	M17	0%	93%
2019-21	M18	0%	93%
2019-21	M19	0%	93%
2019-21	M2	95%	93%
2019-21	M20	0%	93%
2019-21	M21	0%	93%
2019-21	M22	0%	93%
2019-21	M23	0%	93%
2019-21	M24	0%	93%
2019-21	M3	95%	93%
2019-21	M4	96%	93%
2019-21	M5	92%	93%
2019-21	M6	94%	93%
2019-21	M7	90%	93%
2019-21	M8	90%	93%
2019-21	M9	0%	93%
2021-23	M1	93%	93%
2021-23	M10	91%	93%
2021-23	M11	95%	93%
2021-23	M12	92%	93%
2021-23	M13	96%	89%
2021-23	M14	85%	89%
2021-23	M15	91%	89%
2021-23	M16	93%	88%
2021-23	M17	93%	88%
2021-23	M18	91%	88%
2021-23	M19	91%	88%
2021-23	M2	92%	93%
2021-23	M20	94%	88%
2021-23	M21	93%	88%
2021-23	M22	97%	88%
2021-23	M23	98%	88%
2021-23	M24	93%	88%
2021-23	M3	95%	93%
2021-23	M4	89%	93%
2021-23	M5	93%	93%
2021-23	M6	89%	93%
2021-23	M7	87%	93%
2021-23	M8	93%	93%
2021-23	M9	91%	93%
2023-25	M1	92%	88%
2023-25	M10	0%	0%
2023-25	M11	0%	0%
2023-25	M12	0%	0%
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	91%	88%
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	93%	88%
2023-25	M4	97%	0%
2023-25	M5	92%	0%
2023-25	M6	95%	0%
2023-25	M7	94%	0%
2023-25	M8	90%	0%
2023-25	M9	0%	0%

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

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

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total
001 - General Fund
State	216,770,000	241,369,000	458,139,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	110,577,000.0	125,281,000.0	235,858,000.0
Other
Totals	110,577,000.0	125,281,000.0	235,858,000.0

Expected Results

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

F042 - Immigrant State Food Assistance

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

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total
001 - General Fund
State	134,255,000	157,511,000	291,766,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	90,403,000.0	117,322,000.0	207,725,000.0
Other
Totals	90,403,000.0	117,322,000.0	207,725,000.0

Expected Results

Reduce hunger and food insecurity.

F068 - Other Client Services

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

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total

FTE		5.8	2.9
001 - General Fund
State	79,116,000	104,593,000	183,709,000
Federal	8,812,000	6,860,000	15,672,000
Local	130,000	130,000	260,000
Medicaid Federal	862,000	862,000	1,724,000
American Rescue Plan Act (ARPA)	6,734,000	6,734,000	13,468,000
001 - General Fund Totals	95,654,000	119,179,000	214,833,000
07W - Domestic Violence Prevention Acct
State	2,404,000	2,404,000	4,808,000

	FY 2024	FY 2025	Biennium Total
FTES		5.8	2.9
GFS	39,691,000.0	65,068,000.0	104,759,000.0
Other	10,559,000.0	8,607,000.0	19,166,000.0
Totals	50,250,000.0	73,675,000.0	123,925,000.0

Expected Results

Help low-income families meet their basic needs.

F078 - Program Support

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

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total

FTE	586.6	600.5	593.6
001 - General Fund
State	83,504,000	88,253,000	171,757,000
Federal	59,518,000	43,754,000	103,272,000
Family Support/Child Welfare	6,899,000	7,615,000	14,514,000
Medicaid Federal	9,914,000	19,746,000	29,660,000
Temporary Assistance for Needy Families	16,678,000	15,320,000	31,998,000
American Rescue Plan Act (ARPA)	5,148,000		5,148,000
001 - General Fund Totals	181,661,000	174,688,000	356,349,000

	FY 2024	FY 2025	Biennium Total
FTES	293.7	308.7	301.2
GFS	44,819,000.0	53,202,000.0	98,021,000.0
Other	51,749,000.0	54,486,000.0	106,235,000.0
Totals	96,568,000.0	107,688,000.0	204,256,000.0

Expected Results

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

F083 - Refugee Assistance Program

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

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total
001 - General Fund
State	14,844,000	14,844,000	29,688,000
Federal	155,248,000	48,898,000	204,146,000
001 - General Fund Totals	170,092,000	63,742,000	233,834,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	7,422,000.0	7,422,000.0	14,844,000.0
Other	76,084,000.0	25,133,000.0	101,217,000.0
Totals	83,506,000.0	32,555,000.0	116,061,000.0

Expected Results

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

F100 - Temporary Assistance for Needy Families (TANF)

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

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total
001 - General Fund
State	179,165,000	185,317,000	364,482,000
Temporary Assistance for Needy Families	252,680,000	280,722,000	533,402,000
001 - General Fund Totals	431,845,000	466,039,000	897,884,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	91,599,000.0	106,563,000.0	198,162,000.0
Other	124,340,000.0	142,361,000.0	266,701,000.0
Totals	215,939,000.0	248,924,000.0	464,863,000.0

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

This measure is derived from Core Metric E3.1. The state's participation rate for a month is the number of TANF and SSP MOE families that include a work-eligible individual who is participating a minimum average of 30 hours per week in federally defined work activities, divided by the number of TANF and SSP MOE families that include a work-eligible individual, minus the number of families that are in their first 3 months of sanction (limited to 3 out of the last 12 months), and single custodial parents caring for a child under age 1 (limited to 12 months in that parent's lifetime). Both parents in two-parent families are included in this calculation.

Biennium	Period	Actual	Target
2019-21	M1	50%	2%
2019-21	M10	37%	0%
2019-21	M11	34%	0%
2019-21	M12	34%	0%
2019-21	M13	34%	0%
2019-21	M14	34%	0%
2019-21	M15	35%	0%
2019-21	M16	36%	0%
2019-21	M17	36%	0%
2019-21	M18	35%	0%
2019-21	M19	36%	0%
2019-21	M2	50%	2%
2019-21	M20	36%	0%
2019-21	M21	37%	0%
2019-21	M22	37%	0%
2019-21	M23	36%	0%
2019-21	M24	33%	0%
2019-21	M3	51%	2%
2019-21	M4	52%	0%
2019-21	M5	51%	0%
2019-21	M6	50%	0%
2019-21	M7	49%	0%
2019-21	M8	47%	0%
2019-21	M9	45%	0%
2021-23	M1	32%	0%
2021-23	M10	36%	0%
2021-23	M11	36%	0%
2021-23	M12	36%	0%
2021-23	M13	36%	0%
2021-23	M14	36%	0%
2021-23	M15	35%	0%
2021-23	M16	35%	0%
2021-23	M17	34%	0%
2021-23	M18	33%	0%
2021-23	M19	33%	0%
2021-23	M2	32%	0%
2021-23	M20	33%	0%
2021-23	M21	33%	0%
2021-23	M22	32%	0%
2021-23	M23	32%	0%
2021-23	M24	31%	0%
2021-23	M3	32%	0%
2021-23	M4	32%	0%
2021-23	M5	33%	0%
2021-23	M6	32%	0%
2021-23	M7	32%	0%
2021-23	M8	32%	0%
2021-23	M9	32%	0%
2023-25	M1	31%	0%
2023-25	M10	28%	0%
2023-25	M11	25%	0%
2023-25	M12	0%	0%
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	31%	0%
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	30%	0%
2023-25	M4	30%	0%
2023-25	M5	30%	0%
2023-25	M6	29%	0%
2023-25	M7	29%	0%
2023-25	M8	28%	0%
2023-25	M9	28%	0%

F108 - WorkFirst Employment and Training

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

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total
001 - General Fund
State	61,472,000	66,832,000	128,304,000
Temporary Assistance for Needy Families	185,492,000	185,028,000	370,520,000
001 - General Fund Totals	246,964,000	251,860,000	498,824,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	30,736,000.0	33,442,000.0	64,178,000.0
Other	92,746,000.0	92,514,000.0	185,260,000.0
Totals	123,482,000.0	125,956,000.0	249,438,000.0

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

This measure is derived from Core Metric E3.1. The state's participation rate for a month is the number of TANF and SSP MOE families that include a work-eligible individual who is participating a minimum average of 30 hours per week in federally defined work activities, divided by the number of TANF and SSP MOE families that include a work-eligible individual, minus the number of families that are in their first 3 months of sanction (limited to 3 out of the last 12 months), and single custodial parents caring for a child under age 1 (limited to 12 months in that parent's lifetime). Both parents in two-parent families are included in this calculation.

Biennium	Period	Actual	Target
2019-21	M1	50%	2%
2019-21	M10	37%	0%
2019-21	M11	34%	0%
2019-21	M12	34%	0%
2019-21	M13	34%	0%
2019-21	M14	34%	0%
2019-21	M15	35%	0%
2019-21	M16	36%	0%
2019-21	M17	36%	0%
2019-21	M18	35%	0%
2019-21	M19	36%	0%
2019-21	M2	50%	2%
2019-21	M20	36%	0%
2019-21	M21	37%	0%
2019-21	M22	37%	0%
2019-21	M23	36%	0%
2019-21	M24	33%	0%
2019-21	M3	51%	2%
2019-21	M4	52%	0%
2019-21	M5	51%	0%
2019-21	M6	50%	0%
2019-21	M7	49%	0%
2019-21	M8	47%	0%
2019-21	M9	45%	0%
2021-23	M1	32%	0%
2021-23	M10	36%	0%
2021-23	M11	36%	0%
2021-23	M12	36%	0%
2021-23	M13	36%	0%
2021-23	M14	36%	0%
2021-23	M15	35%	0%
2021-23	M16	35%	0%
2021-23	M17	34%	0%
2021-23	M18	33%	0%
2021-23	M19	33%	0%
2021-23	M2	32%	0%
2021-23	M20	33%	0%
2021-23	M21	33%	0%
2021-23	M22	32%	0%
2021-23	M23	32%	0%
2021-23	M24	31%	0%
2021-23	M3	32%	0%
2021-23	M4	32%	0%
2021-23	M5	33%	0%
2021-23	M6	32%	0%
2021-23	M7	32%	0%
2021-23	M8	32%	0%
2021-23	M9	32%	0%
2023-25	M1	31%	0%
2023-25	M10	28%	0%
2023-25	M11	25%	0%
2023-25	M12	0%	0%
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	31%	0%
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	30%	0%
2023-25	M4	30%	0%
2023-25	M5	30%	0%
2023-25	M6	29%	0%
2023-25	M7	29%	0%
2023-25	M8	28%	0%
2023-25	M9	28%	0%

F109 - Child Care Subsidy Program

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

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total
001 - General Fund
Temporary Assistance for Needy Families	353,402,000	353,402,000	706,804,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS
Other	176,701,000.0	176,701,000.0	353,402,000.0
Totals	176,701,000.0	176,701,000.0	353,402,000.0

Expected Results

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

F110 - Division of Disability Determination Services

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

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total

FTE	628.0	628.0	628.0
001 - General Fund
State	4,472,000	4,552,000	9,024,000
Federal	117,178,000	117,184,000	234,362,000
Medicaid Federal	3,066,000	3,066,000	6,132,000
001 - General Fund Totals	124,716,000	124,802,000	249,518,000

	FY 2024	FY 2025	Biennium Total
FTES	314.0	314.0	314.0
GFS	2,236,000.0	2,276,000.0	4,512,000.0
Other	60,122,000.0	60,125,000.0	120,247,000.0
Totals	62,358,000.0	62,401,000.0	124,759,000.0

Expected Results

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

F120 - CSD Field Support Services

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

Economic Services Administration

Account	FY 2024	FY 2025	Biennium Total

FTE	4,675.7	4,722.5	4,699.1
001 - General Fund
State	336,669,000	343,050,000	679,719,000
Federal	113,326,000	113,420,000	226,746,000
Family Support/Child Welfare	(3,634,000)	(3,688,000)	(7,322,000)
Medicaid Federal	61,054,000	61,650,000	122,704,000
Temporary Assistance for Needy Families	24,650,000	25,700,000	50,350,000
001 - General Fund Totals	532,065,000	540,132,000	1,072,197,000

	FY 2024	FY 2025	Biennium Total
FTES	2,339.4	2,383.4	2,361.4
GFS	168,543,000.0	173,451,000.0	341,994,000.0
Other	97,812,000.0	99,263,000.0	197,075,000.0
Totals	266,355,000.0	272,714,000.0	539,069,000.0

Expected Results

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

J103 - Vocational Rehabilitation Administration

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

Vocational Rehabilitation

Account	FY 2024	FY 2025	Biennium Total

FTE	3.6	7.8	5.7
001 - General Fund
State	674,000	708,000	1,382,000
Federal	5,300,000	5,752,000	11,052,000
001 - General Fund Totals	5,974,000	6,460,000	12,434,000

	FY 2024	FY 2025	Biennium Total
FTES	1.8	3.9	2.9
GFS	337,000.0	354,000.0	691,000.0
Other	2,650,000.0	2,876,000.0	5,526,000.0
Totals	2,987,000.0	3,230,000.0	6,217,000.0

Expected Results

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

J104 - Vocational Counseling and Guidance

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

Vocational Rehabilitation

Account	FY 2024	FY 2025	Biennium Total

FTE	594.8	594.2	594.5
001 - General Fund
State	27,943,000	27,086,000	55,029,000
Federal	38,996,000	41,584,000	80,580,000
001 - General Fund Totals	66,939,000	68,670,000	135,609,000

	FY 2024	FY 2025	Biennium Total
FTES	297.4	297.1	297.3
GFS	13,975,000.0	13,550,000.0	27,525,000.0
Other	19,498,000.0	20,792,000.0	40,290,000.0
Totals	33,473,000.0	34,342,000.0	67,815,000.0

001310 - Number of individuals achieving employment outcomes

Number of individuals achieving employment outcomes

Biennium	Period	Actual	Target
2019-21	Q1	479	540
2019-21	Q2	422	540
2019-21	Q3	455	540
2019-21	Q4	215	540
2019-21	Q5	271	300
2019-21	Q6	235	300
2019-21	Q7	259	300
2019-21	Q8	221	300
2021-23	Q1	326	300
2021-23	Q2	399	300
2021-23	Q3	462	300
2021-23	Q4	437	300
2021-23	Q5	418	450
2021-23	Q6	437	450
2021-23	Q7	411	450
2021-23	Q8	370	450
2023-25	Q1	408	450
2023-25	Q2	265	450
2023-25	Q3	332	450
2023-25	Q4	313	450
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

001312 - Rehabilitation Rate

The proportion of all cases closed in successful employment as a result of DVR services provided under an individualized plan.

Biennium	Period	Actual	Target
2019-21	Q1	54%	0%
2019-21	Q2	49%	0%
2019-21	Q3	55%	0%
2019-21	Q4	49%	0%
2019-21	Q5	45%	0%
2019-21	Q6	41%	0%
2019-21	Q7	41%	0%
2019-21	Q8	38%	0%
2021-23	Q1	46%	0%
2021-23	Q2	49%	0%
2021-23	Q3	50%	0%
2021-23	Q4	58%	0%
2021-23	Q5	56%	0%
2021-23	Q6	58%	0%
2021-23	Q7	50%	0%
2021-23	Q8	49%	0%
2023-25	Q1	50%	0%
2023-25	Q2	49%	0%
2023-25	Q3	50%	0%
2023-25	Q4	46%	0%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

J105 - Vocational Rehabilitation Direct Client Services

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

Vocational Rehabilitation

Account	FY 2024	FY 2025	Biennium Total

FTE	41.6	38.2	39.9
001 - General Fund
State	24,730,000	26,144,000	50,874,000
Federal	64,364,000	64,098,000	128,462,000
001 - General Fund Totals	89,094,000	90,242,000	179,336,000

	FY 2024	FY 2025	Biennium Total
FTES	20.8	19.1	20.0
GFS	12,365,000.0	13,072,000.0	25,437,000.0
Other	32,182,000.0	32,049,000.0	64,231,000.0
Totals	44,547,000.0	45,121,000.0	89,668,000.0

001310 - Number of individuals achieving employment outcomes

Number of individuals achieving employment outcomes

Biennium	Period	Actual	Target
2019-21	Q1	479	540
2019-21	Q2	422	540
2019-21	Q3	455	540
2019-21	Q4	215	540
2019-21	Q5	271	300
2019-21	Q6	235	300
2019-21	Q7	259	300
2019-21	Q8	221	300
2021-23	Q1	326	300
2021-23	Q2	399	300
2021-23	Q3	462	300
2021-23	Q4	437	300
2021-23	Q5	418	450
2021-23	Q6	437	450
2021-23	Q7	411	450
2021-23	Q8	370	450
2023-25	Q1	408	450
2023-25	Q2	265	450
2023-25	Q3	332	450
2023-25	Q4	313	450
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

K001 - Administration and Supporting Services

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

Administration and Supporting Services

Account	FY 2024	FY 2025	Biennium Total

FTE	1,230.6	1,243.1	1,236.9
001 - General Fund
State	100,914,000	113,468,000	214,382,000
Federal	27,307,000	28,745,000	56,052,000
Family Support/Child Welfare	1,286,000	1,278,000	2,564,000
Medicaid Federal	25,648,000	26,293,000	51,941,000
Temporary Assistance for Needy Families	4,740,000	4,740,000	9,480,000
001 - General Fund Totals	159,895,000	174,524,000	334,419,000
26C - Climate Commitment Account
State		2,000,000	2,000,000

	FY 2024	FY 2025	Biennium Total
FTES	615.2	628.7	622.0
GFS	50,946,000.0	62,924,000.0	113,870,000.0
Other	30,413,000.0	34,180,000.0	64,593,000.0
Totals	81,359,000.0	97,104,000.0	178,463,000.0

Expected Results

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

M001 - Program Support for SCC

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

Special Commitment Program

Account	FY 2024	FY 2025	Biennium Total

FTE	8.0	8.0	8.0
001 - General Fund
State	2,070,000	2,114,000	4,184,000

	FY 2024	FY 2025	Biennium Total
FTES	4.0	4.0	4.0
GFS	1,035,000.0	1,057,000.0	2,092,000.0
Other
Totals	1,035,000.0	1,057,000.0	2,092,000.0

Expected Results

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

M005 - Facility and Island Operation

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

Special Commitment Program

Account	FY 2024	FY 2025	Biennium Total

FTE	38.0	38.0	38.0
001 - General Fund
State	4,312,000	4,428,000	8,740,000

	FY 2024	FY 2025	Biennium Total
FTES	19.0	19.0	19.0
GFS	2,156,000.0	2,214,000.0	4,370,000.0
Other
Totals	2,156,000.0	2,214,000.0	4,370,000.0

Expected Results

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

M010 - SCC Total Confinement Facility

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

Special Commitment Program

Account	FY 2024	FY 2025	Biennium Total

FTE	817.0	816.8	816.9
001 - General Fund
State	118,024,000	117,257,000	235,281,000

	FY 2024	FY 2025	Biennium Total
FTES	408.5	408.9	408.7
GFS	58,443,000.0	57,944,000.0	116,387,000.0
Other
Totals	58,443,000.0	57,944,000.0	116,387,000.0

002204 - Completion Rate of Annual Forensic Evaluations

Maintain a completion rate of annual forensic evaluations of civilly committed sexually violent predators.

Biennium	Period	Actual	Target
2019-21	Q1	15%	19%
2019-21	Q2	16%	19%
2019-21	Q3	16%	19%
2019-21	Q4	20%	19%
2019-21	Q5	17%	19%
2019-21	Q6	15%	19%
2019-21	Q7	11%	19%
2019-21	Q8	18%	19%
2021-23	Q1	34%	19%
2021-23	Q2	41%	19%
2021-23	Q3	31%	19%
2021-23	Q4	31%	19%
2021-23	Q5	30%	19%
2021-23	Q6	33%	19%
2021-23	Q7	47%	19%
2021-23	Q8	42%	19%
2023-25	Q1	20%	40%
2023-25	Q2	35%	40%
2023-25	Q3	45%	40%
2023-25	Q4	40%	40%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

002208 - Rate of Residents in Advanced Phases of Treatment

Maintain the rate of residents in advanced phases of treatment.

Biennium	Period	Actual	Target
2019-21	Q1	2%	10%
2019-21	Q2	2%	10%
2019-21	Q3	2%	10%
2019-21	Q4	2%	10%
2019-21	Q5	2%	10%
2019-21	Q6	1%	10%
2019-21	Q7	1%	10%
2019-21	Q8	1%	10%
2021-23	Q1	1%	10%
2021-23	Q2	1%	10%
2021-23	Q3	1%	10%
2021-23	Q4	2%	10%
2021-23	Q5	1%	10%
2021-23	Q6	1%	10%
2021-23	Q7	2%	10%
2021-23	Q8	2%	10%
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%

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

This measure relates to Core Metric SC1.3 • Sex offender treatment is offered to all residents Residents engage voluntarily if interested. • Engagement provides the opportunity to move toward a less restrictive alternative (LRA).

Biennium	Period	Actual	Target
2019-21	Q1	88%	65%
2019-21	Q2	91%	65%
2019-21	Q3	81%	65%
2019-21	Q4	80%	65%
2019-21	Q5	87%	65%
2019-21	Q6	85%	65%
2019-21	Q7	79%	65%
2019-21	Q8	78%	65%
2021-23	Q1	79%	65%
2021-23	Q2	82%	65%
2021-23	Q3	81%	65%
2021-23	Q4	83%	65%
2021-23	Q5	83%	65%
2021-23	Q6	77%	65%
2021-23	Q7	73%	65%
2021-23	Q8	72%	65%
2023-25	Q1	74%	65%
2023-25	Q2	72%	65%
2023-25	Q3	71%	65%
2023-25	Q4	70%	65%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

002269 - Resident to Resident Assaults

Maintain a low level of resident to resident assaults, EMIS column RS2269a.

Biennium	Period	Actual	Target
2019-21	Q1	1	7
2019-21	Q2	3	7
2019-21	Q3	2	7
2019-21	Q4	4	7
2019-21	Q5	3	7
2019-21	Q6	3	7
2019-21	Q7	3	7
2019-21	Q8	4	7
2021-23	Q1	5	7
2021-23	Q2	3	7
2021-23	Q3	1	7
2021-23	Q4	1	7
2021-23	Q5	5	7
2021-23	Q6	4	7
2021-23	Q7	4	7
2021-23	Q8	3	7
2023-25	Q1	4	5
2023-25	Q2	5	5
2023-25	Q3	12	5
2023-25	Q4	1	5
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

002270 - Resident to Staff Assaults

Maintain a low level of resident to staff assaults.

Biennium	Period	Actual	Target
2019-21	Q1	3%	3%
2019-21	Q2	1%	3%
2019-21	Q3	4%	3%
2019-21	Q4	3%	3%
2019-21	Q5	1%	3%
2019-21	Q6	1%	3%
2019-21	Q7	2%	3%
2019-21	Q8	0%	3%
2021-23	Q1	0%	3%
2021-23	Q2	1%	3%
2021-23	Q3	2%	3%
2021-23	Q4	1%	3%
2021-23	Q5	2%	3%
2021-23	Q6	2%	3%
2021-23	Q7	1%	3%
2021-23	Q8	2%	3%
2023-25	Q1	6%	2%
2023-25	Q2	8%	2%
2023-25	Q3	5%	2%
2023-25	Q4	7%	2%
2023-25	Q5	0%	0%
2023-25	Q6	0%	0%
2023-25	Q7	0%	0%
2023-25	Q8	0%	0%

M020 - Civil Commitment Less Restrictive Alternatives

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

Special Commitment Program

Account	FY 2024	FY 2025	Biennium Total

FTE	103.0	103.0	103.0
001 - General Fund
State	38,878,000	38,696,000	77,574,000

	FY 2024	FY 2025	Biennium Total
FTES	51.5	51.5	51.5
GFS	19,639,000.0	19,304,000.0	38,943,000.0
Other
Totals	19,639,000.0	19,304,000.0	38,943,000.0

002790 - Residents in LRA Placement

Data is derived from EMIS: total of columns Z022, Z041, and Z024 using the last month of each quarter.

Biennium	Period	Actual	Target
2019-21	Q1	71	75
2019-21	Q2	64	75
2019-21	Q3	72	80
2019-21	Q4	77	80
2019-21	Q5	74	85
2019-21	Q6	74	85
2019-21	Q7	75	85
2019-21	Q8	74	85
2021-23	Q1	75	85
2021-23	Q2	77	85
2021-23	Q3	83	85
2021-23	Q4	82	85
2021-23	Q5	83	85
2021-23	Q6	84	85
2021-23	Q7	85	85
2021-23	Q8	84	85
2023-25	Q1	81	71
2023-25	Q2	73	66
2023-25	Q3	70	70
2023-25	Q4	70	67
2023-25	Q5	0	0
2023-25	Q6	0	0
2023-25	Q7	0	0
2023-25	Q8	0	0

N073 - Payment to Other Agencies

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

Payments to Other Agencies

Account	FY 2024	FY 2025	Biennium Total
001 - General Fund
State	130,216,000	146,423,000	276,639,000
Federal	30,035,000	35,240,000	65,275,000
Family Support/Child Welfare	8,148,000	8,070,000	16,218,000
Medicaid Federal	18,012,000	18,198,000	36,210,000
Temporary Assistance for Needy Families	3,030,000	3,030,000	6,060,000
001 - General Fund Totals	189,441,000	210,961,000	400,402,000

	FY 2024	FY 2025	Biennium Total
FTES
GFS	66,435,000.0	85,489,000.0	151,924,000.0
Other	28,820,000.0	34,149,000.0	62,969,000.0
Totals	95,255,000.0	119,638,000.0	214,893,000.0

Expected Results

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

P001 - Information Systems Services

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

Information System Services

Account	FY 2024	FY 2025	Biennium Total

FTE	241.0	240.2	240.6

	FY 2024	FY 2025	Biennium Total
FTES	121.0	120.6	120.8
GFS
Other
Totals

Expected Results

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

Q001 - Consolidated Field Services

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

Consolidated Field Services

Account	FY 2024	FY 2025	Biennium Total

FTE	298.8	298.8	298.8

	FY 2024	FY 2025	Biennium Total
FTES	149.4	149.4	149.4
GFS
Other
Totals

Expected Results

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

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