Department of Social and Health Services
| Average Annual FTEs | Near General Fund State | Other Funds | Total Funds | |
|---|---|---|---|---|
| (Dollars in Thousands) | ||||
| Current Budget | 18,981.1 | 10,733,704 | 10,784,987 | 21,518,691 |
| 2023-25 Maintenance Level | 18,981.1 | 11,222,751 | 10,947,657 | 22,170,408 |
| Difference from 2023-25 Original | 0.0 | 489,047 | 162,670 | 651,717 |
| % Change from 2023-25 Original | 0.0% | 4.6% | 1.5% | 3.0% |
2024 Policy Other Changes |
||||
| ACES M&O Base Funding | 0.0 | 7,411 | 6,021 | 13,432 |
| Asset Verification System Adj. | (1.1) | (1,058) | (1,059) | (2,117) |
| CSO Safety & Security Improvements | 0.0 | 674 | 274 | 948 |
| Clinical Contracted Staffing | 0.0 | 25,750 | 0 | 25,750 |
| Close Fir Unit | (4.5) | (930) | 0 | (930) |
| DSHS RTF - Vancouver Campus | (54.8) | (14,037) | 0 | (14,037) |
| Federal Funding Adjustment | 0.0 | 0 | 5,000 | 5,000 |
| Federal Funding Adjustment | 0.0 | 0 | 6,000 | 6,000 |
| Federal Funding Adjustment | 0.0 | 0 | 221,409 | 221,409 |
| Federal Funding Adjustment | 20.0 | 0 | 8,000 | 8,000 |
| IE&E - CMS Rules | 1.0 | 1,965 | 3,634 | 5,599 |
| Mainframe as a Serv. Additions | 0.0 | 809 | 689 | 1,498 |
| Maple Lane Campus | (77.8) | (21,898) | 0 | (21,898) |
| Olympic Heritage Behavioral Health | (53.3) | (15,188) | 0 | (15,188) |
| Operate Lake Burien RTF | 4.4 | 1,834 | 533 | 2,367 |
| Reduce Leadership Training | 0.0 | (60) | 0 | (60) |
| Reduce Med Consultant Contract | 0.0 | (50) | 0 | (50) |
| Reduce Redwood Unit | (7.0) | (1,483) | 0 | (1,483) |
| Refugees - Subrecipient Monitoring | 0.70 | 0 | 203 | 203 |
| Remove Child Ed Proviso | 0.0 | (495) | 0 | (495) |
| SB5236 Staffing Requirements | 0.40 | 510 | 0 | 510 |
| SCORE Program Continuation | 2.0 | 1,243 | 0 | 1,243 |
| SNAP Natl. Accuracy Clearing House | 0.80 | 461 | 461 | 922 |
| SOLA Forecast | 30.3 | 8,771 | 9,941 | 18,712 |
| Summer EBT Contractor Cost | 0.0 | 163 | 163 | 326 |
| Supporting SNAP Tribal Expansion | 0.50 | 270 | 272 | 542 |
| Suquamish Tribal TANF MOE | 0.0 | 0 | 248 | 248 |
| TALX Contract | 0.0 | 1,591 | 650 | 2,241 |
| Underspend - Diversion Cash Asst. | 0.0 | (1,305) | 0 | (1,305) |
| Underspend - School to Work Program | 0.0 | (810) | 0 | (810) |
| Underspend- Div. of Child Support | 0.0 | (500) | 0 | (500) |
| Underspend- WorkFirst Services | 0.0 | (2,000) | 0 | (2,000) |
| Underspend- Working Family Support | 0.0 | (400) | 0 | (400) |
| Waiver Provider Rates | 0.0 | 1,251 | 1,252 | 2,503 |
| 2024 Policy Other Changes Total | (138.4) | (7,511) | 263,691 | 256,180 |
| Total Policy Changes | (138.4) | (7,511) | 263,691 | 256,180 |
| 2024 Policy Level | 18,842.7 | 11,215,240 | 11,211,348 | 22,426,588 |
| Difference from 2023-25 Original | (138.4) | 481,536 | 426,361 | 907,897 |
| % Change from 2023-25 Original | (0.7%) | 4.5% | 4.0% | 4.2% |
Policy Changes
ACES M&O Base Funding
Funding is provided to cover a shortfall identified in the base budget for the maintenance and operations of ACES and to cover increased vendor costs for additional services necessary to support the stability of ACES. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)
Asset Verification System Adj.
Due to a project delay, funding and staffing for the Asset Verification System (AVS) IT project is reduced in fiscal year 2025 to align with planned resource needs. Unspent funds in fiscal year 2025 are requested for project completion in fiscal year 2026. The intent of this project is to fully integrate AVS into the ACES to move toward automated asset verification during Medicaid eligibility determinations. (General Fund - Federal, General Fund - State)
CSO Safety & Security Improvements
Funding is provided to improve the safety and security at Community Service Offices, including the installation and monitoring of duress buttons, increased security officers, and staff travel costs associated with attending active threat and de-escalation training. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)
Clinical Contracted Staffing
Funding is provided for increased contracted nursing staffing costs due to extraordinary vacancy rates within the state psychiatric hospitals. (General Fund - State)
Close Fir Unit
Funding is reduced due to closure of Fir Unit on McNeil Island. (General Fund - State)
DSHS RTF - Vancouver Campus
Funding is adjusted due to delays in operating Brockmann campus in Clark County. (General Fund - State)
Federal Funding Adjustment
Federal expenditure authority is necessary for agencies to utilize awards and grants. Current Medicaid revenue for the Residential Habilitation Centers exceed the agencys current authority. (General Fund - Federal, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Federal Funding Adjustment
Federal expenditure authority is necessary for agencies to utilize awards and grants. Current Older Americans Act grants exceed the agencys current authority. (General Fund - Federal, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Federal Funding Adjustment
Funding is provided to adjust expenditure authority to reflect current estimates of federal revenue, including one-time grants for Supplemental Nutrition Assistance Program (SNAP) Process Technology Improvements, Child Support Enforcement Research, Electronic Healthy Incentive Project, and Office of Refugee and Immigrant Assistance (ORIA) Federal Emergency Management Agency Shelter and Services. (General Fund - Federal, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Federal Funding Adjustment
Funding is provided to adjust expenditure authority to reflect current estimates of federal revenue for the Vocational Rehabilitation Basic Support grant and authority for 40 FTEs to serve additional clients. (General Fund - Federal, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
IE&E - CMS Rules
Funding is provided for the continuation of the Integrated Eligibility and Enrollment project, including contractor and staffing costs associated with aligning eligibility rules with the Center for Medicare and Medicaid Services' regulations. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Mainframe as a Serv. Additions
Additional funding is provided for the Automated Client Eligibility System (ACES) Mainframe as a Service IT project to cover increased vendor costs that were not previously identified. The additional services are necessary to support the stability of the ACES mainframe hardware. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)
Maple Lane Campus
Funding is adjusted due to delays in operating Baker Unit on the Maple Lane campus. (General Fund - State)
Olympic Heritage Behavioral Health
Funding is adjusted due to updated costs projections for DSHS to operate three wards at Olympic Heritage Behavioral Health. (General Fund - State)
Operate Lake Burien RTF
One-time funding is provided for costs to implement and operate the Lake Burien residential transitional facility. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Reduce Leadership Training
Funding is reduced for leadership training. (General Fund - State)
Reduce Med Consultant Contract
Funding is reduced for medical consultant contracts. (General Fund - State)
Reduce Redwood Unit
Funding is reduced due to Redwood Unit on McNeil Island operating at lower capacity. (General Fund - State)
Refugees - Subrecipient Monitoring
Funding is provided to ORIA and the Division of Finance and Financial Resources for additional staffing to manage fiscal and program monitoring required under the federal Office of Refugee Resettlement's Refugee and Entrant Assistance federal funding award. (General Fund - Federal)
Remove Child Ed Proviso
This funding is intended to support children and youth in Residential Habilitation Centers. There are no eligible residents, and the funding is no longer necessary. (General Fund - State)
SB5236 Staffing Requirements
Funding is provided to meet the requirements of E2SSB 5236 concerning hospital staffing standards. (General Fund - State)
SCORE Program Continuation
Funding is provided on a one-time basis to continue enhanced behavioral health support services to Trueblood Class Members in custody at the King County South Correctional Entity Jail during the 2023-25 Biennium. (General Fund - State)
SNAP Natl. Accuracy Clearing House
Funding is provided to the Economic Services Administration to implement a federally mandated interstate data matching system for SNAP by May of 2026. The funding covers IT enhancements and staffing. (General Fund - Federal, General Fund - State)
SOLA Forecast
Increased funding is necessary to maintain the costs of the current SOLA bed capacity. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Summer EBT Contractor Cost
Funding is provided for the contractor costs associated with issuing the Electronic Benefit Transfer (EBT) cards to eligible Summer EBT program households. Funding is increased above the base appropriation due to a projected caseload increase. (General Fund - Federal, General Fund - State)
Supporting SNAP Tribal Expansion
Funding is provided for staffing, system enhancements, and other Tribal costs associated with the expansion of SNAP Tribal Eligibility Determination Project to an additional five Tribes. This project allows participating Tribes the ability to design and operate appropriate, culturally relevant programs directly to their Tribal members with the intent of increasing access to food assistance within their communities. (General Fund - Federal, General Fund - State)
Suquamish Tribal TANF MOE
Funding is provided to the Suquamish Tribe to implement a Temporary Assistance for Needy Families Tribal program. (General Fund - Federal Dedicated, General Fund - Temporary Assist for Needy Families)
TALX Contract
The Work Number (formerly TALX) is an online Equifax database used to verify employment and salary information for cash and food benefit eligibility. Funding is provided for increased service fees and usage. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)
Underspend - Diversion Cash Asst.
Funding is reduced to align with projected under expenditures of the Diversion Cash Assistance program. (General Fund - State)
Underspend - School to Work Program
Funding is reduced to align with a projected one-time underspend for the School to Work program. (General Fund - State)
Underspend- Div. of Child Support
Funding is reduced to align with projected administrative under expenditures for the Division of Child Support. (General Fund - State)
Underspend- WorkFirst Services
Funding is reduced to align with projected under expenditures of WorkFirst services. (General Fund - State)
Underspend- Working Family Support
Funding is reduced to align with projected under expenditures of the Working Family Support program. (General Fund - State)
Waiver Provider Rates
Additional funding is necessary to support increased access to Home and Community-Based Services (HCBS) waiver services, including crisis diversion services for children and adults. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)