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Long-Term Care - Dept of Social and Health Services

RCW 18.20, .51, 26.44, 74.08, .09, .34, .36, .38, .42, .46

The Aging and Long Term Support Administration provides a broad range of services that assist individuals with a disability and seniors to live in a setting of their choice, usually their own homes or other community-based settings. Nursing facility care is available to those clients who prefer that option. The program also promotes and protects the rights, security, and well-being of individuals living in these settings and helps ensure that vulnerable adults are protected from abuse and neglect. These services are designed to assist individuals needing long term services and supports to remain as independent as possible and to promote choice. Special emphasis is placed on community-based services that empower individuals in need of services to remain in their own home or other community-based setting, which reduces the risk of placement in a more restrictive living environment. The department implements long term services and supports through the Home and Community Service offices, Residential Care offices, and 13 contracted Area Agencies on Aging.

Agency Mission

To transform lives by promoting choice, independence and safety through innovative services.
Request 6,563,327,000
Net change from current biennium 2,948,127,232 Increase
Percent change from current biennium 81.5% Increase

Program Level Summary

Fund Title Actual Estimated Proposed
Actual Estimated Estimated Proposed Proposed
General Fund - Federal 1,226,813,308 1,336,077,873 598,451,910 1,683,500,000 1,849,984,000
General Fund - Private/Local 17,796,714 15,816,743 6,521,553 18,964,000 18,723,000
General Fund - State 985,017,832 1,073,580,721 481,084,072 1,345,223,000 1,496,641,000
Traumatic Brain Injury Account - State 2,051,390 1,319,504 578,608 2,269,000 2,271,000
Pension Funding Stabilization Account - State 6,969,000 1,860,000 6,196,000 6,196,000
Skilled Nursing Facility Net Trust Fund - State 66,680,000 66,680,000 25,620,945 66,680,000 66,680,000
Industrial Insurance Premium Refund Account - Nonappropriated 388,112 190,273 47,568
Assisted Living Facility Temporary Management Account - Nonappropriated 505,500
State Agency Office Relocation Pool Account - Nonappropriated 401,000
Adult Family Home Account - Nonappropriated 505,500
Information Technology Investment Revolving Account - Nonappropriated 497,626
Annual Total 2,300,255,982 2,501,035,113 1,114,164,655 3,122,832,000 3,440,495,000

Operating Budget: Change from Preceding Biennium

Actual Estimated Proposed
Amount Percent Amount Percent Amount Percent
615,374,217 16.2% (794,980,087) (18.0%) 2,948,127,232 81.5%

Employment Summary

  Actual Estimated Proposed
  2016-17 Actual 2017-18 Estimated 2018-19 Estimated 2019-20 Proposed 2020-21 Proposed
FTE Staff Years 1,766.3 1,883.9 2,061.1 2,248.1 2,353.7