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Home » Budget » State budgets » 2020 Gov. Inslee's proposed supplemental budget » Agency recommendation summaries » Agency recommendation summaries » Department of Social and Health Services - Long Term Care

Department of Social and Health Services - Long Term Care

  Average Annual FTEs Near General Fund State Other Funds Total Funds
  (Dollars in Thousands)
Current Budget 2,292.1 2,768,011 3,655,547 6,423,558
2019-21 Maintenance Level 2,333.7 2,749,078 3,628,397 6,377,475
Difference from 2017-19 41.6 (18,933) (27,150) (46,083)
% Change from 2017-19 1.8% (0.7%) (0.7%) (0.7%)

2019-21 Policy Other Changes

Consumer Directed Employer Program 4.7 14,738 15,715 30,453
Restore Workload/Lease Funding 49.7 9,408 5,473 14,881
Asset Verification System 2.6 504 503 1,007
Service Plan Signatures 10.5 3,045 3,087 6,132
Agency Provider Parity Definitions 0.0 439 559 998
Restore NH Discharge Reduction 0.0 9,489 8,213 17,702
Nursing Home Rate Increase 0.0 15,255 15,254 30,509
Essential IT Service Impacts 0.0 216 193 409
2019-21 Policy Other Changes Total 67.5 53,094 48,997 102,091

2019-21 Policy Comp Changes

PERS & TRS Plan 1 Benefit Increase 0.0 36 31 67
2019-21 Policy Comp Changes Total 0.0 36 31 67
Total Policy Changes 67.5 53,130 49,028 102,158
2019-21 Policy Level 2,401.2 2,802,208 3,677,425 6,479,633
Difference from 2017-19 109.1 34,197 21,878 56,075
% Change from 2017-19 4.8% 1.2% 0.60% 0.87%

Policy Changes

Consumer Directed Employer Program

Funding is provided to continue the implementation of ESSB 6199, an act relating to the Consumer Directed Employer (CDE) program. This bill was enacted during the 2018 legislative regular session and requires DSHS to contract with up to two CDE vendors to be the legal employer of individual providers (IPs) for the purpose of performing administrative functions. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

Restore Workload/Lease Funding

Funding is provided to fully fund increased staff and lease costs associated with caseload growth as projected in the November forecasts. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

Asset Verification System

Funding and FTEs are provided to continue the implementation of a federally-compliant Asset Verification System for asset-based Medicaid eligibility decisions. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

Service Plan Signatures

Funding is provided to implement new processes necessary to ensure compliance with federal requirements to collect provider signatures on all service care plans. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

Agency Provider Parity Definitions

Funding is provided for employer taxes for home care agency providers. This item supports agency request legislation which seeks to change agency parity methodology so that future parity will provide sufficient funding to home care agencies to pay required employer taxes rather than an award calculated for individual providers (IP) who have a lower tax liability. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

Restore NH Discharge Reduction

Funding is provided to fully fund the expected cost of nursing home services as projected in the November forecasts. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

Nursing Home Rate Increase

Funding is provided to better align nursing facility Medicaid payment rates with facility operating costs by moving to an annual rate rebase and adding an economic inflation factor. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

Essential IT Service Impacts

One-time funding is provided to maintain current information technology service levels and avoid adverse impacts to clients. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - State, other funds)

PERS & TRS Plan 1 Benefit Increase

For eligible Public Employees' and Teachers' Retirement Systems Plan 1 members, this item provides an increase of 1.5 percent, up to a maximum of $22 per month. (General Fund - Federal, General Fund - State)