Department of Social and Health Services
| Annual FTEs | General Fund State | Other Funds | Total Funds | |
|---|---|---|---|---|
| (Dollars in Thousands) | ||||
| Estimated Expenditures | 11,711.6 | 6,469,997 | 7,406,933 | 13,876,930 |
| 2021-23 Maintenance Level | 11,982.6 | 7,234,393 | 7,843,871 | 15,078,264 |
| Difference from 2019-21 | 271.0 | 764,396 | 436,938 | 1,201,334 |
| % Change from 2019-21 | 2.3% | 11.8% | 5.9% | 8.7% |
2021-23 Policy Other Changes |
||||
| Reduce Contracted Services | 0.0 | (10,942) | 0 | (10,942) |
| Supporting Children's Mental Health | 4.0 | 577 | 555 | 1,132 |
| Civil Ward Reductions | (497.4) | (99,379) | (9,536) | (108,915) |
| Direct Care and Essential Staff | 20.5 | 3,355 | 912 | 4,267 |
| DSH Delay Adjustment | 0.0 | (51,389) | 51,389 | 0 |
| Implement Trueblood Phase 2 | 14.7 | 8,447 | 0 | 8,447 |
| CSTC: Cottage LSA Operating Costs | 1.0 | 210 | 0 | 210 |
| Contract Rate Increases | 0.0 | 1,115 | 0 | 1,115 |
| Leased PCs During COVID | 0.0 | 356 | 0 | 356 |
| WSH: Forensic Ward Expansion | 99.1 | 27,419 | 0 | 27,419 |
| Continue Safety Initiatives at WSH | 15.0 | 3,672 | 0 | 3,672 |
| Network Risk Mitigation | 0.0 | 1,619 | 337 | 1,956 |
| Citrix and VPN Charges | 0.0 | 416 | 144 | 560 |
| Personal Protective Equipment | 0.0 | 7,258 | 2,414 | 9,672 |
| In-Home Provider PPE | 19.7 | 20,389 | 19,786 | 40,175 |
| Children's SOLA | 50.9 | 5,856 | 5,063 | 10,919 |
| Adult Family Home Award/Agreement | 0.0 | 11,413 | 12,787 | 24,200 |
| Agency Provider Agreement-Parity | 0.0 | 10,372 | 13,199 | 23,571 |
| In-Home Care Provider Agreement | 0.0 | 39,738 | 50,574 | 90,312 |
| PASRR Capacity Increase | 0.0 | 2,131 | 2,157 | 4,288 |
| Increase CIIBS Waiver Capacity | 13.2 | 4,578 | 4,099 | 8,677 |
| High School Transition Students | 0.0 | 5,683 | 4,575 | 10,258 |
| Personal Needs Allowance | 0.0 | 104 | 51 | 155 |
| COVID-19 Client Services | 1.0 | 5,893 | 1,893 | 7,786 |
| Support Peer Mentor Program | 0.0 | 372 | 0 | 372 |
| Shared Benefit Adjustment | 0.0 | 148,154 | 188,564 | 336,718 |
| Facility One-time Costs | 0.0 | 3,281 | 2,251 | 5,532 |
| Rental Subsidies | 5.0 | (9,360) | (13,148) | (22,508) |
| Staff Costs | 0.0 | (2,630) | (1,100) | (3,730) |
| Behavioral Health Transitions | 11.1 | 8,435 | 8,436 | 16,871 |
| Nursing Home Rate Methodology | 0.0 | 11,460 | 11,460 | 22,920 |
| TBI Council Projects | 0.0 | 0 | 1,042 | 1,042 |
| LTSS Trust Staff/Infrastructure | 12.5 | 0 | 8,095 | 8,095 |
| Transitional Care Center of Seattle | 0.0 | 22,989 | 23,231 | 46,220 |
| Infection Control & Client Services | 88.1 | 22,974 | 19,686 | 42,660 |
| SNAP Fraud Framework Implementation | 1.3 | 0 | 384 | 384 |
| Administrative Reduction | (58.0) | (14,370) | (8,311) | (22,681) |
| Utilize Unspent TANF Funding | 0.0 | (17,413) | 17,413 | 0 |
| Extension of Certification Reviews | 0.0 | 672 | 863 | 1,535 |
| DSHS Program Expansion Study | 0.50 | 77 | 0 | 77 |
| Transitional Food Assistance | 0.70 | 989 | 0 | 989 |
| Expand TANF Time Limit | 0.0 | 1,202 | 22,841 | 24,043 |
| Universal Basic Income Study | 0.50 | 77 | 0 | 77 |
| Staffing Cost Reductions | 0.0 | (2,351) | 0 | (2,351) |
| Electronic Health Records | 2.0 | 483 | 120 | 603 |
| Language Access Providers | 0.0 | 8 | 8 | 16 |
| Medical Services & Aging Residents | 8.0 | 2,283 | 0 | 2,283 |
| SCC: Close Birch Unit | (11.4) | (1,816) | 0 | (1,816) |
| Community Program & Discharge Plan | 8.0 | 2,144 | 0 | 2,144 |
| Fund Central Services Charges | 0.0 | 3,180 | 1,344 | 4,524 |
| Confidential Client Data Protection | 4.0 | 0 | 0 | 0 |
| IT Strategic Roadmap | 21.0 | 0 | 0 | 0 |
| 2021-23 Policy Other Changes Total | (165.0) | 179,731 | 443,578 | 623,309 |
2021-23 Policy Comp Changes |
||||
| Pension Adjustments, nonrate | 0.0 | 1,529 | 696 | 2,225 |
| State Employee Benefits | 0.0 | (544) | (243) | (787) |
| WFSE General Government | 0.0 | (39,886) | (22,009) | (61,895) |
| Temporary Layoffs and Other Savings | 0.0 | (15,081) | (6,516) | (21,597) |
| Juneteenth State Holiday | 0.0 | 2,469 | 793 | 3,262 |
| Rep Employee Health Benefits | 0.0 | (3,656) | (1,695) | (5,351) |
| Coalition of Unions | 0.0 | (2,363) | (376) | (2,739) |
| Non-Rep General Wage Increase | 0.0 | (10,878) | (4,762) | (15,640) |
| SEIU 1199 General Government | 0.0 | (2,056) | (1,485) | (3,541) |
| General Wage EMS & WMS Savings | 0.0 | (1,032) | (292) | (1,324) |
| Furlough Savings | 0.0 | (10,696) | (3,881) | (14,577) |
| 2021-23 Policy Comp Changes Total | 0.0 | (82,194) | (39,770) | (121,964) |
2021-23 Policy Central Services Changes |
||||
| Archives/Records Management | 0.0 | 119 | 54 | 173 |
| Audit Services | 0.0 | (73) | (36) | (109) |
| Legal Services | 0.0 | 98 | 38 | 136 |
| Administrative Hearings | 0.0 | (97) | (145) | (242) |
| CTS Central Services | 0.0 | 4,000 | 1,785 | 5,785 |
| DES Central Services | 0.0 | 497 | 191 | 688 |
| OFM Central Services | 0.0 | 21,250 | (1) | 21,249 |
| Self-Insurance Liability Premium | 0.0 | 7,231 | 2,825 | 10,056 |
| 2021-23 Policy Central Services Changes Total | 0.0 | 33,025 | 4,711 | 37,736 |
| Total Policy Changes | (165.0) | 130,562 | 408,519 | 539,081 |
| 2021-23 Policy Level | 11,817.6 | 7,364,955 | 8,252,390 | 15,617,345 |
| Difference from 2019-21 | 106.0 | 894,958 | 845,457 | 1,740,415 |
| % Change from 2019-21 | 0.91% | 13.8% | 11.4% | 12.5% |
Policy Changes
Reduce Contracted Services
Funding is reduced for contracted services that are no longer necessary and have been terminated. (General Fund - State)
Supporting Children's Mental Health
Funding is provided for greater supervision of direct care and psychology staff and to expand the substance use disorder counseling capacity at the Child Study and Treatment Center. (General Fund - Local, General Fund - State, General Fund - Private/Local, other funds)
Civil Ward Reductions
As part of the governor's plan to transform behavioral health and to move care for individuals on long-term inpatient commitments to community settings, the future civil census at the two state psychiatric hospitals will decrease. Funding is reduced to reflect the closure of 11 civil wards at Eastern State Hospital and Western State Hospital. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - Cash, other funds)
Direct Care and Essential Staff
Funding is provided for direct care and essential support positions needed to operate two new 25-bed forensic competency restoration wards at Eastern State Hospital that opened in the 2019-21 biennium. (General Fund - State, General Fund - Local, General Fund - Private/Local, other funds)
DSH Delay Adjustment
Under current law, there is a scheduled reduction in the funding expected through the Medicaid Disproportionate Share Hospital (DSH) grant program. This reduction was originally scheduled to go into effect several years ago and has been delayed several times. It is assumed that the reduction will continue to be delayed by the federal government, reducing the need for state funds for the operation of Eastern State Hospital. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - Cash, other funds)
Implement Trueblood Phase 2
A settlement agreement has been approved in the Trueblood et. al. v. DSHS lawsuit. Implementation of the agreement will occur in phases in different regions of the state. The first phase, funded in the 2019-21 biennial budget, included Pierce and Spokane counties and the southwest region. The second phase will include King County. The agreement outlines five key areas of investments: competency evaluations, competency restoration, crisis diversion and supports, education and training, and workforce development. (General Fund - State)
CSTC: Cottage LSA Operating Costs
FTEs and funding are provided for operating costs for the new low stimulation area (LSA) being added to Ketron Cottage at the Child Study and Treatment Center (CSTC). The LSA is anticipated to open in February 2023. (General Fund - Medicaid Federal, General Fund - Cash, General Fund - State, other funds)
Contract Rate Increases
Funding is provided for rate increases for contracted essential services for Behavioral Health Administration facilities. (General Fund - State)
Leased PCs During COVID
Funding is provided for increased costs for personal computers leased through the Department of Enterprise Services resulting from the increased need for telework capabilities due to COVID-19. These new PCs will take the place of outdated work stations at such time that individuals return to in-person work. (General Fund - State)
WSH: Forensic Ward Expansion
The 2019-21 biennial budget included capital funding for two new 29-bed forensic competency restoration wards at Western State Hospital (WSH). Funding is provided to open these wards in fiscal year 2022. (General Fund - State)
Continue Safety Initiatives at WSH
To increase safety at Western State Hospital, funding is provided for a permanent recruitment and hiring team. The team is necessary to fill vacant funded, essential direct care and support positions needed to operate the hospital at a safe level for both patients and staff. (General Fund - State)
Network Risk Mitigation
These funds will replace obsolete and failing switching equipment at facilities. (General Fund - State, General Fund - Medicaid Federal, General Fund - Cash, other funds)
Citrix and VPN Charges
Funding is provided to reflect the increased costs incurred by the Department of Social and Health Services for Citrix and virtual private network (VPN) charges due to the rise in the number of staff working remotely as a result of the COVID-19 pandemic. (General Fund - State, General Fund - Federal, General Fund - Family Support/Child Welfare, other funds)
Personal Protective Equipment
Funding is provided to reflect the increased costs incurred for personal protective equipment (PPE) as a result of the COVID-19 pandemic. (General Fund - Medicaid Federal, General Fund - State, General Fund - Cash, other funds)
Pension Adjustments, nonrate
This funds the potential impact of Department of Retirement Systems request legislation on pension service credit and benefit calculation. It will prevent budget reductions such as temporary layoffs from negatively affecting employee retirement benefits. (General Fund - State, General Fund - Medicaid Federal, General Fund - Federal, other funds)
State Employee Benefits
Health insurance funding is provided for state employees who are not represented by a union, who are covered by a bargaining agreement that is not subject to financial feasibility determination, or who are not part of the coalition of unions for health benefits. The insurance funding rate is $988 per employee per month for fiscal year 2022 and $1,018 per employee per month for fiscal year 2023. (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
WFSE General Government
This adjustment reflects the impact of the 2021-23 collective bargaining agreement. (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Temporary Layoffs and Other Savings
This item reflects savings achieved from temporary layoffs or similar actions. (General Fund - Medicaid Federal, General Fund - Cash, General Fund - Local CRC Oregon, other funds)
Juneteenth State Holiday
This funding is necessary to implement a new state holiday of Juneteeth, based on the cost of backfilling positions that require coverage at all times. (General Fund - Cash, General Fund - State, General Fund - Medicaid Federal, other funds)
Rep Employee Health Benefits
This provides health insurance funding for the master agreement for employee benefits as part of a coalition of unions. The insurance funding rate is $988 per employee per month for fiscal year 2022 and $1,018 per employee per month for fiscal year 2023. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - Cash, other funds)
Coalition of Unions
This adjustment reflects the impact of the 2021-23 collective bargaining agreement. (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Non-Rep General Wage Increase
This reflects savings from the cancellation of the July 1, 2020 general wage increase for some non-represented, non-classified employees. (General Fund - Medicaid Federal, General Fund - Cash, General Fund - Local CRC Oregon, other funds)
SEIU 1199 General Government
This adjustment reflects the impact of the 2021-23 collective bargaining agreement. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - Cash, other funds)
In-Home Provider PPE
Funding and 17.8 FTEs are provided to purchase personal protective equipment (PPE) for in-home caregivers who provide personal care for clients who are at a greater mortality risk from COVID-19 and who themselves are in a high risk category. (General Fund - Medicaid Federal, General Fund - State, General Fund - Cash, other funds)
Children's SOLA
Funding and 0.8 FTE are provided for an additional 15 beds in a total of five facilities in a certified State-Operated Living Alternative (SOLA) program for children and youth (age 20 and younger). The additional capacity is needed to divert young people with developmental disabilities and behavioral health challenges from unneeded acute care hospitals, single night foster home placements, hotel stays, or out-of-state services due to the lack of available facilities in Washington. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - State, other funds)
Adult Family Home Award/Agreement
Funding is provided for implementation of an agreement reached between the governor and the Adult Family Home Council under the provisions of chapter 41.56 RCW. (General Fund - Medicaid Federal, General Fund - State, General Fund - Cash, other funds)
Agency Provider Agreement-Parity
Funding is provided for a wage and benefit increase for workers who provide in-home personal care services and are employed by private agencies. The increase corresponds to the salary and wage component of the in-home care agreement for individual providers. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - State, other funds)
In-Home Care Provider Agreement
Funding is provided for an agreement with individual providers of in-home personal care services, which includes salary increases and changes to years of service for former agency providers. (General Fund - State, General Fund - Medicaid Federal, General Fund - Local CRC Oregon, other funds)
PASRR Capacity Increase
Funding is provided to support Preadmission Screening and Resident Review (PASRR) specialized services for individuals with intellectual disabilities who are in nursing facility care. Additional resources are needed to support the increasing cost of PASRR services and to enable the administration to meet the requirement to initiate PASRR services within 120 days of service recommendations at least 90 percent of the time. (General Fund - Local CRC Oregon, General Fund - State, General Fund - Medicaid Federal, other funds)
Increase CIIBS Waiver Capacity
Funding and 13.2 FTEs are provided for an additional 100 children on the Children’s Intensive In-home Behavioral Support (CIIBS) 1915(c) waiver in the 2021-23 biennium. The additional capacity is needed to divert young people with developmental disabilities and behavioral health challenges from unneeded acute care hospital stays, single night foster home placements, hotel stays, or being moved out of state due to lack of available facilities in Washington. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - State, other funds)
High School Transition Students
An increase is anticipated in eligible high school graduates who will seek DDA services in the 2021-23 biennium. This funding will provide necessary services for clients and families after their student has graduated from high school and leave the K-12 system. (General Fund - Medicaid Federal, General Fund - State, General Fund - Local CRC Oregon, other funds)
Personal Needs Allowance
Funding is provided to increase the residential and institutional personal needs allowance (PNA). (General Fund - Medicaid Federal, General Fund - State, General Fund - Local CRC Oregon, other funds)
COVID-19 Client Services
Funding and 2.0 FTE staff are provided to address increased costs resulting from the COVID-19 pandemic, including a state-operated COVID-19 specific facility and technology for remote supports. (General Fund - Medicaid Federal, General Fund - State, General Fund - Local CRC Oregon, other funds)
Support Peer Mentor Program
Funding is provided to support four peer mentors (one at each RHC). (General Fund - State)
Shared Benefit Adjustment
Funding is provided to cover the estimated claims for the variance between services provided under the shared benefit equation and the full amount of the benefit while rulemaking takes place. (General Fund - Medicaid Federal, General Fund - State, General Fund - Local CRC Oregon, other funds)
Facility One-time Costs
Funds are provided for one-time relocation and project costs to support the Department of Social and Health Services' leased facilities strategic plan. (General Fund - State, General Fund - Medicaid Federal, General Fund - Federal, other funds)
Rental Subsidies
The COVID-19 pandemic is requiring nursing facilities to move as many clients who no longer need nursing levels of care into community settings. The cost of the state-only rental subsidies, in-home services, and the ALTSA staff requires less GF-State funding than the state portion of the nursing home Medicaid rate, if clients continued to wait in nursing facilities. Savings are achieved utilizing state-only rental subsidies of no more than $750/month. To support this effort, 3.3 FTE staff are provided. (General Fund - Medicaid Federal, General Fund - Cash, General Fund - Local CRC Oregon, other funds)
Staff Costs
Savings are achieved by holding vacancies in the Office of Deaf and Hard of Hearing (ODHH) and by implementing equipment and travel freezes. (General Fund - Local CRC Oregon, General Fund - Cash, General Fund - Medicaid Federal, other funds)
Behavioral Health Transitions
Funding and 11.1 FTEs are provided to increase dementia care capacity for civil patients in state and local psychiatric hospitals who are ready to transition to the community. (General Fund - State, General Fund - Medicaid Federal, General Fund - Local CRC Oregon, other funds)
Nursing Home Rate Methodology
Funding is provided for the annual rebase to the nursing facility daily Medicaid rates. (General Fund - Medicaid Federal, General Fund - State, General Fund - Cash, other funds)
TBI Council Projects
Appropriation authority is increased to allow for the expansion of programs for Educators Statewide, Safe Kids events, and Provider and Tribal Training. (Traumatic Brain Injury Account - Non-Appropriated)
LTSS Trust Staff/Infrastructure
Funding and 12.5 FTEs are provided to continue implementation of the Long-Term Services and Supports (LTSS) Trust Program as directed by chapter 50B RCW. This program will provide long-term services and supports benefits to qualified individuals who have been assessed as needing a specified level of assistance with daily living activities. This investment will be funded solely from worker contributions to the Long-Term Services and Supports Trust Account. (General Fund - Medicaid Federal, General Fund - Cash, Long-Term Servs & Sup Trust Account - State, other funds)
Transitional Care Center of Seattle
Funding is provided for nursing home services and emergent building costs at the Transitional Care Center of Seattle (TCCS). As part of the COVID-19 response, DSHS purchased this building to provide care for difficult-to-place residents from acute care hospitals, creating more hospital capacity to treat COVID-19 patients. (General Fund - State, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Infection Control & Client Services
Funding and 88.1 FTEs are provided for costs related to the COVID-19 pandemic, including emergency planning and reporting, quality assurance nurses, Residential Care Services (RCS) complaint backlog reduction, telemedicine technology, Office of Deaf and Hard of Hearing (ODHH) technology, and the transition of patients from acute care hospitals to ALTSA community settings more quickly. (General Fund - Cash, General Fund - State, General Fund - Medicaid Federal, other funds)
SNAP Fraud Framework Implementation
One-time federal funding is awarded to the Economic Services Administration to create an automated fraud prevention dashboard and database system to detect criminal fraud or other fraudulent activities in the Supplemental Nutrition Assistance Program. (General Fund - Federal)
Administrative Reduction
Funding and FTE staff are reduced to reflect anticipated administrative savings due to the equipment, contracts, and hiring freeze directed by the governor. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - Cash, other funds)
Utilize Unspent TANF Funding
Unspent Temporary Assistance for Needy Families (TANF) funding is reallocated to other TANF services and poverty reduction items. (General Fund - State, General Fund - Federal Dedicated, General Fund - Temporary Assist for Needy Families)
Extension of Certification Reviews
In response to the COVID-19 pandemic and per the federal Continuing Appropriations Act of 2021 (H.R. 8337, Sec. 4603), the Department of Social and Health Services has opted to suspend the mid-certification reviews and extend eligibility reviews temporarily between November 2020 and June 2021 for the Supplemental Nutrition Assistance Program (SNAP), the state's Food Assistance Program (FAP), the Temporary Assistance for Needy Families Program (TANF), the State Family Assistance Program (SFA), and the Aged, Blind or Disabled Program (ABD). This option allows the department to smooth out the spike in the certification review workload and ensure eligible households maintain access to assistance during the COVID-19 pandemic. (General Fund - Temporary Assist for Needy Families, General Fund - State, General Fund - Federal Dedicated)
DSHS Program Expansion Study
Funding is provided to conduct a study to assess the feasibility of expanding existing social net programs to undocumented Washingtonians, including the cost, operational impacts, and recommendations. (General Fund - State)
Transitional Food Assistance
Funding is provided for the Economic Services Administration to create and implement a state cash benefit program and transitional food assistance program for households with children that are recipients of the Supplemental Nutrition Assistance Program (SNAP) and Food Assistance Program (FAP) but are not recipients of the Temporary Assistance for Needy Families program. The transitional food program will offer a one-time cash benefit and extend food benefits for up to five months after an eligible household is terminated from SNAP or FAP due to voluntary closure or for being over income. (General Fund - State)
Expand TANF Time Limit
Funding is provided to expand the 60-month time limit in the Temporary Assistance for Needy Families program through the 2021-23 biennium to households experiencing a hardship. (General Fund - Federal Dedicated, General Fund - State, General Fund - Temporary Assist for Needy Families)
Universal Basic Income Study
Funding is provided to conduct a study to assess the feasibility of implementing a universal basic income pilot program, including research, costs, operational impacts, and recommendations. (General Fund - State)
Staffing Cost Reductions
Funding and FTEs are reduced to reflect 11 vacant positions. (General Fund - State)
Electronic Health Records
Funding is provided for two FTE staff to continue the electronic health records work related to the Cerner project. (General Fund - Federal, General Fund - State)
Language Access Providers
Funding is adjusted for language access provider services based upon the collective bargaining agreement for the 2021-23 biennium. (General Fund - State, General Fund - Medicaid Federal, General Fund - Local CRC Oregon, other funds)
General Wage EMS & WMS Savings
In response to the COVID-19 pandemic and a drastic downturn in state revenue collections, state agencies are required to identify operating budget savings options. As required, the Department of Social and Health Services (DSHS) submits this reduction option to modify the General Wage Increase that went into effect on July 1, 2020. Operating budget savings from this action is estimated at $7,938,000 ($5,520,000 GF-State). Of this amount the Administration and Supporting Services portion of the savings is estimated at $1,324,000 ($1,032,000 GF-State). (General Fund - State, General Fund - Federal)
Furlough Savings
In response to the COVID-19 pandemic and a drastic downturn in state revenue collections, state agencies are required to identify operating budget savings options. As required, the Department of Social & Health Services (DSHS) submits this reduction option for staff furlough savings. Operating budget savings from these actions are estimated at $189,459,000 ($120,722,000 GF-State). Of this amount, the Administration and Supporting Services portion of the savings are estimated at $14,577,000 ($10,696,000 GF-State). (General Fund - State, General Fund - Federal)
Medical Services & Aging Residents
The population at the Special Commitment Center continues to age and the rate of chronic and severe illnesses continues to increase. Residents require more frequent and specialized care which leads to increased trips off the island to other medical facilities and greater dependence on contracted staff to meet on-site coverage needs. Funding is provided for specialized equipment and additional medical staff to provide more capacity for on-site care. It is anticipated that this investment will result in health care savings in future budgets. (General Fund - State)
SCC: Close Birch Unit
Due to the declining census at the Special Commitment Center Total Confinement Facility, the Department of Social and Health Services was able to consolidate residents between living units. Individuals previously housed in the Birch Unit have been moved into other living units while maintaining appropriate support. Funding is reduced to align with the savings achieved through this closure. (General Fund - State)
Community Program & Discharge Plan
Residents are increasingly moving to Less Restrictive Alternative (LRA) community placements, and this trend is expected to continue. Because staffing levels have not been increased accordingly, it is challenging to provide appropriate levels of case management. Funding is provided to increase staffing in the LRA program to return to prior caseload levels and to enable staff to focus solely on discharge planning for individuals moving from the Total Confinement Facility to an LRA. (General Fund - State)
Fund Central Services Charges
Funding is provided to the Department of Social and Health Services to accommodate increased costs associated with payments to the Attorney General's Office, Office of Financial Management and the Office of Administrative Hearings. (General Fund - State, General Fund - Federal)
Archives/Records Management
Adjustments are made for each agency’s anticipated share of charges for archives and records management services provided by the Secretary of State’s Office. (General Fund - State, General Fund - Federal)
Audit Services
Adjustments are made for each agency’s anticipated cost of audits performed by the State Auditor’s Office. (General Fund - State, General Fund - Federal)
Legal Services
Adjustments are made for each agency’s anticipated cost of legal services provided by the Attorney General’s Office. Because legal services expenditures are based on consumption, funding provided in the central service model is not all inclusive. (General Fund - State, General Fund - Federal)
Administrative Hearings
Adjustments are made for each agency’s anticipated cost of administrative hearings from the Office of Administrative Hearings. (General Fund - State, General Fund - Federal)
CTS Central Services
Adjustments are made to reflect each agency’s anticipated share of charges for Microsoft 365 G5 licenses contracted for state agencies by the Consolidated Technology Services agency. This contract allows the state to achieve economies of scale and administrative efficiencies in the management of licenses. (General Fund - State, General Fund - Federal)
DES Central Services
Adjustments are made to reflect each agency’s anticipated share of charges from the Department of Enterprise Services (DES) for campus rent, utilities, parking, and contracts; capital project surcharges; financing cost recovery; public and historic facilities; real estate services; risk management services; personnel service rates; the Perry Street child care center; small agency services; and the department’s enterprise applications. (General Fund - State, General Fund - Federal)
OFM Central Services
Adjustments are made to reflect each agency’s anticipated share of charges for existing statewide financial applications, One Washington, and other central services provided by the Office of Financial Management. (General Fund - State, General Fund - Federal)
Self-Insurance Liability Premium
Adjustments are made to reflect each agency's share of actuarily projected costs of the Self-Insurance Liability Account. This includes adjustments to existing funding levels as well as enhancements for anticipated liabilities in the 2021-23 biennium. (General Fund - Federal, General Fund - State)
