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Home » Budget » State budgets » 2021-23 Gov. Inslee's proposed budgets » Agency recommendation summaries » Agency recommendation summaries » Department of Social and Health Services - Developmental Disabilities

Department of Social and Health Services - Developmental Disabilities

  Annual FTEs General Fund State Other Funds Total Funds
  (Dollars in Thousands)
Estimated Expenditures 1,427.0 1,788,143 1,867,650 3,655,793
2021-23 Maintenance Level 1,597.6 1,980,634 2,033,533 4,014,167
Difference from 2019-21 170.6 192,491 165,883 358,374
% Change from 2019-21 12.0% 10.8% 8.9% 9.8%

2021-23 Policy Other Changes

In-Home Provider PPE 1.9 5,104 5,227 10,331
Children's SOLA 50.1 5,739 4,945 10,684
Adult Family Home Award/Agreement 0.0 1,548 1,733 3,281
Agency Provider Agreement-Parity 0.0 1,376 1,751 3,127
In-Home Care Provider Agreement 0.0 12,434 15,825 28,259
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 36 21 57
Network Risk Mitigation 0.0 373 81 454
Personal Protective Equipment 0.0 1,866 1,502 3,368
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 57,416 73,076 130,492
Facility One-time Costs 0.0 1,230 990 2,220
2021-23 Policy Other Changes Total 66.2 105,779 117,875 223,654

2021-23 Policy Comp Changes

Pension Adjustments, nonrate 0.0 260 209 469
State Employee Benefits 0.0 (62) (47) (109)
WFSE General Government 0.0 (5,366) (4,388) (9,754)
Temporary Layoffs and Other Savings 0.0 (1,790) (1,228) (3,018)
Juneteenth State Holiday 0.0 722 589 1,311
Rep Employee Health Benefits 0.0 (827) (676) (1,503)
Coalition of Unions 0.0 (124) (98) (222)
Non-Rep General Wage Increase 0.0 (1,008) (746) (1,754)
SEIU 1199 General Government 0.0 (105) (90) (195)
2021-23 Policy Comp Changes Total 0.0 (8,300) (6,475) (14,775)
Total Policy Changes 66.2 97,479 111,400 208,879
2021-23 Policy Level 1,663.8 2,078,113 2,144,933 4,223,046
Difference from 2019-21 236.8 289,970 277,283 567,253
% Change from 2019-21 16.6% 16.2% 14.8% 15.5%

Policy Changes

In-Home Provider PPE

Funding and 1.9 FTE staff are provided to purchase personal protective equipment (PPE) for in-home caregivers who provide personal care for clients 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 50.1 FTE staff are provided to fund 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 will divert young people with developmental disabilities and behavioral health challenges from unneeded acute care hospital stays, single night foster home placements, hotel stays, or out-of-state services due to 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

This item funds the 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

Funds are 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)

Network Risk Mitigation

This funding will replace end-of-life, outdated, and discontinuous networking systems that pose significant risks to enterprise operations. The technologies include required updates to support Cloud initiatives. (General Fund - State, General Fund - Medicaid Federal, General Fund - Cash, 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)

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

Funding is 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)

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)