Department of Social and Health Services
| Average Annual FTEs | Near General Fund State | Other Funds | Total Funds | |
|---|---|---|---|---|
| (Dollars in Thousands) | ||||
| Current Budget | 11,899.8 | 7,225,230 | 9,381,583 | 16,606,813 |
| 2021-23 Maintenance Level | 11,971.6 | 7,178,201 | 9,415,261 | 16,593,462 |
| Difference from 2021-23 Original | 71.8 | (47,029) | 33,678 | (13,351) |
| % Change from 2021-23 Original | 0.60% | (0.7%) | 0.36% | (0.1%) |
2022 Policy Other Changes |
||||
| Clark County Treatment Facility | 0.20 | 194 | 0 | 194 |
| Cloud Migration Feasibility Study | 0.70 | 735 | 0 | 735 |
| Equipment Maintenance and Software | 0.0 | 182 | 0 | 182 |
| COVID-19 Response | 31.5 | 429 | 5,961 | 6,390 |
| CRF Savings | 0.0 | (26,161) | 0 | (26,161) |
| Network Risk Mitigation | 0.0 | 4,366 | 1,837 | 6,203 |
| Personal Protective Equipment | 0.0 | 0 | 7,523 | 7,523 |
| DCYF Reimbursement Gap | 0.0 | 2,277 | 907 | 3,184 |
| San Juan Cottage Resources | 3.0 | 231 | 322 | 553 |
| CSTC - CMS & Joint Commission | 1.9 | 327 | 216 | 543 |
| Vancouver Treatment Facility | 0.0 | (1,036) | (1,036) | (2,072) |
| State Hospital Direct Care Staffing | 74.9 | 15,658 | 157 | 15,815 |
| Design & Planning Team New Hospital | 6.4 | 5,250 | 0 | 5,250 |
| Critical IT Pharmacy Resources | 3.5 | 1,587 | 0 | 1,587 |
| Community Supports for Children | 0.50 | 5,510 | 3,390 | 8,900 |
| In-Home Provider PPE | 11.9 | 7,246 | 9,086 | 16,332 |
| Community Residential Services | 2.0 | 308 | 237 | 545 |
| Agency Provider Tax Rate Adjustment | 0.0 | 922 | 1,172 | 2,094 |
| Transitional Care Management | 19.2 | 4,791 | 3,674 | 8,465 |
| CDE Transition Costs | 0.0 | 994 | 1,263 | 2,257 |
| Continuum of Care | 0.50 | 84 | 84 | 168 |
| Financial Eligibility Staff | 11.2 | 1,413 | 1,084 | 2,497 |
| HCBS Provider Development | 0.50 | 1,850 | 994 | 2,844 |
| DDA Waiver and SOLA Forecasting | 1.5 | 205 | 205 | 410 |
| Enhanced Case Management | 25.0 | 3,671 | 2,696 | 6,367 |
| Personal Needs Allowance | 0.0 | 287 | 150 | 437 |
| SEIU and Liang Settlements | 0.0 | 54,554 | 69,398 | 123,952 |
| Public Health Emergency FMAP | 0.0 | (134,335) | 134,335 | 0 |
| Youth Inpatient Navigators | 0.50 | 82 | 82 | 164 |
| Targeted Provider Rates | 0.0 | 180,876 | 318,487 | 499,363 |
| Transform Services for DDA Clients | 1.0 | 160 | 0 | 160 |
| Senior Farmer's Market Nutrition | 0.0 | 400 | 0 | 400 |
| APS Abuse Registry | 0.50 | 91 | 39 | 130 |
| State Match for Federal Grants | 0.0 | 4,042 | 0 | 4,042 |
| Sex Offender Rates | 0.50 | 1,886 | 1,887 | 3,773 |
| Tribal Medicaid Eligibility | 0.50 | 68 | 67 | 135 |
| Reduce Occupancy Penalty | 0.0 | 15,435 | 15,435 | 30,870 |
| COVID Positive Units | 0.0 | 0 | 3,400 | 3,400 |
| Acute Care Hospital Capacity | 0.0 | 0 | 3,240 | 3,240 |
| Behavioral Health Transitions | 9.7 | 3,188 | 3,188 | 6,376 |
| Increase In-Home PNA | 0.0 | 25,571 | 32,546 | 58,117 |
| Case Management Ratios | 20.6 | 9,209 | 9,717 | 18,926 |
| Overpayment Project | 2.4 | 314 | 313 | 627 |
| Specialized Behavior Contracts | 0.50 | 1,886 | 1,887 | 3,773 |
| Transitional Care Center | 0.0 | 10,889 | 11,444 | 22,333 |
| Afghan Refugee School Impacts | 0.0 | 0 | 1,364 | 1,364 |
| Afghan Refugee Health Promotion | 0.0 | 0 | 1,532 | 1,532 |
| Afghan SIV & SI Parolee Services | 0.0 | 0 | 1,576 | 1,576 |
| Afghan Refugee Support Services | 0.0 | 0 | 10,515 | 10,515 |
| Pandemic EBT Administration | 0.0 | 0 | 7,821 | 7,821 |
| FAP Employment & Training Services | 0.0 | 560 | 0 | 560 |
| Aligning the ABD Grant Standard | 0.0 | 36,621 | 0 | 36,621 |
| Sexual Assault/Rape Crisis Services | 0.0 | 0 | 1,432 | 1,432 |
| DV Shelter and Supportive Services | 0.0 | 0 | 1,900 | 1,900 |
| MSP Asset Test Removal | 0.0 | 95 | 61 | 156 |
| Eliminating ABD/HEN MCR | 0.0 | 510 | 0 | 510 |
| Expanding ABD to Institutions | 0.0 | 195 | 0 | 195 |
| Increasing TANF Family Size | 0.0 | 0 | 50 | 50 |
| Modernize TFA Sanction Exclusions | 0.20 | 524 | 0 | 524 |
| TANF Limit for Ineligible Parents | 0.10 | 20 | 404 | 424 |
| ABD and HEN Human Trafficking | 0.20 | 207 | 0 | 207 |
| Integrated Eligibility System | 7.2 | 4,761 | 11,035 | 15,796 |
| Health Care for Undocumented Adults | 0.0 | 126 | 81 | 207 |
| Language Access Providers Agreement | 0.0 | 20 | 11 | 31 |
| Fleet Management System | 1.0 | 340 | 85 | 425 |
| Fund Payroll Staffing Gap | 7.0 | 1,231 | 307 | 1,538 |
| Poverty Reduction Advisory Group | 1.5 | 461 | 0 | 461 |
| Poverty Reduction Coordination | 1.0 | 364 | 0 | 364 |
| RDA - Data Management & Analytics | 1.5 | 414 | 103 | 517 |
| RDA - Permanent Supportive Housing | 0.30 | 65 | 0 | 65 |
| Right-of-Way Coordination Team | 19.5 | 3,640 | 910 | 4,550 |
| Move SCC to Mainland | 0.50 | 417 | 0 | 417 |
| 2022 Policy Other Changes Total | 270.6 | 256,207 | 684,574 | 940,781 |
2022 Policy Comp Changes |
||||
| State Employee Benefits | 0.0 | 37 | 17 | 54 |
| WFSE General Government | 0.0 | 41,167 | 19,780 | 60,947 |
| Rep Employee Health Benefits | 0.0 | 242 | 112 | 354 |
| Coalition of Unions | 0.0 | 856 | 134 | 990 |
| Non-Rep General Wage Increase | 0.0 | 5,545 | 2,349 | 7,894 |
| SEIU 1199 General Government | 0.0 | 5,891 | 1,810 | 7,701 |
| PERS & TRS Plan 1 Benefit Increase | 0.0 | 956 | 430 | 1,386 |
| Adult Family Homes CBA | 0.0 | 10,311 | 9,490 | 19,801 |
| SEIU 775 Agency Providers Parity | 0.0 | 6,981 | 8,883 | 15,864 |
| SEIU 775 In Home Providers | 0.0 | 27,551 | 35,066 | 62,617 |
| 2022 Policy Comp Changes Total | 0.0 | 99,537 | 78,071 | 177,608 |
2022 Policy Central Services Changes |
||||
| Archives/Records Management | 0.0 | 77 | 36 | 113 |
| Audit Services | 0.0 | 34 | 16 | 50 |
| Legal Services | 0.0 | 590 | 232 | 822 |
| Administrative Hearings | 0.0 | 130 | 195 | 325 |
| CTS Central Services | 0.0 | 2,351 | 1,319 | 3,670 |
| DES Central Services | 0.0 | 620 | 278 | 898 |
| OFM Central Services | 0.0 | 19,625 | 698 | 20,323 |
| Self-Insurance Liability Premium | 0.0 | 456 | 179 | 635 |
| 2022 Policy Central Services Changes Total | 0.0 | 23,883 | 2,953 | 26,836 |
| Total Policy Changes | 270.6 | 379,627 | 765,598 | 1,145,225 |
| 2022 Policy Level | 12,242.2 | 7,557,828 | 10,180,859 | 17,738,687 |
| Difference from 2021-23 Original | 342.4 | 332,598 | 799,276 | 1,131,874 |
| % Change from 2021-23 Original | 2.9% | 4.6% | 8.5% | 6.8% |
Policy Changes
Equipment Maintenance and Software
Funding is provided for cost increases for software essential for operation of Behavioral Health Administration sites. (General Fund - State)
WFSE General Government
The collective bargaining agreement includes a general wage increase of 3.25% for fiscal year 2023 and a lump sum payment for employees who were employed continuously starting on or before July 1, 2021 through June 30, 2022. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)
Coalition of Unions
The collective bargaining agreement includes a general wage increase of 3.25% for fiscal year 2023 and a lump sum payment for all employees hired before July 1, 2022. (General Fund - Medicaid Federal, General Fund - State, General Fund - Local CRC Oregon, other funds)
SEIU 1199 General Government
The collective bargaining agreement includes a general wage increase of 3.25% for fiscal year 2023 and a retention bonus payable in two equal installments. (General Fund - Medicaid Federal, General Fund - State, General Fund - Federal, other funds)
Clark County Treatment Facility
This funding will provide for a facility manager to maintain and oversee the new 48-bed residential treatment facility underway in Vancouver and ensure that the workspace is safe and functional for staff, clients, and others. (General Fund - State)
Cloud Migration Feasibility Study
In consultation with the Office of the Chief Information Officer (OCIO), the DSHS Behavioral Health Administration will prepare a readiness assessment, feasibility study, and other necessary planning activities to support a successful transition of information technology operations and applications to a cloud computing environment. (General Fund - State)
COVID-19 Response
Funding is provided for non-pharmacological strategies, including screening stations, to prevent and control the transmission of COVID-19 at the Special Commitment Center to keep patients and staff healthy and safe. (Coronavirus St Fiscal Recovery Fund - Federal, General Fund - State)
CRF Savings
The agency received an allocation of federal Coronavirus Response Funds, which are scheduled to expire on December 31, 2021. Already incurred costs to operate the state hospitals and other state institutions are assumed to be eligible uses of this fund source. This item restores General Fund-State funds to reflect the savings achieved through the use of CRF funds. (General Fund - State)
Network Risk Mitigation
Funds are provided to replace aging hardware and bring network assets up to current security best practices to reduce the risk of service interruption. (General Fund - State, General Fund - Cash, General Fund - Medicaid Federal, other funds)
Personal Protective Equipment
Personal protective equipment helps contain the spread of COVID-19 and reduce infection rates. Funding is provided to purchase, store, and distribute PPE to DSHS employees. This assumes that Federal Emergency Management Agency (FEMA) funding expires in March 2022. (General Fund - Medicaid Federal, General Fund - Cash, Coronavirus St Fiscal Recovery Fund - Federal, other funds)
DCYF Reimbursement Gap
This funding will maintain current Information Technology (IT) service levels as the Department of Children, Youth, and Families moves to an internally managed network from a DSHS-managed network. (General Fund - Medicaid Federal, General Fund - State, General Fund - Local CRC Oregon, other funds)
San Juan Cottage Resources
Funding is provided for essential positions necessary to increase managerial and support supports necessary due to the recent expansion of the Child Study and Treatment Center (CSTC). (General Fund - Local CRC Oregon, General Fund - State, General Fund - Medicaid Federal, other funds)
CSTC - CMS & Joint Commission
To maintain the Child Study and Treatment Center's (CSTC) accreditation and certification from The Joint Commission and Centers for Medicare and Medicaid Services, funding is provided for critical staff necessary to promote a safe environment for patients and staff. The CSTC was recently expanded to add 18 additional beds. (General Fund - Local CRC Oregon, General Fund - State, General Fund - Medicaid Federal, other funds)
Vancouver Treatment Facility
Funding is adjusted to account for a delay in the construction of the Vancouver regional treatment facility. (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
State Hospital Direct Care Staffing
To enhance patient care and promote a safe environment for staff and patients at the state hospitals, funding is provided to implement an acuity-based staffing model at the state hospitals. (General Fund - State, General Fund - Cash, General Fund - Medicaid Federal, other funds)
Design & Planning Team New Hospital
Funding is provided for design and planning activities necessary for the construction of the new forensic hospital located on the grounds of Western State Hospital that was appropriated in the 2021-23 capital budget. (General Fund - State)
Critical IT Pharmacy Resources
To implement a critical upgrade to the pharmacy systems at the state hospitals, funding is provided for staffing and system costs. (General Fund - State)
State Employee Benefits
Health insurance funding is provided for state employees who are not covered by the healthcare coalition. The insurance funding rate is $936 per employee per month for fiscal year 2022 and $1,130 per employee per month for fiscal year 2023. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)
Rep Employee Health Benefits
Health insurance funding is provided as part of the master agreements for employees who bargain for health benefits as part of a coalition of unions. The insurance funding rate is $936 per employee per month for fiscal year 2022 and $1,130 per employee per month for fiscal year 2023. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)
Non-Rep General Wage Increase
A general wage increase of 3.25%, effective July 1, 2022, is provided for state employees who are not represented by a union or who are covered by a bargaining agreement that is not subject to financial feasibility determination. (General Fund - Federal, 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 3%, up to a maximum of $110 per month. (General Fund - Medicaid Federal, General Fund - State, General Fund - Federal, other funds)
Community Supports for Children
Families caring for children and youth with significant behavioral issues need extra support. This funding will expand intensive habilitation services and out-of-home services for children and youth from ages eight to 21. This includes adding six three-bed facilities in licensed intensive habilitation services and six three-bed facilities for long-term enhanced out-of-home services. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - State, other funds)
In-Home Provider PPE
In-home care providers provide personal care to Medicaid clients in the client's home. Personal protective equipment maintains the safety of the provider and client. Funding is provided to purchase, store, and distribute PPE to in-home providers. This assumes that Federal Emergency Management Agency (FEMA) funding expires in March 2022. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - State, other funds)
Community Residential Services
Funding is provided to monitor services delivered to over 4,500 clients served in contracted residential programs. Two staff will verify that Medicaid clients receive services authorized on Core and Community Protection waivers and meet assurance with the federal Centers for Medicare & Medicaid Services. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Agency Provider Tax Rate Adjustment
Funding is provided to adjust the employer tax rate paid to home care agencies. An exemption lowered the tax rate used to calculate the tax costs paid on behalf of clients. This created a gap between the tax rate provided to the agencies and the employer tax paid by clients. (General Fund - Cash, General Fund - State, General Fund - Medicaid Federal, other funds)
Transitional Care Management
Funding is provided to coordinate transitions of care for 2,100 clients who move from one type of care setting to a new one. This includes ramping up staffing from 38 FTEs in fiscal year 2023 to 104 FTEs in fiscal year 2025 to create transition coordination teams, mobile diversion and rapid response teams, and enhanced support for providers. (General Fund - Local CRC Oregon, General Fund - State, General Fund - Medicaid Federal, other funds)
CDE Transition Costs
In April 2022, the Consumer Directed Employer will become the new administrative employer for over 45,000 individual providers who serve clients in their home. Funds will be provided from DSHS to the new CDE in April. Funding is provided to account for premiums for paid family leave. (General Fund - Medicaid Federal, General Fund - State, General Fund - Local CRC Oregon, other funds)
Continuum of Care
Children and youth with complex behavioral issues need a continuum of care across state agencies and local providers. Funding is provided for 32 beds and agency administration costs at the Health Care Authority to create a short-term Residential Crisis Stabilization Program (RCSP) for youth with severe behavioral health diagnoses. The capital budget includes appropriations for design and construction of a new facility that is anticipated to open in fiscal year 2024. This funding also will hire a program manager to begin planning for services in this facility. In the 2023-25 biennium, DDA will have additional staffing costs to provide case management, resources and other services for children and youth served in the facility. (General Fund - State, General Fund - Medicaid Federal, General Fund - Local CRC Oregon, other funds)
Financial Eligibility Staff
Timely and accurate eligibility determinations are critical to improving access to services for clients with intellectual or developmental disabilities. Funding is provided for 22.3 FTE staff to complete financial eligibility determinations within the required 45-day timeframe, reduce the backlog of clients waiting for eligibility determination, and reduce wait times on the call center. (General Fund - Medicaid Federal, General Fund - State, General Fund - Local CRC Oregon, other funds)
HCBS Provider Development
Home and community-based services (HCBS) providers help connect clients with disabilities to supportive community resources, provide supportive parenting services, and offer short-term respite support to caregivers. Funding is provided to increase the hourly rates paid to providers of waiver services on April 1, 2022. Additionally, funding is provided for an assistive technology program manager to provide advice, conduct evaluations and make recommendations to clients, families, providers and case managers on the type of assistive technology that may help clients maintain independence. (General Fund - State, General Fund - Federal)
DDA Waiver and SOLA Forecasting
Funding is provided for 3.0 FTE staff to determine appropriate methods to forecast services to clients with intellectual and developmental disabilities. Currently, the number of clients served under the individual family services, basic plus waivers and state-operated living alternatives (SOLA) is capped. The 2021-23 biennial budget directed the program to estimate the number of clients who need these services. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - State, other funds)
Enhanced Case Management
Funding is provided to expand access to the enhanced case management program from 700 to 1500 clients. This will include 50 FTE case managers to increase the program's capacity and reduce caseload ratios to one case manager per 30 clients. It also will enhance the Comprehensive Assessment Reporting and Evaluation system to provide automatic nursing referrals for clients in this program. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - State, other funds)
Personal Needs Allowance
Funding is provided to increase the personal needs allowance (PNA) for Medicaid clients in residential and institutional settings. The PNA is the amount personal income retained by these clients to pay for their personal needs, including housing costs, utilities, food, and personal incidentals. (General Fund - State, General Fund - Medicaid Federal, General Fund - Local CRC Oregon, other funds)
SEIU and Liang Settlements
Funds are provided to settle the cases of Liang, et al, v. Washington DSHS, et al, and SEIU 775 v. Washington DSHS, et al. (General Fund - Medicaid Federal, General Fund - State, General Fund - Cash, other funds)
Public Health Emergency FMAP
The federal Families First Coronavirus Relief Act authorized additional federal matching funds (FMAP) for the duration of the public health emergency. State funds are reduced and Medicaid is increased to reflect an additional 6.2 percent federal Medicaid matching rate from January through June 30, 2022. This includes appropriations related to unanticipated receipt number 0025. (General Fund - Medicaid Federal, General Fund - Cash, General Fund - Local CRC Oregon, other funds)
Youth Inpatient Navigators
Funding is provided for 7.0 FTE, including a project manager and social and health program consultants, to participate in youth inpatient navigator meetings, in coordination with the Health Care Authority. This will help coordinate care and services for individuals experiencing a mental health crisis. New regional teams will convene key stakeholders, including MCOs, hospitals, educational districts and community providers, to find the right services for youth in crisis. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - State, other funds)
Targeted Provider Rates
Funding is provided to continue the COVID-19 rate enhancements that expired on December 31, 2021 to contracted providers. The rate enhancements are reduced by 20 percent every two quarters in fiscal year 2023 and fiscal year 2024. This includes appropriations related to unanticipated receipt number 0027. (General Fund - State, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Transform Services for DDA Clients
The department will use this funding to forecast the need for community and residential services (including respite beds and crisis stabilization services), study Medicaid rates, and develop metrics for community residential providers and additional DDA services for a new caseload forecast. (General Fund - State)
Adult Family Homes CBA
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 for fiscal year 2023. (General Fund - State, General Fund - American Rescue Plan Act (ARPA), General Fund - Medicaid Federal, other funds)
SEIU 775 Agency Providers Parity
Funding is provided to for the homecare agency parity impacts of the agreement between the governor and the service employees international union healthcare 775nw. (General Fund - Medicaid Federal, General Fund - American Rescue Plan Act (ARPA), General Fund - State, other funds)
SEIU 775 In Home Providers
Funding is provided for the implementation of an agreement reached between the governor and the adult family home council under the provisions of chapter 41.56 RCW for fiscal year 2023. (General Fund - Medicaid Federal, General Fund - American Rescue Plan Act (ARPA), General Fund - State, other funds)
Senior Farmer's Market Nutrition
Funding is provided to expand the senior farmer's market nutrition program to 7,100 seniors, pay for increased banking fees, and transition the program to a digital payment system. (General Fund - State)
APS Abuse Registry
Funding is provided to establish a process to review requests from providers to be removed from the Adult Protective Services (APS) vulnerable adult abuse registry. The new process will take into consideration varying degrees of harm perpetuated by an individual and any rehabilitation sought after an APS finding. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - State, other funds)
State Match for Federal Grants
Funds are provided to meet federal match requirements to access $30 million in American Rescue Plan Act funding for Older American Act services and supports. (General Fund - State)
Sex Offender Rates
Funding is provided to increase the number and type of residential setting options to deliver long-term care services and supports to a growing number of clients who are registered sex offenders. This provides a rate add-on of $153 per day. (General Fund - Local CRC Oregon, General Fund - State, General Fund - Medicaid Federal, other funds)
Tribal Medicaid Eligibility
Some Tribes provide eligibility determination and case management for Tribal members who are eligible for Medicaid Long-Term Supports and Services. Funding is provided for 1.0 FTE to engage with Tribes to offer technical assistance, coordination, training, and support on Medicaid eligibility and case management. (General Fund - State, General Fund - Medicaid Federal, General Fund - Local CRC Oregon, other funds)
Reduce Occupancy Penalty
The COVID-19 pandemic led to a lower number of patients in skilled nursing facilities. The median occupancy is a factor used to calculate nursing facility rates. If a nursing home drops below a certain occupancy threshold, the administrative rate is lowered, resulting in a penalty for nursing homes with fewer residents. Funding is provided to lower the occupancy threshold from 90 percent to 70 percent for skilled nursing homes for purposes of the July 1, 2022 rate development. (General Fund - Cash, General Fund - State, General Fund - Medicaid Federal, other funds)
COVID Positive Units
Funds are provided for units in nursing homes specifically for patients with COVID-19. These units are separate from other nursing home residents and help create more capacity in acute care hospitals that are facing critical shortages of hospital beds due to the pandemic. (Coronavirus St Fiscal Recovery Fund - Federal)
Acute Care Hospital Capacity
The COVID-19 pandemic led to a shortage of beds in acute care hospitals. From October through December 2021, ALTSA offered incentive payments to long-term care settings to take patients from acute care hospitals who have been in the hospital for more than 30 days without a discharge plan and who no longer need acute levels of care. (Coronavirus St Fiscal Recovery Fund - Federal)
Behavioral Health Transitions
Funding is provided for 19.3 FTE staff to reduce the average number of clients per case manager from 42 to 35 clients. This will improve care for clients served under the residential support waiver and help people transition from state hospitals to home and community settings. (General Fund - State, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Increase In-Home PNA
Funds are provided to increase the in-home client personal needs allowance (PNA), which is an amount of personal income retained by Medicaid clients to pay for their personal needs, including housing costs, utilities, food, and personal incidentals. (General Fund - State, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Case Management Ratios
Case managers conduct home visits, respond to safety concerns, and connect clients to health and community resources. Lower caseloads contribute to better health outcomes for clients and reduce the need for expensive institutional stays for clients. Funding is provided for 20.6 FTE staff to reduce the number of cases per case manager from 94 to 75 clients. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - State, other funds)
Overpayment Project
This funding will resolve a backlog of 400,000 potential Medicaid overpayments dating back to 2016 and totaling $50 million. (General Fund - State, General Fund - Medicaid Federal, General Fund - Local CRC Oregon, other funds)
Specialized Behavior Contracts
Funding is provided to increase the number and type of residential setting options to deliver long-term care services and supports to a growing number of clients who are registered sex offenders. This provides a rate add-on of $153 per day for specialized behavior support contracts. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - State, other funds)
Transitional Care Center
Funding is provided for the Transitional Care Center in Seattle for a new contract beginning December 1, 2021. It includes a higher daily rate, smaller total client capacity, and elimination of the rate to hold empty beds. (General Fund - State, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Afghan Refugee School Impacts
One-time federal funding is awarded to the Economic Services Administration's Office of Refugee and Immigrant Assistance to help children of Afghan refugee families arriving in Washington state successfully integrate into school. (General Fund - Federal)
Afghan Refugee Health Promotion
One-time federal funding is awarded to the Economic Services Administration's Office of Refugee and Immigrant Assistance to support the immediate and long-term physical and mental health needs of Afghan refugees arriving in Washington state. The funds must be used for client-centered, trauma-informed, and strengths-based services that are informed by an understanding of Afghan culture and the unique circumstances of the Afghan evacuation. (General Fund - Federal)
Afghan SIV & SI Parolee Services
One-time federal funding is awarded to the Economic Services Administration's Office of Refugee and Immigrant Assistance to provide employment services, housing assistance, and other support services to Afghan arrivals with a special immigrant visa (SIV) or parolee status. (General Fund - Federal)
Afghan Refugee Support Services
One-time federal funding is awarded to the Economic Services Administration's Office of Refugee and Immigrant Assistance to support the temporary and permanent housing needs of Afghan refugees arriving in Washington state, along with other necessary support services such as employment and training, case management, legal services, and emergency supports. (General Fund - Federal)
Pandemic EBT Administration
Federal authority is provided for the administration of pandemic Electronic Benefit Transfer (EBT), which provides children with temporarily enhanced emergency nutrition benefits loaded on EBT cards that are used to purchase food. (General Fund - Tolls, General Fund - CRRSA Federal Act)
FAP Employment & Training Services
Funding is provided to implement a state-funded employment and training program for recipients of the state's Food Assistance Program (FAP), effective July 1, 2022. (General Fund - State)
Aligning the ABD Grant Standard
Funds are provided to increase the Aged, Blind, or Disabled grant standard to a maximum amount of $417 per month for a one-person grant and $528 for a two-person grant, effective September 1, 2022. (General Fund - State)
Sexual Assault/Rape Crisis Services
One-time federal funding is provided to support survivors of sexual assault through the transition to virtual/remote services and to support their increased emergency needs as a result of COVID-19. (General Fund - American Rescue Plan Act (ARPA))
DV Shelter and Supportive Services
One-time federal funding is provided to increase access to COVID-19 testing and vaccines for domestic violence shelters and programs to mitigate the spread of the virus and increase supports for domestic violence survivors. (General Fund - American Rescue Plan Act (ARPA))
MSP Asset Test Removal
Funding is provided for the Economic Services Administration to complete IT changes necessary for the removal of asset limits for the Health Care Authority's Medicare Savings Plan (MSP) program, effective January 1, 2023. (General Fund - State, General Fund - Federal)
Eliminating ABD/HEN MCR
Funding is provided for the department to eliminate the mid-certification review (MCR) requirement for blind and disabled recipients of the Aged, Blind or Disabled (ABD) program and Housing and Essential Needs (HEN) Referral program. This item also will restore the caseload of participants who have lost this benefit, effective July 1, 2022. (General Fund - State)
Expanding ABD to Institutions
This funding will expand the Aged, Blind or Disabled program to individuals between the ages of 21 and 64 who are residing in a public mental institution, effective September 1, 2022. Eligible individuals would receive a monthly payment of $41.62 to cover clothing, personal maintenance, and necessary incidentals (CPI). (General Fund - State)
Increasing TANF Family Size
Funding is provided to increase the monthly payment standard for households with nine or more members that are participating in the Temporary Assistance for Needy Families (TANF) and State Family Assistance (SFA) programs, effective July 1, 2022, by changing the benefit cap from an eight-person household to ten. (General Fund - Federal Dedicated, General Fund - Temporary Assist for Needy Families, General Fund - State)
Modernize TFA Sanction Exclusions
Funds are provided to extend the Transitional Food Assistance (TFA) program to households exiting the Temporary Assistance for Needy Families and State Family Assistance programs that include a member in WorkFirst sanction, effective July 1, 2023. This policy change aligns with an option available under federal Supplemental Nutritional Assistance Programs rules. Funding in fiscal year 2023 covers IT costs to implement this policy change. (General Fund - State)
TANF Limit for Ineligible Parents
Funding is provided to eliminate the 60-month program time limit for child-only Temporary Assistance for Needy Families and State Family Assistance program cases in which a parent is in the home and ineligible for benefits, effective February 1, 2023. (General Fund - Federal Dedicated, General Fund - State, General Fund - Temporary Assist for Needy Families)
ABD and HEN Human Trafficking
This funding will expand the Aged, Blind or Disabled program and Housing and Essential Needs Referral to certain victims of human trafficking, effective July 1, 2022. Funding in fiscal year 2023 covers costs associated with the expected caseload increase and one-time IT enhancements necessary for implementation of this policy change. (General Fund - State)
Integrated Eligibility System
Funding is provided to increase transparency for eligibility and enrollment activities across health and human services programs including Medicaid, basic food, child care, and cash assistance, while also building the foundation of a completely integrated eligibility solution. Funding covers staffing and IT costs associated with creating a comprehensive application and benefit status tracker for multiple programs and to establish a foundational platform for the integrated eligibility solution. (General Fund - Federal, General Fund - State, General Fund - Medicaid Federal, other funds)
Health Care for Undocumented Adults
Funding is provided for ACES IT system improvements necessary to implement an anticipated health care program for undocumented immigrant adults residing in Washington. (General Fund - State, General Fund - Federal)
Language Access Providers Agreement
Funding is adjusted for language access provider services based upon the fiscal year 2023 collective bargaining agreement. (General Fund - Federal, General Fund - State)
Fleet Management System
Funding is provided to purchase and implement a fleet management system for vehicles owned by the department. (General Fund - Federal, General Fund - State)
Fund Payroll Staffing Gap
Resources are provided to address a payroll staffing shortage. (General Fund - State, General Fund - Federal)
Poverty Reduction Advisory Group
Funding is provided for staffing and software licenses necessary to create a technical advisory group on poverty reduction within the department. This group, comprised of a project manager, data scientist, and analytics and visualization specialist, will develop a measurement and data framework to help guide the state toward decision making that results in a more just and equitable future. (General Fund - State)
Poverty Reduction Coordination
Funding is provided to create two positions that will convene executive subcabinet meetings on poverty reduction, coordinate with agencies on budget and policy formation and implementation of enacted legislation, and track agency progress on improving the collective well-being of Washingtonians. (General Fund - State)
RDA - Data Management & Analytics
Funding is provided to the Research and Data Analysis Division for data management and analytics on broader behavioral health and Trueblood work. (General Fund - State, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
RDA - Permanent Supportive Housing
In collaboration with the Department of Commerce, funding is provided to the Research and Data Analysis Division to prepare an annual report about the projected demand for permanent supportive housing. (General Fund - State)
Right-of-Way Coordination Team
Funding is provided to staff regional coordination teams that will work with local partners to address camping on public rights-of-way. (General Fund - State, General Fund - Federal)
Move SCC to Mainland
Funding is provided for a staff member to coordinate strategy and implementation activities and for an expert-level analysis and strategic partner to identify potential sites to move the Special Commitment Center to the mainland. Site selection factors include available workforce, community interest, local police presence, and operational costs. (General Fund - State)
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 - Federal, General Fund - State)
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 Attorney General's Office legal services based on a three-year average. Because legal services costs are based on usage, funding provided in the central service model is not all inclusive. (General Fund - Federal, General Fund - State)
Administrative Hearings
Adjustments are made for each agency’s anticipated cost of administrative hearings conducted by 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 from Consolidated Technology Services (CTS) for the Office of the Chief Information Officer, Office of Cyber Security, state network, enterprise services, small agency IT services, security gateways, and geospatial imaging services. See the 2021-23 Budget Instructions for allocation methodologies. (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 for campus rent, parking, security and contracts; capital project surcharges; financing cost recovery; public and historic facilities; real estate services; risk management services; personnel service rates; the Perry Street and Capitol Campus child care centers; small agency services; and the department’s enterprise applications. See the 2021-23 Budget Instructions for allocation methodologies. (General Fund - State, General Fund - Federal)
OFM Central Services
Adjustments are made to reflect each agency’s anticipated share of charges for existing statewide applications, the One Washington program, and other central services provided by the Office of Financial Management. See the 2021-23 Budget Instructions for allocation methodologies. (General Fund - State, General Fund - Federal)
Self-Insurance Liability Premium
Adjustments are made to reflect each agency's share of the actuarially projected costs of the self-insurance liability premium. (General Fund - Federal, General Fund - State)
