Washington State Health Care Authority
| Average Annual FTEs | Near General Fund State | Other Funds | Total Funds | |
|---|---|---|---|---|
| (Dollars in Thousands) | ||||
| Current Budget | 1,540.6 | 6,685,968 | 19,386,101 | 26,072,069 |
| 2023-25 Maintenance Level | 1,508.2 | 7,154,271 | 18,564,144 | 25,718,415 |
| Difference from 2023-25 Original | (32.4) | 468,303 | (821,957) | (353,654) |
| % Change from 2023-25 Original | (2.1%) | 7.0% | (4.2%) | (1.4%) |
2023 Policy Other Changes |
||||
| Low-Income Health Care I-502 | 0.0 | (5,307) | 5,307 | 0 |
| Ambulance Quality Assurance Fee | 0.0 | (625) | 19,203 | 18,578 |
| HARPS Pilot for Shelters & Clinics | 0.0 | 5,296 | 0 | 5,296 |
| Homelessness Initiative Adjustment | 0.0 | 2,000 | 0 | 2,000 |
| BH Services for Homeless Seniors | 0.0 | 1,270 | 0 | 1,270 |
| Civil Conversion Bed Capacity | 0.0 | 18,864 | 2,218 | 21,082 |
| Block Grant | 0.0 | 10,000 | 48,330 | 58,330 |
| MCO Behavioral Health Rate Increase | 0.0 | 52,241 | 97,997 | 150,238 |
| Intensive Outpatient/Partial Hosp | 0.0 | 9,300 | 0 | 9,300 |
| Preserve CLIP Services | 0.0 | 6,934 | 6,934 | 13,868 |
| Project ECHO & Start Trainings | 0.0 | 546 | 546 | 1,092 |
| CLIP Rates & Capacity | 0.0 | 79 | 79 | 158 |
| Improve Newborn Screening Timeline | 0.0 | 207 | 503 | 710 |
| DS: Settlement Administrative Funds | 0.0 | 0 | 3,090 | 3,090 |
| DS: Opioid Settlement Tribal Funds | 0.0 | 0 | 12,362 | 12,362 |
| DS: SUD Maternity Support | 0.0 | 0 | 3,756 | 3,756 |
| DS: Workforce SUDP scholarships | 0.0 | 0 | 1,076 | 1,076 |
| DS: Housing Supports | 0.0 | 0 | 2,692 | 2,692 |
| DS: Emergency Dept Bridge Program | 0.0 | 0 | 3,014 | 3,014 |
| DS: Fentanyl Public Education | 0.0 | 0 | 3,768 | 3,768 |
| DS: Partnership for Success Grants | 0.0 | 0 | 3,955 | 3,955 |
| DS: Prevention Capacity Expansion | 0.0 | 0 | 2,692 | 2,692 |
| DS: Prescription Opioid Education | 0.0 | 0 | 1,830 | 1,830 |
| DS: Legal Training and Support | 0.0 | 0 | 1,076 | 1,076 |
| DS: MOUD in Jails technical support | 0.0 | 0 | 538 | 538 |
| DS: Opioid Tx Program Expansion | 0.0 | 0 | 3,768 | 3,768 |
| Psychiatric Per Diem Rates | 0.0 | 14,832 | 37,247 | 52,079 |
| Problem Gambling Coverage | 0.0 | 111 | 292 | 403 |
| Stanwood RTF Rates | 0.0 | 1,653 | 2,024 | 3,677 |
| Community Long-Term Inpatient Beds | 0.0 | (196) | (7,899) | (8,095) |
| Community Health Centers - I-502 | 0.0 | (1,803) | 1,803 | 0 |
| Acuity-based Rate Enhancement | 0.0 | 5,150 | 5,150 | 10,300 |
| Behavioral Health Personal Care | 0.0 | 9,400 | 0 | 9,400 |
| Behavioral Health Ombuds | 0.0 | 726 | (726) | 0 |
| Adult Cochlear Implant Coverage | 0.0 | 59 | 69 | 128 |
| Language Access Providers Agreement | 0.0 | 2,466 | 2,367 | 4,833 |
| Ambulance Transports | 0.0 | 4,712 | 10,012 | 14,724 |
| ABA Rate Increases & Training | 2.0 | 5,437 | 5,135 | 10,572 |
| Health Care for Uninsured | 0.0 | 18,876 | 0 | 18,876 |
| Arrest & Jail Alternative Programs | 0.0 | 0 | 6,669 | 6,669 |
| CCBHC Planning & Demonstration | 0.0 | 0 | 1,000 | 1,000 |
| Enhance Crisis System - 988 Line | 0.0 | 0 | 101,325 | 101,325 |
| Developmental Screening Increase | 0.0 | 306 | 463 | 769 |
| 988 Tech Platform Implementation | 14.0 | 0 | 24,552 | 24,552 |
| VEBA Benefits Management & Support | 1.0 | 0 | 316 | 316 |
| Foundational Community Supports | 4.5 | 0 | 1,476 | 1,476 |
| FFS Behavioral Health Rate Increase | 0.0 | 686 | 1,728 | 2,414 |
| Increased Interpreter Services | 0.0 | 81 | 117 | 198 |
| Master Person Index | 5.0 | 3,577 | 3,538 | 7,115 |
| PEBB & SEBB Vision Benefit | 0.0 | 0 | 2,410 | 2,410 |
| Prevention Svcs for PCAP & PPW | 0.0 | 4,664 | 4,767 | 9,431 |
| Residential Tx Facility Support | 5.5 | 2,428 | 900 | 3,328 |
| Addiction Recovery Medical Homes | 3.9 | 0 | 3,838 | 3,838 |
| UDP Dental Benefit Enhancements | 0.0 | 0 | 12,719 | 12,719 |
| UMP Diabetes Management Program | 0.0 | 0 | 864 | 864 |
| Program Integrity | 0.0 | 71,000 | 159,000 | 230,000 |
| Consumer Experience | 0.0 | 0 | 3,405 | 3,405 |
| Cascade Care Savings Program | 0.0 | 0 | 25,000 | 25,000 |
| Modernizing Healthplanfinder | 0.0 | 0 | 8,128 | 8,128 |
| Expanding Organizational Capacity | 0.0 | 0 | 3,170 | 3,170 |
| Advancing Health Equity | 0.0 | 0 | 1,144 | 1,144 |
| Non-Medicaid Funding | 0.0 | 22,309 | 0 | 22,309 |
| Pharmacy Rate Study | 0.0 | 125 | 125 | 250 |
| Youth Inpatient Navigators | 0.0 | 3,281 | 707 | 3,988 |
| Trueblood Phase 2 | 1.0 | 8,176 | 0 | 8,176 |
| Trueblood Phase 3 | 0.0 | 17,358 | 0 | 17,358 |
| Trueblood Diversion Program | 1.0 | 3,938 | 0 | 3,938 |
| Tribal Health Program Support | 2.0 | 0 | 478 | 478 |
| Uninsured Transfer | 0.0 | 1,000 | 0 | 1,000 |
| UW 90/180 Inpatient Beds | 0.0 | 0 | 23,763 | 23,763 |
| UW Short-Term Beds | 0.0 | 0 | 10,280 | 10,280 |
| Crisis Stabilization Facilities | 0.0 | 16,835 | 13,713 | 30,548 |
| 2023 Policy Other Changes Total | 39.9 | 317,992 | 695,803 | 1,013,795 |
2023 Policy Comp Changes |
||||
| State Employee Benefits | 0.0 | 179 | 280 | 459 |
| WFSE General Government | 0.0 | 2,606 | 5,269 | 7,875 |
| Rep Employee Health Benefits | 0.0 | 73 | 147 | 220 |
| Non-Rep Recruitment/Retention | 0.0 | 442 | 696 | 1,138 |
| Non-Rep General Wage Increase | 0.0 | 5,136 | 7,959 | 13,095 |
| PERS & TRS Plan 1 Benefit Increase | 0.0 | 111 | 183 | 294 |
| Vaccine Booster Incentive | 0.0 | 382 | 600 | 982 |
| 2023 Policy Comp Changes Total | 0.0 | 8,929 | 15,134 | 24,063 |
2023 Policy Central Services Changes |
||||
| Shared Tenant M365 to CSM | 0.0 | (440) | (717) | (1,157) |
| State Data Center | 0.0 | (224) | (25) | (249) |
| Archives/Records Management | 0.0 | 5 | 9 | 14 |
| Audit Services | 0.0 | 68 | 110 | 178 |
| Legal Services | 0.0 | 266 | 346 | 612 |
| Administrative Hearings | 0.0 | 902 | 833 | 1,735 |
| CTS Central Services | 0.0 | 475 | 774 | 1,249 |
| DES Central Services | 0.0 | 150 | 247 | 397 |
| OFM Central Services | 0.0 | 1,926 | 397 | 2,323 |
| GOV Central Services | 0.0 | 203 | 333 | 536 |
| 2023 Policy Central Services Changes Total | 0.0 | 3,331 | 2,307 | 5,638 |
| Total Policy Changes | 39.9 | 330,252 | 713,244 | 1,043,496 |
| 2023-25 Policy Level | 1,548.1 | 7,484,523 | 19,277,388 | 26,761,911 |
| Difference from 2021-23 | 7.5 | 798,555 | (108,713) | 689,842 |
| % Change from 2023-25 Original | 0.49% | 11.9% | (0.6%) | 2.6% |
Policy Changes
Low-Income Health Care I-502
Initiative 502, approved by voters in 2012, directed a portion of the revenue from taxes on the sale of marijuana into the Basic Health Trust Account. Those dollars are used in lieu of General Fund-State dollars for capitation payments for Medicaid clients enrolled in managed care plans. Funding is adjusted to reflect updated estimates of marijuana-related revenue. (General Fund - State, Basic Health Plan Trust Account - Non-Appropriated)
Ambulance Quality Assurance Fee
Funding is provided to reauthorize an ambulance quality assurance fee for ground emergency medical transportation providers. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, Ambulance Transport Fund - State, other funds)
HARPS Pilot for Shelters & Clinics
Funding is appropriated for a pilot program to assist individuals receiving services at shelters or clinics in obtaining housing and other supports under the Housing and Recovery through Peer Services (HARPS) program. This pilot project is limited to one location in an urban area and one in a rural area. (General Fund - State)
Homelessness Initiative Adjustment
Funding is provided to increase the amounts of flex funds appropriated in the 2022 supplemental budget for homelessness initiative items. (General Fund - State)
BH Services for Homeless Seniors
This item will help seniors out of chronic homelessness and provide access to personal care services. (General Fund - State)
Civil Conversion Bed Capacity
Funds are provided to add 60 additional contracted beds to add community civil conversion bed capacity which in turn will address growing waitlists for forensic beds at Western State Hospital. (General Fund - Local CRC Oregon, General Fund - State, General Fund - Medicaid Federal, other funds)
Block Grant
Funding is provided to reflect grants from the American Rescue Plan Act (ARPA) based on the plan approved by the Substance Abuse and Mental Health Services (SAMHSA). It also will continue to support programs that had been funded under SAMHSA federal block grants. (General Fund - Medicaid Federal, General Fund - American Rescue Plan Act (ARPA), General Fund - State, other funds)
MCO Behavioral Health Rate Increase
Funds are provided to increase Medicaid behavioral health provider rates, effective January 1, 2024. The agency must employ directed payment or other methodologies allowed under Medicaid-managed care regulations to direct the funding increase to behavioral health providers. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - State, other funds)
Intensive Outpatient/Partial Hosp
This item will continue the third Intensive Outpatient/Partial Hospitalization pilot site originally funded in the 2022 supplemental budget. (General Fund - State)
Preserve CLIP Services
Funding is appropriated to increase rates for the Children's Long-term Inpatient Program (CLIP), effective July 1, 2023. (General Fund - Cash, General Fund - State, General Fund - Medicaid Federal, other funds)
Project ECHO & Start Trainings
The agency will provide trainings to support children with developmental disabilities and behavioral health needs. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - State, other funds)
CLIP Rates & Capacity
Funding is appropriated to increase rates and bed capacity for specialized Children's Long-term Inpatient Program (CLIP) services for children with co-occurring developmental disabilities and behavioral health needs. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - State, other funds)
Improve Newborn Screening Timeline
The Department of Health is increasing newborn screening fees to cover costs related to specimen transit time. Reducing specimen transit time will reduce the time for physicians to diagnose newborns. Funding is provided to cover infant screening fees for infants covered by Apple Health. (General Fund - State, General Fund - Cash, General Fund - Medicaid Federal, other funds)
DS: Settlement Administrative Funds
The state settled with three companies found to have played key roles in fueling the opioid epidemic. Funding is provided for administrative expenses related to implementing new programs related to opioid use and overdose response activities. Legislation will be proposed to create a new account, which will be funded using settlement funds from State v. McKesson Corp., et al. (Distributor Opioid Abatement Settle - State)
DS: Opioid Settlement Tribal Funds
Funding is provided for Tribes to use as they see fit to benefit their communities. Legislation will be proposed to create a new account, which will be funded using settlement funds from State v. McKesson Corp., et al. (Distributor Opioid Abatement Settle - State)
DS: SUD Maternity Support
Due to stigmatization and punitive treatment against pregnant people with substance use disorders (SUD), many avoid interaction with the health care system until the time of delivery. This puts the birth parent and child at high risk of medical complications, legal intervention, and death. Funding is provided to create a program that would allow for extended post-delivery hospital care for persons with SUD at the time of delivery. Legislation will be proposed to create a new account, which will be funded using settlement funds from State v. McKesson Corp., et al. (Distributor Opioid Abatement Settle - State)
DS: Workforce SUDP scholarships
The agency will establish a substance use disorder (SUD) professional/peer scholarship program in BIPOC communities to address workforce shortages in disparately impacted communities and to increase engagement in communities with significantly high overdose rates compared to state averages. The new account will be created in proposed legislation and will be funded with settlement funds from State v. McKesson Corp., et al. (Distributor Opioid Abatement Settle - State)
DS: Housing Supports
Funding is provided to support expansion of Housing First supports that include master leasing, peer support specialists, homeless outreach, and program support staff. The new account will be created in proposed legislation and will be funded with settlement funds from State v. McKesson Corp., et al. (Distributor Opioid Abatement Settle - State)
DS: Emergency Dept Bridge Program
Funds are provided for an emergency department bridge program for emergency departments to support staffing, clinical consultation for SUD, and linkage to recovery support services and services following acute SUD events. The bridge program will accomplish this by allowing ED systems and providers to directly obtain real-time clinical consultation and discharge planning with an electronic referral and appointment scheduling tool. The new account is created in proposed legislation and will be funded using settlement funds from State v. McKesson Corp., et al. (Distributor Opioid Abatement Settle - State)
DS: Fentanyl Public Education
This item funds development of the health promotion and education campaign, with a focus on synthetic drug supplies (including fentanyl) and harm reduction messaging for communities, law enforcement, and others that improves the public perception of people who use drugs by reducing stigma. Funding could be available to BIPOC and LGBTQ+ communities that are disproportionately affected by overdose so they can develop culturally sensitive messaging and education for their communities about overdose and related topics. The new account is created in proposed legislation and will be funded using settlement funds from State v. McKesson Corp., et al. (Distributor Opioid Abatement Settle - State)
DS: Partnership for Success Grants
The Partnership for Success program provides services that address the state’s top substance use disorder (SUD) prevention priorities: underage drinking, cannabis/tobacco prevention, and opioid/prescription drug misuse among individuals between the ages of 12 and 25. Funding is provided to continue this SUD prevention program originally funded through a five-year Partnerships for Success federal grant through the Substance Abuse and Mental Health Services Administration (SAMHSA). (General Fund - State, Distributor Opioid Abatement Settle - State)
DS: Prevention Capacity Expansion
Funding is provided for grants to new communities, schools and Tribes for prevention services for youth, young adults and families through an evidence-based, outcome-driven model for community and school-based services, the Community Prevention and Wellness Initiative (CPWI), and community-based (CBO) grants. This funding supports the addition of 10 new communities/school districts in high risk, high need areas to the CPWI and make up to 15 new CBO grants available in high risk, high need prioritized areas. This will also provide expanded services specifically for young adults in a minimum of two statewide programs and additional programs as funding is available. The new account is created in proposed legislation and will be using settlement funds from State v. McKesson Corp., et al. (Distributor Opioid Abatement Settle - State)
DS: Prescription Opioid Education
Through extensive efforts of the state agencies and prescriber community, overall opioid prescribing has declined significantly in Washington. However, prescription related-opioid deaths still account for a quarter of the total opioid deaths. Given the evolving nature of the epidemic and advances in understanding pain management, continued support for provider training and education is necessary to reduce inappropriate prescriptions while maintaining access for patients who need them. Funding is provided for programs at (1) Washington State University's College of Nursing that helps providers better manage pain patients; (2) the Washington State Medical Association and the Washington State Hospital Association's joint Better Prescribing Better Treatment initiative that provides feedback to improve prescribing patterns; and (3) the Department of Labor and Industries and the University of Washington's joint Occupational Epidemiology and Health Outcomes Program to prevent inappropriate opioid prescribing.The new account is created in proposed legislation and will be funded using settlement funds from State v. McKesson Corp., et al. (Distributor Opioid Abatement Settle - State)
DS: Legal Training and Support
Funding is provided for fentanyl technical assistance and training for law enforcement organizations, courts, and corrections settings to address rampant misinformation about the harms of fentanyl exposure among law enforcement and first responders. The new account is created in proposed legislation and will be funded using settlement funds from State v. McKesson Corp., et al. (Distributor Opioid Abatement Settle - State)
DS: MOUD in Jails technical support
This item provides technical support for medications for opioid use disorder (MOUD) access in jails along with an FTE position to support regulatory navigation support for health care/pharmacy. The new account is created in proposed legislation and will be funded using settlement funds from State v. McKesson Corp., et al. (Distributor Opioid Abatement Settle - State)
DS: Opioid Tx Program Expansion
The agency will expand opioid treatment program facilities with opportunities available to any applicant, with priority given to rural, frontier, and Tribal locations. The new account is created in proposed legislation and will be funded using settlement funds from State v. McKesson Corp., et al. (Distributor Opioid Abatement Settle - State)
Psychiatric Per Diem Rates
Funding is appropriated to rebase psychiatric per diem rates paid to hospitals. The rate rebase scenario performed by the Health Care Authority in 2021 was budget neutral and excluded these claims as additional funding was required. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Problem Gambling Coverage
Funding is appropriated to add problem gambling treatment as a new behavioral health treatment service. (General Fund - Medicaid Federal, General Fund - Cash, General Fund - State, other funds)
Stanwood RTF Rates
This item will fund long-term involuntary inpatient treatment at the Stanwood Regional Treatment Facility (RTF). (General Fund - Medicaid Federal, General Fund - State, General Fund - Local CRC Oregon, other funds)
Community Long-Term Inpatient Beds
Funding is adjusted for changes in utilization and the cost of providing long-term involuntary inpatient treatment in a community setting. (General Fund - Cash, General Fund - State, General Fund - Local CRC Oregon, other funds)
Community Health Centers - I-502
Funds are provided to adjust the Dedicated Marijuana Account to align with revenues. (Dedicated Cannabis Account - State, General Fund - State)
Acuity-based Rate Enhancement
Funds are appropriated to enhance rates in long-term inpatient settings for individuals who are difficult to place. (General Fund - Medicaid Federal, General Fund - Cash, General Fund - State, other funds)
Behavioral Health Personal Care
Funding is provided to align existing appropriations with projected personal care expenditures, including a new tiered rate structure for adult family homes. (General Fund - State)
Behavioral Health Ombuds
This funding will cover the Department of Commerce's costs for ombuds services provided to Medicaid clients. (General Fund - State, General Fund - Local CRC Oregon, General Fund - Cash, other funds)
Adult Cochlear Implant Coverage
This new benefit will enable Apple Health to provide cochlear implants for an estimated 625 adults per year. (General Fund - Local CRC Oregon, General Fund - State, General Fund - Medicaid Federal, other funds)
Language Access Providers Agreement
Funding is adjusted for interpreter services based upon the language access providers' collective bargaining agreement for the 2023-25 biennium. (General Fund - State, General Fund - Medicaid Federal, General Fund - Local CRC Oregon, other funds)
Ambulance Transports
Rates are increased for emergent and non-emergent ambulance transports. (General Fund - Cash, General Fund - State, General Fund - Medicaid Federal, other funds)
ABA Rate Increases & Training
Funding is provided to increase reimbursement for Applied Behaviorial Analysis (ABA) services and provider training. ABA services provide treatment for people diagnosed with autism spectrum disorder or other intellectual disabilities. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - State, other funds)
Health Care for Uninsured
Funds are provided for expansion of Apple Health to undocumented Washingtonians who do not qualify for other state-funded health care assistance programs and have countable income below 138 percent of the federal poverty level. This is an important first step toward universal health coverage and will insure an additional 74,000 Washingtonians for preventive and other necessary health care. (General Fund - State)
Arrest & Jail Alternative Programs
The Health Care Authority will support the ongoing needs of its Arrest and Jail Alternative programs. Existing program funding is insufficient to meet anticipated demands of this program which strengthens the relationships between law enforcement and the community. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, Distributor Opioid Abatement Settle - State, other funds)
CCBHC Planning & Demonstration
Funding is appropriated for a federal planning grant concerning Certified Community Behavioral Health Clinics (CCBHC). (General Fund - Federal)
Enhance Crisis System - 988 Line
Funding is appropriated to enhance the crisis service system to better align with best practices for crisis services. This includes expanding and enhancing mobile crisis services and crisis stabilization services and providing additional training to support the crisis response workforce. (Stw988BehavHealth&SuicidePrevLine - State, General Fund - Medicaid Federal, General Fund - Local CRC Oregon, other funds)
Developmental Screening Increase
These funds will increase reimbursement for developmental screenings and assessments. (General Fund - Medicaid Federal, General Fund - State, General Fund - Local CRC Oregon, other funds)
988 Tech Platform Implementation
Funding and staffing are provided to provide a technology platform to expand behavioral health crisis response and suicide prevention services. (General Fund - Local CRC Oregon, Stw988BehavHealth&SuicidePrevLine - State, General Fund - Medicaid Federal, other funds)
VEBA Benefits Management & Support
Funding is provided for one FTE to assess, monitor, and consider benefit design changes to VEBA benefits. This item also will help ensure timely compliance reviews, provide timely responses to members' questions, and support procurement and contracting efforts. (School Employees' Insur Admin Acct - State, St Health Care Authority Admin Acct - State)
Foundational Community Supports
Funding is provided for foundational community supports programming to improve community discharge efforts for patients at the state hospitals and to host a provider symposium. (General Fund - Local, General Fund - Federal, General Fund - Private/Local)
FFS Behavioral Health Rate Increase
Funding is appropriated to increase rates for non-tribal substance use disorder and mental health treatment facilities to ensure that rates for American Indians and Alaskan Native patients align with the maximum available in each region paid by the managed care plans. (General Fund - Local CRC Oregon, General Fund - State, General Fund - Medicaid Federal, other funds)
Increased Interpreter Services
Funding is adjusted for the interpreter services program at the Health Care Authority to pay the employer premiums required by the Department of Labor and Industries. (General Fund - Local CRC Oregon, General Fund - State, General Fund - Medicaid Federal, other funds)
Master Person Index
Funds are provided for the agency to continue the master person index project. This is a foundational database for multiple health and human services enterprise coalition IT projects being completed in this biennium. (General Fund - Medicaid Federal, General Fund - State, General Fund - Cash, other funds)
PEBB & SEBB Vision Benefit
For PEBB, savings are recognized by splitting out vision benefits from the PEBB nonMedicare health plans beginning in plan year 2025 and offering stand-alone vision plans (through the same SEBB carriers) for a 100 percent employer-paid benefit. This stand-alone benefit is expected to provide higher benefit levels at a lower cost and align with SEBB. For SEBB, funding is provided to increase the vision hardware allowance to $200 every two years. (Public Employees/Retirees Insurance - Non-Appropriated, School Employees' Insurance Account - Non-Appropriated, Uniform Medical Plan Benefits Acct - Non-Appropriated)
Prevention Svcs for PCAP & PPW
The Health Care Authority will increase the capacity of the Parent Children Assistance Program (PCAP) and the Pregnant and Parenting Women (PPW) program. These programs provide substance abuse disorder (SUD) prevention services that keep families together, improve permanency, and speed up SUD service delivery. (General Fund - State, General Fund - Medicaid Federal, General Fund - Local CRC Oregon, other funds)
Residential Tx Facility Support
Funding is appropriated to administer and contract for the Stanwood residential treatment facility. (General Fund - Medicaid Federal, General Fund - State, General Fund - Cash, other funds)
Addiction Recovery Medical Homes
Funding is appropriated to pursue a federal grant to develop an alternative payment model aimed at addressing treatment and care needs of individuals with a substance use disorder. (General Fund - Federal)
UDP Dental Benefit Enhancements
Funding is provided to cover costs associated with updating and modernizing dental benefits for members enrolled in the self-insured Uniform Dental Plan (UDP) offered by the School Employees’ Benefits Board (SEBB) programs. (School Employees' Insurance Account - Non-Appropriated)
UMP Diabetes Management Program
This funding will add a virtual diabetes management program (DMP) to the Uniform Medical Plan (UMP) in the School Employees Benefits Board (SEBB) programs beginning in calendar year 2024. (School Employees' Insurance Account - Non-Appropriated)
Program Integrity
Program integrity activities help ensure that state and federal dollars are spent appropriately to deliver high-quality, necessary care and to prevent fraud and waste. The savings assumed in the current budget will not be realized in the 2023-25 biennium. Funding is provided to restore assumed savings. (General Fund - Local CRC Oregon, General Fund - State, General Fund - Medicaid Federal, other funds)
Consumer Experience
Funding is provided to make needed improvements to HealthPlanFinder (HPF) that will increase the satisfaction of the consumer experience and ensure compliance with federal and state changes in eligibility and benefits. (General Fund - Cash, Health Benefit Exchange Account - State, General Fund - Medicaid Federal, other funds)
Cascade Care Savings Program
Continued funding is provided for state subsidies for health insurance for Washingtonians living at or below 250% of the federal poverty level. (State Health Care Affordability Acc - State)
Modernizing Healthplanfinder
The agency will accelerate its modernization efforts by moving to a new hosting platform and creating a system made up of several smaller applications that are easily changed, tested, secured, and managed. (Health Benefit Exchange Account - State, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Expanding Organizational Capacity
Funding is provided to enhance back-end systems including data analytics, contracting, and the consumer interface and interactions with Healthplanfinder. (Health Benefit Exchange Account - State, General Fund - Medicaid Federal, General Fund - Cash, other funds)
Advancing Health Equity
The agency will increase health literacy and health plan enrollment with targeted outreach in communities with high uninsured rates, translate health insurance information into more languages, and design content that is tailored to historically marginalized communities. (General Fund - Local CRC Oregon, Health Benefit Exchange Account - State, General Fund - Medicaid Federal, other funds)
Non-Medicaid Funding
Funding is provided to increase Behavioral Health Administrative Service Organizations (BH-ASO) and MCO wrap-around service contracts. This funding will also implement a rate increase for non-Medicaid services and the remaining amounts will be used to address regional behavioral health service needs that cannot be paid for with Medicaid funds. (General Fund - State)
Pharmacy Rate Study
Funding is provided for a pharmacy dispensing fee rate study. (General Fund - State, General Fund - Medicaid Federal, General Fund - Local CRC Oregon, other funds)
Youth Inpatient Navigators
Funds are provided to help families and caregivers identify alternate, temporary solutions for instances where a long-term inpatient bed for children is not available due to bed capacity or geography issues. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - State, other funds)
Trueblood Phase 2
Funding is appropriated for costs incurred in King County for the Trueblood et. al v. DSHS lawsuit. (General Fund - State)
Trueblood Phase 3
Funds are provided for costs incurred for phase 3 of the Trueblood et. al v. DSHS lawsuit, including the expansion to Thurston/Mason and Salish regions. (General Fund - State)
Trueblood Diversion Program
Funding is provided for a forensic diversion program. (General Fund - State)
Tribal Health Program Support
Additional staffing resources are provided to assist tribes with removing barriers in the Apple Health delivery system. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - Cash, other funds)
Uninsured Transfer
Funding is shifted from state fiscal year 2023 to fiscal year 2024 to improve Healthplanfinder to accommodate clients under the agency's state innovation waiver (also known as the section 1332 waiver) from the federal Centers for Medicare and Medicaid Services. This waiver will allow individuals with undocumented citizenship status to purchase qualified health plans on the Health Benefit Exchange. (General Fund - State)
UW 90/180 Inpatient Beds
The agency will pay the University of Washington Behavioral Health Teaching Facility for long-term inpatient beds using a ratio of cost to charges (RCC). (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - Medicaid Federal)
UW Short-Term Beds
Funding is appropriated to pay the University of Washington Behavioral Health Teaching Facility for short-term beds using a ratio of cost to charges (RCC). (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - Cash)
Crisis Stabilization Facilities
Funding is appropriated for the operating costs of 10 behavioral health crisis facilities funded in the 2022 supplemental capital budget. (General Fund - State, General Fund - Medicaid Federal, General Fund - Cash, 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 $1,160 per employee per month for fiscal year 2024 and $1,233 per employee per month for fiscal year 2025. (St Health Care Authority Admin Acct - State, General Fund - State, General Fund - Federal, other funds)
WFSE General Government
Funding is provided for a general wage increase of 4%, effective July 1, 2023; a general wage increase of 3%, effective July 1, 2024; targeted job classification base range increases; recognition and retention lump sum payments for employees employed on or before July 1, 2022 and continuously employed through July 1, 2023; shift premium increase for eligible shifts from $1 to $2.50 per eligible hour; a COVID-19 booster incentive of $1,000; supplemental shift premium increases for nurse classifications; 5% premium pay for employees who are assigned to a facility that provides direct care to residents, patients and/or clients and whose duties are required to be performed on location; and an increase of $250 to the annual lump sum payment for Labor and Industries risk classes 7200/7201. (General Fund - Federal, St Health Care Authority Admin Acct - State, General Fund - State, other funds)
Rep Employee Health Benefits
This provides health insurance funding 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 $1,160 per employee per month for fiscal year 2024 and $1,233 per employee per month for fiscal year 2025. (St Health Care Authority Admin Acct - State, General Fund - Federal, General Fund - State, other funds)
Non-Rep Recruitment/Retention
Funding is provided for recognition and retention lump sum payments for employees employed on or before July 1, 2022 and continuously employed through July 1, 2023. (St Health Care Authority Admin Acct - State, General Fund - Federal, General Fund - State, other funds)
Non-Rep General Wage Increase
Funding is provided for wage increases 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. It is sufficient for a general wage increase of 4 percent, effective July 1, 2023 and a general wage increase of 3 percent, effective July 1, 2024. This item includes both general government and higher education workers. (General Fund - Federal, School Employees' Insur Admin Acct - State, 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 - State, St Health Care Authority Admin Acct - State, General Fund - Federal, other funds)
Vaccine Booster Incentive
Funding is provided for a $1,000 lump sum COVID-19 booster incentive for non-represented employees. This funding does not cover institutions of higher education. (General Fund - Federal, St Health Care Authority Admin Acct - State, General Fund - State, other funds)
Shared Tenant M365 to CSM
Agency budgets are reduced by the base budget amounts provided to Consolidated Technology Services for Microsoft 365 licenses so the cost can be added to the central service model allocation in CTS central services (Step 92J). (St Health Care Authority Admin Acct - State, School Employees' Insur Admin Acct - State, General Fund - State, other funds)
State Data Center
Adjustments are made for each agency's share of costs related to the State Data Center. (General Fund - State, St Health Care Authority Admin Acct - 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. (School Employees' Insur Admin Acct - State, General Fund - State, General Fund - Federal, other funds)
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, St Health Care Authority Admin Acct - State, other funds)
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. The methodology to estimate consumption has been updated from a three-year average to a two-year average and allows for analysis to incorporate unique agency circumstances. (General Fund - Federal, St Health Care Authority Admin Acct - State, General Fund - State, other funds)
Administrative Hearings
Adjustments are made for each agency's anticipated cost of hearings performed by the Office of Administrative Hearings. (General Fund - Federal, General Fund - State, St Health Care Authority Admin Acct - State)
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 Cybersecurity, state network, enterprise services, small agency IT services, security gateways, and geospatial imaging services. This amount now includes the total amount for agencies that use the Microsoft 365 shared tenant. See Chapter 11 of the 2023-25 OFM Budget Instructions for allocation methodologies. (General Fund - Federal, St Health Care Authority Admin Acct - State, General Fund - State, other funds)
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, parking, contracts, and security; 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 Chapter 11 of the 2023-25 OFM Budget Instructions for allocation methodologies. (General Fund - State, General Fund - Federal, St Health Care Authority Admin Acct - State, other funds)
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 Chapter 11 of the 2023-25 OFM Budget Instructions for allocation methodologies. (General Fund - State, St Health Care Authority Admin Acct - State, General Fund - Federal, other funds)
GOV Central Services
A new central service is created to reflect each agency's anticipated share of charges from the Office of the Governor for statewide policy staff and the Office of Equity. (St Health Care Authority Admin Acct - State, General Fund - Federal, General Fund - State, other funds)
