Long-Term Care - Dept of Social and Health Services
RCW 18.20, .51, 74.08, .09, .34, .36, .38, .42, .46
The Aging and Long-Term Support Administration provides a broad range of services that assist individuals with a disability and seniors to live in a setting of their choice, usually their own homes or other community-based settings. Nursing facility care is available to those clients who prefer that option. The program also promotes and protects the rights, security, and well-being of individuals living in these settings and helps ensure that vulnerable adults are protected from abuse and neglect.
These services are designed to assist individuals needing long term services and supports to remain as independent as possible and to promote choice. Special emphasis is placed on community-based services that empower individuals in need of services to remain in their own home or other community-based setting, which reduces the risk of placement in a more restrictive living environment.
The department administers long term services and supports through the Home and Community Service, Residential Care Services, Adult Protective Services, Office of the Deaf and Hard of Hearing, Long Term Care Trust (WA Cares) and 13 contracted Area Agencies on Aging.
Agency Mission
To transform lives by promoting choice, independence, and safety through innovative services.
| Request | 13,072,882,000 |
|---|---|
| Net change from current biennium | 5,756,180,537 Increase |
| Percent change from current biennium | 78.7% Increase |
Program Level Summary
| Fund Title | Actual | Estimated | Proposed | ||
|---|---|---|---|---|---|
| Actual | Estimated | Estimated | Proposed | Proposed | |
| General Fund - Federal | 2,585,657,485 | 2,749,647,878 | 1,238,760,154 | 3,350,372,000 | 3,565,583,000 |
| General Fund - Private/Local | 24,018,741 | 27,020,049 | 11,578,022 | 28,046,000 | 27,778,000 |
| General Fund - State | 1,723,321,042 | 2,165,296,261 | 1,007,103,267 | 2,764,797,000 | 2,974,383,000 |
| Residential Services and Support Account - Nonappropriated | 23,378 | ||||
| State Agency Office Relocation Pool Account - Nonappropriated | 198,000 | ||||
| Adult Family Home Account - Nonappropriated | 67,969 | 128,298 | 36,309 | ||
| Information Technology Investment Revolving Account - Nonappropriated | 521,144 | ||||
| Traumatic Brain Injury Account - State | 1,768,255 | 1,595,996 | 303,987 | 1,702,000 | 1,709,000 |
| Statewide Information Technology System Development Revolving Account - State | 55,112 | 102,097 | |||
| Skilled Nursing Facility Net Trust Fund - State | 56,183,481 | 63,614,142 | 24,507,836 | 74,180,000 | 74,180,000 |
| Long-Term Services & Supports Trust Acct - State | 7,849,330 | 14,502,430 | 12,228,247 | 94,612,000 | 115,540,000 |
| Annual Total | 4,399,387,446 | 5,022,058,166 | 2,294,643,297 | 6,313,709,000 | 6,759,173,000 |
Operating Budget: Change from Preceding Biennium
| Actual | Estimated | Proposed | |||
|---|---|---|---|---|---|
| Amount | Percent | Amount | Percent | Amount | Percent |
| 1,634,721,902 | 24.7% | (931,635,192) | (11.3%) | 5,756,180,537 | 78.7% |
Employment Summary
| Actual | Estimated | Proposed | |||
|---|---|---|---|---|---|
| 2022-23 Actual | 2023-24 Estimated | 2024-25 Estimated | 2025-26 Proposed | 2026-27 Proposed | |
| FTE Staff Years | 2,462.7 | 2,678.3 | 2,830.3 | 3,208.1 | 3,445.1 |
