Department of Social and Health Services
| Average Annual FTEs | Near General Fund State | Other Funds | Total Funds | |
|---|---|---|---|---|
| (Dollars in Thousands) | ||||
| Current Budget | 18,981.1 | 10,733,704 | 10,784,987 | 21,518,691 |
| 2025-27 Maintenance Level | 19,792.2 | 11,944,623 | 11,702,212 | 23,646,835 |
| Difference from 2025-27 Original | 811.1 | 1,210,919 | 917,225 | 2,128,144 |
| % Change from 2025-27 Original | 4.3% | 11.3% | 8.5% | 9.9% |
2025 Policy Other Changes |
||||
| SB5236 Staffing Requirements | 2.3 | 1,031 | 0 | 1,031 |
| Olympic Heritage Behavioral Health | (29.2) | (7,874) | 0 | (7,874) |
| CSFRF Fund Swap | 0.0 | (1,821) | 1,821 | 0 |
| Maple Lane Campus | (43.0) | (14,641) | 0 | (14,641) |
| Reduce Med Consultant Contract | 0.0 | (100) | 0 | (100) |
| Reduce Leadership Training | 0.0 | (60) | 0 | (60) |
| Savings- Administrative | (45.0) | (8,932) | (3,334) | (12,266) |
| Trueblood Legislation | 3.0 | 1,028 | 0 | 1,028 |
| Facility One-Time Costs | 0.0 | 1,309 | 0 | 1,309 |
| Forecast Cost AL/ARC Rebase | 0.0 | 19,500 | 22,229 | 41,729 |
| Civil Transition Program - 5440 | 3.0 | 436 | 342 | 778 |
| Waiver Provider Rates | 0.0 | 18,342 | 15,391 | 33,733 |
| CMS HCBS Access Rule | 28.0 | 4,652 | 4,258 | 8,910 |
| Federal Funding Adjustment | 40.0 | 0 | 379,322 | 379,322 |
| Day Habilitation Program Support | 0.0 | 718 | 718 | 1,436 |
| Firecrest NF Lease Payments | 0.0 | 1,221 | 1,221 | 2,442 |
| Adjust CDE Rates | 0.0 | 149,083 | 187,827 | 336,910 |
| AFH Bargaining | 0.0 | 133,277 | 165,856 | 299,133 |
| Agency Parity | 0.0 | 31,351 | 39,499 | 70,850 |
| CMS Eligibility Changes | 24.5 | 3,695 | 3,370 | 7,065 |
| Assisted Living Rate Increase | 0.0 | 46,304 | 52,828 | 99,132 |
| Community Residential Nursing | 0.0 | 488 | 476 | 964 |
| Reduce NPS Caseloads | (25.0) | (7,000) | 0 | (7,000) |
| Close Yakima Valley | (71.0) | (4,505) | (5,080) | (9,585) |
| Close Rainier | (105.0) | (14,153) | (15,959) | (30,112) |
| Remove Ed Proviso | 0.0 | (990) | 0 | (990) |
| IFS Waiver Utilization | 0.0 | (16,000) | 0 | (16,000) |
| Agency Provider Admin Rate | 0.0 | 6,202 | 7,815 | 14,017 |
| Transfer to Community Capacity | 91.5 | 12,476 | 11,664 | 24,140 |
| OAA Requirements | 1.0 | 157 | 157 | 314 |
| Multi-Sector Plan on Aging | 2.0 | 746 | 0 | 746 |
| Duals Integration and PACE | 1.0 | 145 | 145 | 290 |
| WA Cares Operations | 323.4 | 0 | 145,229 | 145,229 |
| WA Cares IT | 7.0 | 0 | 24,848 | 24,848 |
| Nursing Home Rate Increase | 0.0 | 35,562 | 38,902 | 74,464 |
| Transitional Care Center of Seattle | 0.0 | 24,577 | 24,577 | 49,154 |
| Nursing Home to Community Support | 0.0 | 12,914 | 7,285 | 20,199 |
| NH2C NH Caseload Reduction | 0.0 | (12,343) | (12,600) | (24,943) |
| Competency Evaluation Underspend | 0.0 | (4,000) | (2,600) | (6,600) |
| ESF Underspend | 0.0 | (200) | 0 | (200) |
| General Admin Underspend/Savings | 0.0 | (4,000) | 0 | (4,000) |
| NFQ Fund Transfer | 0.0 | (15,000) | 15,000 | 0 |
| Senior Nutrition Program | 0.0 | 27,964 | 0 | 27,964 |
| APS Federal Regulation Changes | 3.0 | 619 | 345 | 964 |
| Mainframe as a Serv. M&O Additions | 0.0 | 1,618 | 1,378 | 2,996 |
| Asset Verification System | 1.4 | 1,140 | 1,141 | 2,281 |
| Suquamish Tribal TANF MOE | 0.0 | 0 | 884 | 884 |
| CSO Safety & Security Improvements | 0.0 | 1,133 | 463 | 1,596 |
| ACES M&O Base Funding | 0.0 | 15,228 | 14,131 | 29,359 |
| IE&E- CMS Rules & Status Tracker | 28.1 | 12,032 | 23,756 | 35,788 |
| Unintentional Overpayments | (0.1) | 308 | 0 | 308 |
| Supporting SNAP Tribal Expansion | 1.7 | 355 | 465 | 820 |
| Report Self-Employed Workers to DCS | 0.80 | 85 | 166 | 251 |
| CS Pass-Through Implementation | (1.1) | 13,760 | 6,945 | 20,705 |
| Eliminate ABD Recoveries | (2.8) | 66,322 | 0 | 66,322 |
| Underspend - CEAP | 0.0 | (800) | 0 | (800) |
| Underspend- Working Family Support | 0.0 | (800) | 0 | (800) |
| Underspend- Incapacity Exams | 0.0 | (2,000) | 0 | (2,000) |
| Underspend- WorkFirst Services | 0.0 | (4,000) | 0 | (4,000) |
| Refugees - Subrecipient Monitoring | 3.0 | 0 | 806 | 806 |
| SNAP Natl Accuracy Clearing House | 2.4 | 572 | 572 | 1,144 |
| Summer EBT Contractor Cost | 0.0 | 4,428 | 4,430 | 8,858 |
| Supports for Unaccompanied Children | 0.50 | 500 | 0 | 500 |
| Continuing ORIA Support Services | 5.0 | 25,000 | 0 | 25,000 |
| Tribal Vocational Rehab. Support | 0.0 | 1,100 | 0 | 1,100 |
| Language Access Providers Agreement | 0.0 | 866 | 508 | 1,374 |
| Expand the Implementation of SILAS | 5.5 | 5,170 | 1,458 | 6,628 |
| Zero Emission Fleet Staff | 1.5 | 0 | 360 | 360 |
| Close Fir Unit | (14.0) | (2,964) | 0 | (2,964) |
| Reduce Redwood Unit | (9.0) | (1,858) | 0 | (1,858) |
| 2025 Policy Other Changes Total | 234.4 | 559,373 | 1,169,015 | 1,728,388 |
2025 Policy Comp Changes |
||||
| Non-Rep Shift Premium | 0.0 | 28 | 0 | 28 |
| WFSE General Government | 0.0 | 177,250 | 3,710 | 180,960 |
| Non-Rep Leave | 0.0 | 33 | 0 | 33 |
| Coalition of Unions | 0.0 | 8,102 | 270 | 8,372 |
| Non-Rep General Wage Increase | 0.0 | 28,716 | 193 | 28,909 |
| Non-Rep Premium Pay | 0.0 | 6,320 | 179 | 6,499 |
| Non-Rep Targeted Pay Increases | 0.0 | 1,683 | 34 | 1,717 |
| SEIU 1199 General Government | 0.0 | 43,410 | 1,628 | 45,038 |
| Updated PEBB Rate | 0.0 | (5,914) | (81) | (5,995) |
| PERS & TRS Plan 1 Benefit Increase | 0.0 | 2,515 | 34 | 2,549 |
| Non-Rep Salary Schedule Revision | 0.0 | 62 | 1 | 63 |
| Pension Benefit Amortization | 0.0 | (9,115) | (132) | (9,247) |
| 2025 Policy Comp Changes Total | 0.0 | 253,090 | 5,836 | 258,926 |
2025 Policy Central Services Changes |
||||
| Archives/Records Management | 0.0 | 56 | 10 | 66 |
| Audit Services | 0.0 | 100 | 59 | 159 |
| Legal Services | 0.0 | 1,350 | 500 | 1,850 |
| Administrative Hearings | 0.0 | 713 | 1,061 | 1,774 |
| WTS Central Services | 0.0 | 1,132 | 671 | 1,803 |
| DES Central Services | 0.0 | 590 | 221 | 811 |
| OFM Central Services | 0.0 | 32,218 | 236 | 32,454 |
| GOV Central Services | 0.0 | 232 | 40 | 272 |
| 2025 Policy Central Services Changes Total | 0.0 | 36,391 | 2,798 | 39,189 |
| Total Policy Changes | 234.4 | 848,854 | 1,177,649 | 2,026,503 |
| 2025-27 Policy Level | 20,026.6 | 12,793,477 | 12,879,861 | 25,673,338 |
| Difference from 2023-25 | 1,045.5 | 2,059,773 | 2,094,874 | 4,154,647 |
| % Change from 2025-27 Original | 5.5% | 19.2% | 19.4% | 19.3% |
Policy Changes
SB5236 Staffing Requirements
Funding is provided to meet the requirements of E2SSB 5236 concerning hospital staffing standards. (General Fund - State)
Olympic Heritage Behavioral Health
Funding is adjusted due to updated costs projections for DSHS to operate three wards at Olympic Heritage Behavioral Health. (General Fund - State)
CSFRF Fund Swap
A net-zero fund adjustment is made between Coronavirus State Fiscal Recovery Federal funds and General Fund-State. (Coronavirus St Fiscal Recovery Fund - Federal, General Fund - State)
Maple Lane Campus
Funding is adjusted due to operational delays on the Maple Lane campus. (General Fund - State)
Reduce Med Consultant Contract
Funding is reduced for medical consultant contracts. (General Fund - State)
Reduce Leadership Training
Funding is reduced for leadership training. (General Fund - State)
Savings- Administrative
Funding and FTE staff are reduced to reflect position vacancy administrative savings. (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Trueblood Legislation
Funding is provided related to legislation required in the Trueblood Phase 4 settlement agreement. (General Fund - State)
Facility One-Time Costs
Funding is required to complete the closure of the Airport Way Adult Protective Services office. The lease has ended, and the space must be cleared out. (General Fund - State)
Non-Rep Shift Premium
Funding is provided for a shift premium for state employees who are not represented by a union or are not covered by a bargaining agreement subject to financial feasibility determination. The premium is an additional $1 per hour supplemental shift premium for eligible employees who are assigned to a facility that provides direct care to residents, patients, and/or clients and whose duties are performed on location on evenings and weekends. (General Fund - State)
WFSE General Government
Funding for bargaining includes a 3%/2% general wage increase, targeted job classification increases, wildfire disaster leave, expanded bereavement leave, and paid vaccine travel time during pandemic emergencies. The agreement also includes: an additional $1 per hour supplemental shift premium for eligible employees who are assigned to a facility that provides direct care to residents, patients, and/or clients and whose duties are performed on location on evenings and weekends; 5% premium pay for employees who are assigned to a 24/7 facility that provides direct care to residents, patients, at-risk youth, and/or clients and whose duties are required to be performed on location, which will be in effect for the 2025–27 biennium; three additional steps on the nurse salary schedule; and an increase to the annual lump-sum payment for employees in LNI risk codes 7200/7201 from $500 to $750. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - State, other funds)
Non-Rep Leave
Funding is provided for staff who are not represented by a union or are not covered by a bargaining agreement that is subject to financial feasibility determination for paid bereavement leave and rest and recovery leave. (General Fund - State)
Coalition of Unions
Funding for bargaining includes a 3%/2% general wage increase, targeted job classification increases, wildfire disaster leave, expanded bereavement leave, and paid vaccine travel time during pandemic emergencies. The agreement also includes: The Fish and Wildlife Captains and Lieutenants Association (FWLCA) receive a general wage increase of 17% effective July 1, 2025, and 2% effective July 1, 2026, and a 5% differential between sergeants and lieutenants, and between lieutenants and captains; an additional $1 per hour supplemental shift premium for eligible employees who are assigned to a facility that provides direct care to residents, patients, and/or clients and whose duties are performed on location on evenings and weekends; a 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, with the premium pay in effect for the 2025–27 biennium; three additional steps on the nurse salary schedule; and an increase to the annual lump-sum payment for employees in LNI risk codes 7200/7201 from $500 to $750. (General Fund - Cash, General Fund - Medicaid 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 are not under a bargaining agreement that is subject to financial feasibility determination. It is sufficient for a general wage increase of 3%, effective July 1, 2025, and a general wage increase of 2%, effective July 1, 2026. This item includes both general government and higher education workers. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - State, other funds)
Non-Rep Premium Pay
Funding is provided for increases in premium pay for state employees who are not represented by a union or not covered by a bargaining agreement subject to financial feasibility determination. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Non-Rep Targeted Pay Increases
Funding is provided for classified state employees who are not represented by a union or not covered by a bargaining agreement subject to financial feasibility determination, for pay increases in specific job classes in alignment with other employees. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
SEIU 1199 General Government
Funding for bargaining includes a 3%/2% general wage increase, targeted job classification increases, wildfire disaster leave, expanded bereavement leave, and paid vaccine travel time during pandemic emergencies. The agreement also includes: an additional $1 per hour supplemental shift premium for eligible employees who are assigned to a facility that provides direct care to residents, patients, and/or clients and whose duties are performed on location on evenings and weekends; a 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, which premium pay will be in effect for the 2025–27 biennium; three additional steps on the nurse salary schedule; an increase to the annual lump-sum payment for employees in LNI risk codes 7200/7201 from $500 to $750; a 5% assignment pay for RN2s and RN3s at DCYF, Juvenile Rehabilitation Institutions; and $100 standby rate for ARNP and ARNP leads. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Updated PEBB Rate
This item adjusts the employer funding rate for public employee insurance benefits to reflect policy-level decision packages. It increases the rate by $8 per month in the first fiscal year and decreases the rate by $34 per month in the second fiscal year, compared to the maintenance-level update, for a total rate of $1,315 in the first year and $1,355 in the second year. (General Fund - Local, General Fund - Private/Local, Traumatic Brain Injury Account - State, other funds)
PERS & TRS Plan 1 Benefit Increase
An adjustment is made for pension contribution rates, including to fund a benefit increase of 3%, up to a maximum of $110 per month for eligible Public Employees' and Teachers' Retirement Systems Plan 1 members. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Non-Rep Salary Schedule Revision
Funding is provided for increases in pay for state employees who are included in a nurse salary restructure and are not represented by a union or are not covered by a bargaining agreement subject to financial feasibility determination. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Pension Benefit Amortization
An adjustment is made to the base pension rates, as set out in a proposed bill addressing the calculation of the base rate for the 2025–27 biennium, as well as amortization of Plan 1 benefit increases. (General Fund - Local, General Fund - Private/Local, Traumatic Brain Injury Account - State, other funds)
Forecast Cost AL/ARC Rebase
Additional funding is necessary to support the increased cost and utilization of assisted living and adult residential care services anticipated in fiscal year 2027. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Civil Transition Program - 5440
The new law established by E2SSB 5440 requires DDA provide services to persons with intellectual or developmental disabilities with the goal of improving access to equitable, stable, and successful housing in the community and improve coordination of necessary services and handoffs between county courts, jails, and state hospitals. To meet the unanticipated rate of referrals received, additional staff are provided. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Waiver Provider Rates
Additional funding is necessary to support increased access to Home and Community-Based Services (HCBS) waiver services, including crisis diversion services for children and adults. A 15% rate increase for both Crisis Diversion Beds (including mobile diversion) and the state-funded Overnight Planned Respite Services for adults and a 30% increase for Enhanced Respite Services for children will match rates of other community residential providers, retain a reliable provider network and quality of care, and stabilize clients in crisis and divert them from hospitals and institutional care settings. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
CMS HCBS Access Rule
Center for Medicare and Medicaid Services (CMS) issued the Ensuring Access to Medicaid Services Final Rule in April 2024 to improve access to care, quality, and health outcomes and better address health equity issues in the Medicaid program. The rule seeks to increase transparency and accountability, standardize data and monitoring, and create opportunities for states to promote active beneficiary engagement in their Medicaid programs. This funding provides staff dedicated to overseeing ALTSAs transition and compliance. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Federal Funding Adjustment
Funding is provided to adjust expenditure authority to reflect current estimates of federal revenue for the Vocational Rehabilitation Basic Support grant and authority for 40 FTEs to serve additional clients. (General Fund - Federal, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Day Habilitation Program Support
Day habilitation services include an array of services including community inclusion, respite, and community employment. A 15% rate increase and four-hour increase to the maximum available hours for community respite is funded to attract a larger pool of providers and offer more hours to eligible individuals. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Firecrest NF Lease Payments
Lease payments for the nursing facility at the Fircrest residential habilitation center are estimated to begin in April of fiscal year 27. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Adjust CDE Rates
Additional funding is necessary to support the proposed Consumer Directed Employer (CDE) Rate Setting Board labor and admin rates. This provides adequate funding to pay the 46,000 Individual Providers wages and benefits and administrative duties to ensure that in-home care remains a viable option to allow Medicaid clients to live in their community rather than more restrictive and costly alternatives. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
AFH Bargaining
Additional funding is necessary to implement the collective bargaining agreement reached between the state of Washington and the Adult Family Home Council under the provisions of chapter 41.56 RCW for the 202527 biennium. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Agency Parity
Additional funding is necessary to support the parity step for agency providers (AP) associated with the proposed CDE Rate Setting Board rates. This provides adequate funding to keep AP rates in alignment with CDE labor rates. This will ensure in-home care remains a viable option to allow Medicaid clients to live in their community rather than more restrictive and costly alternatives. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
CMS Eligibility Changes
The new federal CMS requirements intended to streamline Medicaid enrollment aims to simplify basic Medicaid programs by reducing coverage disruptions, streamlining the process, increasing enrollment and retention, and protecting beneficiaries. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Assisted Living Rate Increase
Currently, assisted living facility (ALF) rates are funded below the estimated cost of providing long-term care services and at a lower percentage of estimated costs than rates for long-term care provided in similar settings. This underfunding, combined with recent inflation and the unprecedented workforce shortage, has created a threat to the viability of the ALF provider network. This rate increase is intended to support the viability of assisted living providers. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Community Residential Nursing
Additional funding is necessary to support projected increases in the costs and utilization of nursing services and supports offered by Supported Living providers to meet the acuity needs of clients and reduce the risk of hospitalization. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Reduce NPS Caseloads
Non-Paid Services Caseload currently requires case management services. This reduction would remove the requirement to manage caseloads for clients not receiving services and would not impact paid client services. (General Fund - State)
Close Yakima Valley
The Yakima Valley School (YVS) is a Residential Habilitation Center serving individuals with developmental disabilities. YVS is currently set to close when certain criteria are met and is only certified as a Nursing Facility (NF). Services in facilities are much more expensive than care provided in community settings, and the necessary improvements to ensure resident and staff safety are increasingly costly. By closing this site, the administration will be able to focus resources into community services and still retain two facilities in Eastern and Western Washington to serve individuals. (General Fund - Local, General Fund - Local CRC Oregon, General Fund - Private/Local, other funds)
Close Rainier
The Rainier School (RS) is a Residential Habilitation Centers serving individuals with developmental disabilities. RS is only certified as an Intermediate Care Facility (ICF) and it is increasingly difficult to maintain certification requirements due to aging buildings with high maintenance costs and renovation demands. Services in facilities are much more expensive than care provided in community settings, and the necessary improvements to ensure resident and staff safety are increasingly costly. By closing this site, the administration will be able to focus resources into community services and still retain two facilities in Eastern and Western Washington to serve individuals. (General Fund - Local, General Fund - Local CRC Oregon, General Fund - Private/Local, other funds)
Remove Ed Proviso
This funding is intended to support children and youth in Residential Habilitation Centers. There are no eligible residents, and the funding is no longer necessary. (General Fund - State)
IFS Waiver Utilization
Individual and Family Service (IFS) Waiver supports families by providing stabilizing services for family members with a developmental disability who is three years or older. Though a client may be found eligible for services upon assessment, utilization is voluntary and subject to provider availability.This one-time reduction reflects the true cost of the IFS Waiver due to lower utilization. (General Fund - State)
Agency Provider Admin Rate
Additional funding is necessary to support the proposed CDE Rate Setting Board Agency admin rates. This increase will provide adequate funding to keep AP rates in alignment with the administrative cost growth. This will ensure in-home care remains a viable option to allow Medicaid clients to live in their community rather than more restrictive and costly alternatives. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Transfer to Community Capacity
This funding is to support individual choice for clients transitioning from residential habilitation centers to community settings. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
OAA Requirements
Funding is provided to comply with new federal regulations under the Older Americans Act 2024 Final Rule. This new regulation will support the partnership and authority of the State Unit on Aging with Area Agencies on Aging statewide in the provision of services to older adults, individuals with disabilities, and caregivers. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Multi-Sector Plan on Aging
Washingtons significant demographic shift includes increasing life expectancy, a growing proportion of individuals age 65 and over, and a quadrupling of the population of those 85 years and older. A multisector plan for aging (MPA) is a cross-sector, state-led resource that will identify, link, and leverage opportunities, infrastructure, and services for a rapidly aging population, benefiting people with disabilities to achieve quality of life. Resources are provided to begin development of a MPA on aging, engage communities, and hold a biennial summit on aging. (General Fund - State)
Duals Integration and PACE
One new staff member is provided to manage the growing work to improve care and reduce costs through Advancing Medicare and Medicaid Integration, including the Program for All-Inclusive Care for the Elderly, and continue to improve ALTSAs ability to discharge patients from acute care hospitals in a more timely manner. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
WA Cares Operations
Beginning July 2026, this program will provide WA Cares Fund benefits to qualified individuals who have been assessed as needing assistance with activities of daily living. Staff are provided to continue implementation of the WA Cares Fund Program, as directed by chapter 50B.04 RCW. (Long-Term Servs & Sup Trust Account - State)
WA Cares IT
Beginning July 2026, this program will provide WA Cares Fund benefits to qualified individuals who have been assessed as needing assistance with activities of daily living. The program requires technology solutions to manage and track benefits. (Long-Term Servs & Sup Trust Account - State)
Nursing Home Rate Increase
This rate add-on to be applied to the nursing facility rate for fiscal year 2026 and 2027. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Transitional Care Center of Seattle
The Transitional Care Center of Seattle was purchased by DSHS during the COVID-19 pandemic to transition individuals out of acute care settings and into community settings or nursing facilities. Funding is necessary to maintain current bed capacity of nursing facility services in the Transitional Care Center of Seattle. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Nursing Home to Community Support
Rental subsidies to expand in-home options are necessary to transition individuals with lower acuity currently residing in nursing facilities out of these acute care settings. Affordable housing options are limited, and this rental subsidy is intended to bridge the economic barriers between transitioning out of a nursing home and receiving federal rental assistance. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
NH2C NH Caseload Reduction
This corresponding reduction to the Nursing Home to Community program is to reflect the reduction in cost to ALTSA when an individual moves from the more costly nursing home setting to an in-home placement with personal care services. (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Competency Evaluation Underspend
This program was established to ensure individuals found incompetent to stand trial due to an intellectual or developmental disability, traumatic brain injury, or dementia receive services and supports in community-based settings. Current program utilization is lower than first estimated, and this reduction reflects the true operating costs. (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
ESF Underspend
Enhanced Service Facility Program is not expected to reach full capacity until fiscal year 2027. This one-time reduction reflects the true costs of the program. (General Fund - State)
General Admin Underspend/Savings
This represents savings from from various program underspends. This reduction does not intend to impact direct services. (General Fund - State)
NFQ Fund Transfer
The Nursing Facility Quality Assessment Fund has an excess fund balance that can be used for eligible general Fund State expenditures. (General Fund - State, Skilled Nursing Facility Net Trust - State)
Senior Nutrition Program
One-time funding is provided for Area Agencies on Aging to administer programs which address food insecurity. These programs target those in greatest economic and social need and support the continuation of vital meal services, nutrition education, and other nutrition services. (General Fund - State)
APS Federal Regulation Changes
Resources are provided to ensure alignment of federal Department of Health and Human Services regulations, which took effect June 7, 2024 (CFR part 1324 subpart D). The new federal rule will require Adult Protective Services (APS) to modify policies, current statute, train staff, and make system enhancements. To meet the federal deadline, APS requires funding for additional staff in the upcoming biennium. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Mainframe as a Serv. M&O Additions
Additional funding is provided for the Automated Client Eligibility System (ACES) Mainframe as a Service IT project to cover increased vendor costs that were not previously identified. The additional services are necessary to support the maintenance and operations of the ACES mainframe hardware. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)
Asset Verification System
Funding is provided for the completion of the Asset Verification System (AVS) IT project. The project will fully integrate the AVS into ACES to move toward automated asset verification during Medicaid eligibility determinations. (General Fund - Federal, General Fund - State)
Suquamish Tribal TANF MOE
Funding is provided to the Suquamish Tribe to implement a Temporary Assistance for Needy Families Tribal program. (General Fund - Federal Dedicated, General Fund - Temporary Assist for Needy Families)
CSO Safety & Security Improvements
Funding is provided to improve the safety and security at Community Service Offices, including the installation and monitoring of duress buttons, increased security officers, and staff travel costs associated with attending active threat and de-escalation training. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)
ACES M&O Base Funding
Funding is provided to cover a shortfall identified in the base budget for the maintenance and operations of ACES and to cover increased vendor costs for additional services necessary to support the stability of ACES. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)
IE&E- CMS Rules & Status Tracker
Funding is provided for the continuation of the Integrated Eligibility and Enrollment project, including contractor and staffing costs associated with aligning eligibility rules with the Center for Medicare and Medicaid Services' regulations and the completion of the comprehensive application and benefit tracker. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Unintentional Overpayments
Funding is provided to allow the Economic Services Administration to waive the collection of overpayments for Aged, Blind or Disabled (ABD) program cash benefits when the overpayment was caused by an unintentional error. This waiver becomes effective July 1, 2025. (General Fund - State)
Supporting SNAP Tribal Expansion
Funding is provided for staffing, system enhancements, and other Tribal costs associated with the expansion of SNAP Tribal Eligibility Determination Project to an additional five Tribes. This project allows participating Tribes the ability to design and operate appropriate, culturally relevant programs directly to their Tribal members with the intent of increasing access to food assistance within their communities. (General Fund - Federal, General Fund - State)
Report Self-Employed Workers to DCS
Funding is provided for system enhancements and the staffing necessary to establish a reporting requirement to the Division of Child Support for anyone who hires contractors or subcontractor that they pay $600 or more to within a given year. Currently, the law requires employers to report new hires to the Division of Child Support, but it does not require anyone to report when they hire a contractor or subcontractor. With this information, the Division of Child Support will have greater opportunities to collect child support for children. This policy would become effective January 1, 2027. (General Fund - Family Support/Child Welfare, General Fund - State)
CS Pass-Through Implementation
Funding is provided for the implementation of chapter 174, Laws of 2024 (Concerning child support pass through). Beginning January 1, 2026, the Division of Child Support must pass through to families receiving Temporary Assistance for Needy Families (TANF) all current child support collected on behalf of the family each month. Child support passed through to the family must be disregarded and not counted as income when determining TANF eligibility and the amount of assistance. (General Fund - Federal Dedicated, General Fund - State, General Fund - Temporary Assist for Needy Families, other funds)
Eliminate ABD Recoveries
Funding is provided for the implementation of chapter 289, Laws of 2023 (Relating to accelerating stability for people with a work-limiting disability or incapacity). This eliminates the department's garnishment of a portion of the Social Security Income (SSI) lump-sum payment received by recipients of the ABD program, effective October 1, 2025. Recipients will no longer have to pay back ABD cash benefits received during months in which they also received a backdated SSI payment. (General Fund - State)
Underspend - CEAP
Funding is reduced to align with projected under expenditures of the Consolidated Emergency Assistance Program. (General Fund - State)
Underspend- Working Family Support
Funding is reduced to align with projected under expenditures of the Working Family Support program. (General Fund - State)
Underspend- Incapacity Exams
Funding is reduced to align with projected under expenditures of incapacity exams for the ABD program. (General Fund - State)
Underspend- WorkFirst Services
Funding is reduced to align with projected under expenditures of WorkFirst services. (General Fund - State)
Refugees - Subrecipient Monitoring
Funding is provided to the Office of Refugee and Immigrant Assistance (ORIA) and Division of Finance and Financial Resources for additional staffing to manage fiscal and program monitoring required under the federal Office of Refugee Resettlement's Refugee and Entrant Assistance federal funding award. (General Fund - Federal)
SNAP Natl Accuracy Clearing House
Funding is provided to the Economic Services Administration to implement a federally mandated interstate data matching system for SNAP by May of 2026. The funding covers IT enhancements and staffing. (General Fund - Federal, General Fund - State)
Summer EBT Contractor Cost
Funding is provided to cover the expected increase and extension in vendor costs associated with the Summer Electronic Benefit Transfer (EBT) program. The increase in vendor costs is for the issuance of EBT cards to a projected growth in eligible households, and the extension of funding allows the Economic Services Administration to work with a third-party vendor to administer the program for an additional year, through March of 2026. (General Fund - Federal, General Fund - State)
Supports for Unaccompanied Children
One-time funding is provided for supports for unaccompanied immigrant children and their sponsors. (General Fund - State)
Continuing ORIA Support Services
Funding and staffing are provided to ORIA to offer expanded support services for individuals newly arriving to the United States who do not qualify for federal refugee resettlement program services. Supports include, but are not limited to, housing, immigration-related legal services, case management, and navigation assistance. (General Fund - State)
Tribal Vocational Rehab. Support
Funding is provided for grants to federally recognized Tribes in Washington to support culturally appropriate vocational rehabilitation services and adaptive technologies for Tribal members with disabilities who are seeking employment. It is estimated that 261 Tribal members will benefit from these services. (General Fund - State)
Language Access Providers Agreement
Funding to meet the state's oblgations under the collective bargaining agreement. (General Fund - Federal, General Fund - State)
Expand the Implementation of SILAS
Funding to continue the SILAS project through fiscal year 2026. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)
Zero Emission Fleet Staff
Funding is provided for Zero Emission Fleet Staff. (Climate Commitment Account - State)
Close Fir Unit
Funding is reduced due to closure of Fir Unit on McNeil Island. (General Fund - State)
Reduce Redwood Unit
Funding is reduced due to Redwood Unit on McNeil Island operating at lower capacity. (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 - Federal, General Fund - State)
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 is a two-year average and allows for analysis to incorporate unique agency circumstances. (General Fund - Federal, General Fund - State)
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)
WTS Central Services
Adjustments are made to reflect each agency's anticipated share of charges from Washington Technology Solutions for the Office of Cybersecurity, state network, enterprise and small agency IT services, enterprise architecture and data management, Microsoft 365 licenses, and other items. (General Fund - Federal, General Fund - State)
DES Central Services
Adjustments are made to reflect each agency's anticipated share of charges from the Department of Enterprise Services for Capitol Campus costs; real estate, risk management, and small agency services; the Perry Street and Capitol Campus child care centers; enterprise applications, and other items. (General Fund - Federal, General Fund - State)
OFM Central Services
Adjustments are made to reflect each agency's anticipated share of charges from the Office of Financial Management for existing statewide applications, the One Washington program, and other central services. See Chapter 11 of the 2025–27 OFM Budget Instructions for allocation methodologies. (General Fund - Federal, General Fund - State)
GOV Central Services
Adjustments are made to reflect each agency's anticipated share of charges from the Office of the Governor for the Office of Equity. (General Fund - Federal, General Fund - State)
