Agency: 107 - Washington State Health Care Authority
Last Updated: 10/08/2025
H001 - HCA Administration
Administration encompasses the executive and general administrative oversight of the agency. Functions in this area include: executive leadership, financial management, employee services, facilities, legal support, and administrative support.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | 63.4 | 67.7 | 67.7 |
| 08G - Flexible Spending Admin Account | |||
| Non-Appropriated | 125,000 | 127,000 | 252,000 |
| 418 - St Health Care Authority Admin Acct | |||
| State | 8,335,000 | 8,753,000 | 17,088,000 |
| 474 - SEBB Flex Spend Dep Care Admin Acct | |||
| Non-Appropriated | 125,000 | 127,000 | 252,000 |
| 492 - School Employees' Insur Admin Acct | |||
| State | 7,575,000 | 7,981,000 | 15,556,000 |
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | 370.5 | 404.3 | 404.3 |
| 001 - General Fund | |||
| State | 23,156,000 | 20,079,000 | 43,235,000 |
| Federal | 71,985,000 | 78,002,000 | 149,987,000 |
| Local | 226,445,000 | 226,148,000 | 452,593,000 |
| Medicaid Federal | 514,615,000 | 509,084,000 | 1,023,699,000 |
| 03C - Emer Med Ser/Trauma Care Sys Trust | |||
| State | 43,000 | 43,000 | 86,000 |
| 16W - Hospital Safety Net Assessment Acct | |||
| State | 242,000 | 245,000 | 487,000 |
| 24L - Ambulance Transport Fund | |||
| State | 68,000 | 68,000 | 136,000 |
| 24V - Telebehavorial Health Access Accoun | |||
| State | 150,000 | 150,000 | 300,000 |
| 29D - Medicaid Access Program Account | |||
| State | 8,053,000 | 8,053,000 | |
| 567 - Long-Term Servs & Sup Trust Account | |||
| State | 1,473,000 | 2,190,000 | 3,663,000 |
| 609 - Medical Aid Account | |||
| State | 43,000 | 43,000 | 86,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | 433.9 | 472 | 453 |
| GFS | 23,156,000 | 20,079,000 | 43,235,000 |
| Other | 831,224,000 | 841,014,000 | 1,672,238,000 |
| Totals | 854,380,000 | 861,093,000 | 1,715,473,000 |
Expected Results
Provide leadership and administrative support for the agency’s activities to ensure the most effective use of public resources.
H002 - HCA Direct Operations
Direct Operations represents those activities where there is direct contact with clients, enrollees, and/or providers in the delivery of benefits or the development of policy that impacts benefits. Functions in this area include: eligibility determination, coordination of benefits, call center operations, claims processing, pre-authorization review, hearings and appeals, program integrity, provider and hospital rate development, healthcare benefits and utilization management, and quality and care management..
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | 4.1 | 4.3 | 4.3 |
| 08G - Flexible Spending Admin Account | |||
| Non-Appropriated | 2,000 | 2,000 | 4,000 |
| 418 - St Health Care Authority Admin Acct | |||
| State | 679,000 | 689,000 | 1,368,000 |
| 474 - SEBB Flex Spend Dep Care Admin Acct | |||
| Non-Appropriated | 2,000 | 2,000 | 4,000 |
| 492 - School Employees' Insur Admin Acct | |||
| State | 432,000 | 440,000 | 872,000 |
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | 714.5 | 782.7 | 782.7 |
| 001 - General Fund | |||
| State | 56,046,000 | 55,985,000 | 112,031,000 |
| Federal | 11,304,000 | 12,422,000 | 23,726,000 |
| Local | 2,358,000 | 2,396,000 | 4,754,000 |
| Medicaid Federal | 80,811,000 | 81,070,000 | 161,881,000 |
| 08J - Prescription Drug Consortium Acct | |||
| Non-Appropriated | 31,000 | 31,000 | 62,000 |
| 16W - Hospital Safety Net Assessment Acct | |||
| State | 756,000 | 757,000 | 1,513,000 |
| 23L - Indian Health Improvement Rein Acct | |||
| Non-Appropriated | 703,000 | 708,000 | 1,411,000 |
| 24V - Telebehavorial Health Access Accoun | |||
| State | 3,654,000 | 3,654,000 | 7,308,000 |
| 29D - Medicaid Access Program Account | |||
| State | 61,000 | 61,000 | |
| 567 - Long-Term Servs & Sup Trust Account | |||
| State | 1,991,000 | 3,262,000 | 5,253,000 |
| 609 - Medical Aid Account | |||
| State | 228,000 | 226,000 | 454,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | 718.6 | 787 | 752.8 |
| GFS | 56,046,000 | 55,985,000 | 112,031,000 |
| Other | 102,951,000 | 105,720,000 | 208,671,000 |
| Totals | 158,997,000 | 161,705,000 | 320,702,000 |
Expected Results
Provide policy direction and oversight of state-paid benefits made on behalf of state employees and citizens. Ensure that public funds are used effectively and appropriately. Make prescription drugs more affordable to Washington residents and state health care programs.
H003 - HCA Information Technology
Information technology provides support for daily operations, ProviderOne System maintenance and enhancement efforts, the Health Information Technology (HIT) project, and other IT based projects.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | 22.1 | 23.4 | 23.4 |
| 08G - Flexible Spending Admin Account | |||
| Non-Appropriated | 14,000 | 14,000 | 28,000 |
| 418 - St Health Care Authority Admin Acct | |||
| State | 3,663,000 | 3,331,000 | 6,994,000 |
| 474 - SEBB Flex Spend Dep Care Admin Acct | |||
| Non-Appropriated | 14,000 | 14,000 | 28,000 |
| 492 - School Employees' Insur Admin Acct | |||
| State | 3,237,000 | 3,029,000 | 6,266,000 |
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | 147.3 | 164.8 | 164.8 |
| 001 - General Fund | |||
| State | 13,326,000 | 13,594,000 | 26,920,000 |
| Federal | 1,930,000 | 2,114,000 | 4,044,000 |
| Local | 496,000 | 500,000 | 996,000 |
| Medicaid Federal | 13,801,000 | 13,794,000 | 27,595,000 |
| 29D - Medicaid Access Program Account | |||
| State | 111,000 | 111,000 | |
| 567 - Long-Term Servs & Sup Trust Account | |||
| State | 492,000 | 734,000 | 1,226,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | 169.4 | 188.2 | 178.8 |
| GFS | 13,326,000 | 13,594,000 | 26,920,000 |
| Other | 23,647,000 | 23,641,000 | 47,288,000 |
| Totals | 36,973,000 | 37,235,000 | 74,208,000 |
Expected Results
Provide efficient and secure IT systems for employees and providers. Ensure that payments made to providers are timely and accurate.
H004 - HCA Public Employee Benefits
This represents payments made to a Third Party Administrators to provide benefits to members (Uniform Medical and Dental) and costs associated with the Voluntary Employee Benefit Account (VEBA) and the Flexible Spending Account (FSA) programs.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | 54.3 | 57.2 | 57.2 |
| 08G - Flexible Spending Admin Account | |||
| Non-Appropriated | 853,000 | 912,000 | 1,765,000 |
| 418 - St Health Care Authority Admin Acct | |||
| State | 8,910,000 | 10,169,000 | 19,079,000 |
| 438 - Uniform Dental Plan Benefits Admin | |||
| Non-Appropriated | 8,369,000 | 8,376,000 | 16,745,000 |
| 439 - Uniform Medical Plan Benefits Acct | |||
| Non-Appropriated | 77,888,000 | 79,811,000 | 157,699,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | 54.3 | 57.2 | 55.8 |
| GFS | |||
| Other | 96,020,000 | 99,268,000 | 195,288,000 |
| Totals | 96,020,000 | 99,268,000 | 195,288,000 |
Expected Results
Provide a high-quality benefits package while controlling costs.
H005 - HCA National Health Reform
This represents costs and workload driven by the implementation of the Affordable Care Act (ACA).
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | |||
| 001 - General Fund | |||
| State | 371,516,000 | 335,754,000 | 707,270,000 |
| Federal | 546,868,000 | 576,443,000 | 1,123,311,000 |
| Local | 425,467,000 | 434,269,000 | 859,736,000 |
| Medicaid Federal | 4,009,297,000 | 3,660,558,000 | 7,669,855,000 |
| 24L - Ambulance Transport Fund | |||
| State | 1,252,000 | 1,252,000 | 2,504,000 |
| 25N - Stw988BehavHealth&SuicidePrevLine | |||
| State | 1,301,000 | 309,000 | 1,610,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | |||
| GFS | 371,516,000 | 335,754,000 | 707,270,000 |
| Other | 4,984,185,000 | 4,672,831,000 | 9,657,016,000 |
| Totals | 5,355,701,000 | 5,008,585,000 | 10,364,286,000 |
Expected Results
Ensure Washington residents have access to high quality health care.
H007 - HCA Take Charge and Family Planning Extension Clients
The federally funded waiver program provides family planning services. Services include annual exams, birth control, emergency contraception, and limited testing for sexually transmitted infections.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | |||
| 001 - General Fund | |||
| State | 97,000 | 97,000 | 194,000 |
| Federal | 69,000 | 75,000 | 144,000 |
| Medicaid Federal | 493,000 | 488,000 | 981,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | |||
| GFS | 97,000 | 97,000 | 194,000 |
| Other | 562,000 | 563,000 | 1,125,000 |
| Totals | 659,000 | 660,000 | 1,319,000 |
Expected Results
Maximize the use of federal resources. Ensure access to high quality health care.
H008 - HCA Children's Health Program Clients
Healthcare coverage is provided for children who are not eligible for Medicaid because their families do not meet medical income eligibility criteria or are unable to qualify for other reasons.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | |||
| 001 - General Fund | |||
| State | 58,495,000 | 55,748,000 | 114,243,000 |
| Federal | 1,404,000 | 1,447,000 | 2,851,000 |
| Local | 16,000 | 14,000 | 30,000 |
| Medicaid Federal | 10,035,000 | 9,441,000 | 19,476,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | |||
| GFS | 58,495,000 | 55,748,000 | 114,243,000 |
| Other | 11,455,000 | 10,902,000 | 22,357,000 |
| Totals | 69,950,000 | 66,650,000 | 136,600,000 |
Expected Results
Ensure access to high quality health care for children.
H009 - HCA State Program Clients
Limited healthcare coverage is provided via state funding for clients who are not covered by Medicaid. Programs include Kidney Disease and Alien Emergency Medical.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | |||
| 001 - General Fund | |||
| State | 22,210,000 | 25,043,000 | 47,253,000 |
| Federal | 4,617,000 | 4,999,000 | 9,616,000 |
| Local | 4,000 | 4,000 | 8,000 |
| Medicaid Federal | 33,009,000 | 32,627,000 | 65,636,000 |
| 03C - Emer Med Ser/Trauma Care Sys Trust | |||
| State | 7,500,000 | 7,500,000 | 15,000,000 |
| 16W - Hospital Safety Net Assessment Acct | |||
| State | 1,909,000 | 1,909,000 | 3,818,000 |
| 23L - Indian Health Improvement Rein Acct | |||
| Non-Appropriated | 7,505,000 | 7,505,000 | |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | |||
| GFS | 22,210,000 | 25,043,000 | 47,253,000 |
| Other | 54,544,000 | 47,039,000 | 101,583,000 |
| Totals | 76,754,000 | 72,082,000 | 148,836,000 |
Expected Results
Ensure access to high quality health care.
H010 - HCA Apple Health
Healthcare is provided to Medicaid clients via the Apple Health managed care program. This activity also includes wrap around services that are paid for on a fee for service basis for these clients.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | |||
| 001 - General Fund | |||
| State | 1,791,775,000 | 1,762,490,000 | 3,554,265,000 |
| Federal | 232,522,000 | 247,813,000 | 480,335,000 |
| Medicaid Federal | 1,662,290,000 | 1,617,373,000 | 3,279,663,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | |||
| GFS | 1,791,775,000 | 1,762,490,000 | 3,554,265,000 |
| Other | 1,894,812,000 | 1,865,186,000 | 3,759,998,000 |
| Totals | 3,686,587,000 | 3,627,676,000 | 7,314,263,000 |
Expected Results
Ensure access to high quality health care. Control cost increases through the use of managed care plans
H011 - HCA All Other Clients - Fee for Service - Mandatory Services
Federally mandated healthcare services are provided for Medicaid clients who are not in the state’s Apple Health managed care program. Clients include families and children eligible to receive Temporary Assistance to Needy Families (TANF); families and individuals terminated from TANF because they have increased earnings or hours of employment or Social Security Disability Insurance income; individuals who are ineligible for TANF because of requirements that do not apply to Medicaid; eligible pregnant women and their newborns; individuals receiving Social Security Income or those eligible to receive mandatory state supplements; and children in foster care or adoption support. Mandatory services for eligible clients include inpatient and outpatient hospital care, rural health clinic services, nursing home services for clients 21 years or older (other than those in mental hospitals or institutions for the developmentally disabled), Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) health care program for children, and physician care.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | |||
| 001 - General Fund | |||
| State | 955,061,000 | 964,377,000 | 1,919,438,000 |
| Federal | 188,070,000 | 214,558,000 | 402,628,000 |
| Local | 239,011,000 | 239,141,000 | 478,152,000 |
| Medicaid Federal | 1,344,507,000 | 1,400,331,000 | 2,744,838,000 |
| 16W - Hospital Safety Net Assessment Acct | |||
| State | 226,000,000 | 226,000,000 | 452,000,000 |
| 172 - Basic Health Plan Trust Account | |||
| Non-Appropriated | 227,205,000 | 232,235,000 | 459,440,000 |
| 24L - Ambulance Transport Fund | |||
| State | 4,864,000 | 4,864,000 | 9,728,000 |
| 29D - Medicaid Access Program Account | |||
| State | 26,775,000 | 26,775,000 | |
| 315 - Dedicated Cannabis Account | |||
| State | 19,780,000 | 20,850,000 | 40,630,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | |||
| GFS | 955,061,000 | 964,377,000 | 1,919,438,000 |
| Other | 2,249,437,000 | 2,364,754,000 | 4,614,191,000 |
| Totals | 3,204,498,000 | 3,329,131,000 | 6,533,629,000 |
Expected Results
Ensure access to high quality health care.
H012 - HCA All Other Clients - Fee for Service - Optional Services
Optional healthcare services are provided for Medicaid clients who are not in the state’s Apple Health managed care program. Federal regulations allow states to cover optional services such as laboratory and X-ray services, hearing, dental, and vision care under Medicaid, as long as those services are listed in the state plan. Medicaid services are provided to those children who do not qualify under the federal mandatory guidelines, but live in families with incomes that fall within the State's criteria as a percentage of the federal poverty level. This activity also includes family planning clinics and pass- through dollars to school health services, school districts, Indian Nations, etc.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | |||
| 001 - General Fund | |||
| Federal | 228,792,000 | 210,079,000 | 438,871,000 |
| Medicaid Federal | 1,635,625,000 | 1,371,099,000 | 3,006,724,000 |
| 16W - Hospital Safety Net Assessment Acct | |||
| State | 676,611,000 | 676,607,000 | 1,353,218,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | |||
| GFS | |||
| Other | 2,541,028,000 | 2,257,785,000 | 4,798,813,000 |
| Totals | 2,541,028,000 | 2,257,785,000 | 4,798,813,000 |
Expected Results
Ensure access to high quality health care.
H015 - Payments to Other Entities Related to Medicaid Administrative Costs and Other Costs Paid by HCA
HCA enters into agreements with other entities to provide the means for them to receive federal Medicaid funding to support their administrative costs. HCA partnerships include: school districts, Indian Nations, local health jurisdictions, and the Health Benefit Exchange.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | |||
| 08G - Flexible Spending Admin Account | |||
| Non-Appropriated | 7,000 | 7,000 | 14,000 |
| 418 - St Health Care Authority Admin Acct | |||
| State | 1,086,000 | 1,003,000 | 2,089,000 |
| 474 - SEBB Flex Spend Dep Care Admin Acct | |||
| Non-Appropriated | 7,000 | 6,000 | 13,000 |
| 492 - School Employees' Insur Admin Acct | |||
| State | 567,000 | 496,000 | 1,063,000 |
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | |||
| 001 - General Fund | |||
| State | 8,766,000 | 8,609,000 | 17,375,000 |
| Medicaid Federal | 42,335,000 | 42,478,000 | 84,813,000 |
| American Rescue Plan Act (ARPA) | 2,550,000 | 2,550,000 | |
| 08A - Education Legacy Trust Account | |||
| State | 150,000 | 200,000 | 350,000 |
| 17T - Health Benefit Exchange Account | |||
| State | 42,581,000 | 43,449,000 | 86,030,000 |
| 25M - State Health Care Affordability Acc | |||
| State | 55,000,000 | 30,000,000 | 85,000,000 |
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | |||
| 001 - General Fund | |||
| State | 5,806,000 | 5,291,000 | 11,097,000 |
| Federal | 3,793,000 | 3,904,000 | 7,697,000 |
| Local | 1,765,000 | 1,589,000 | 3,354,000 |
| Medicaid Federal | 27,109,000 | 25,491,000 | 52,600,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | |||
| GFS | 14,572,000 | 13,900,000 | 28,472,000 |
| Other | 176,950,000 | 148,623,000 | 325,573,000 |
| Totals | 191,522,000 | 162,523,000 | 354,045,000 |
Expected Results
Ensure access to high quality health care.
H016 - HCA School Employees Benefits
This represents the costs to design and obtain health care and other benefits for eligible school employees statewide.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | 27.4 | 28.7 | 28.7 |
| 474 - SEBB Flex Spend Dep Care Admin Acct | |||
| Non-Appropriated | 477,000 | 476,000 | 953,000 |
| 475 - SEBB Dental Benefits Admin Acct | |||
| Non-Appropriated | 6,506,000 | 7,717,000 | 14,223,000 |
| 492 - School Employees' Insur Admin Acct | |||
| State | 5,844,000 | 4,899,000 | 10,743,000 |
| 494 - SEBB Medical Benefits Admin Acct | |||
| Non-Appropriated | 30,698,000 | 32,340,000 | 63,038,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | 27.4 | 28.7 | 28.1 |
| GFS | |||
| Other | 43,525,000 | 45,432,000 | 88,957,000 |
| Totals | 43,525,000 | 45,432,000 | 88,957,000 |
Expected Results
Provide a high-quality benefits package while controlling costs
C018 - Community Mental Health Services
Community Mental Health Services - financial support and program direction for community mental health programs delivered by Behavioral Health Organizations and Integrated Managed Care providers for Medicaid eligible and non-Medicaid eligible clients and services. Programs include mental health services for outpatient, inpatient, acute care, emergency, day treatment, consultation and education, employment services, and Medicaid Transportation. Community support services include screening of voluntary referrals to state hospitals, hospital discharge planning, crisis response, case management for chronic clients in the community, and residential programs that supervise, support, treat, and rehabilitate adults and children.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | 10 | 10.4 | 10.4 |
| 001 - General Fund | |||
| State | 1,023,859,000 | 1,028,239,000 | 2,052,098,000 |
| Federal | 87,778,000 | 87,246,000 | 175,024,000 |
| Medicaid Federal | 1,515,085,000 | 1,513,431,000 | 3,028,516,000 |
| 25N - Stw988BehavHealth&SuicidePrevLine | |||
| State | 35,547,000 | 35,546,000 | 71,093,000 |
| 315 - Dedicated Cannabis Account | |||
| State | 4,969,000 | 4,972,000 | 9,941,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | 10 | 10.4 | 10.2 |
| GFS | 1,023,859,000 | 1,028,239,000 | 2,052,098,000 |
| Other | 1,643,379,000 | 1,641,195,000 | 3,284,574,000 |
| Totals | 2,667,238,000 | 2,669,434,000 | 5,336,672,000 |
Expected Results
Provide and ensure quality and cost-effective mental health services that support the health and well-being of individuals, families and communities in Washington State
C900 - Program Support for Mental Health
Program Support provides administrative and technical support for all programs within Mental Health including policy development, fiscal planning, information services, federal demonstration grants as well as legislative and regional coordination.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | 176.1 | 173.4 | 173.4 |
| 001 - General Fund | |||
| State | 29,091,000 | 28,743,000 | 57,834,000 |
| Federal | 1,040,000 | 1,004,000 | 2,044,000 |
| Local | 19,458,000 | 19,469,000 | 38,927,000 |
| Medicaid Federal | 17,944,000 | 17,415,000 | 35,359,000 |
| 25N - Stw988BehavHealth&SuicidePrevLine | |||
| State | 792,000 | 2,149,000 | 2,941,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | 176.1 | 173.4 | 174.8 |
| GFS | 29,091,000 | 28,743,000 | 57,834,000 |
| Other | 39,234,000 | 40,037,000 | 79,271,000 |
| Totals | 68,325,000 | 68,780,000 | 137,105,000 |
Expected Results
Account for its use of public dollars
G008 - Prevention Substance Use Disorder Services
Prevention Services are contracted by the Division of Behavioral Health and Recovery (DBHR) through Counties, the Office of the Superintendent of Public Instruction, or with community based providers. Prevention Services are designed to prevent or reduce the misuse and abuse of alcohol, marijuana, tobacco, and other drugs. Services include prevention education, best-practices, training, public education and awareness, technical support, and other substance use resources for providers and clients.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | |||
| 001 - General Fund | |||
| State | 2,363,000 | 2,363,000 | 4,726,000 |
| Federal | 51,000 | 51,000 | 102,000 |
| Medicaid Federal | 882,000 | 882,000 | 1,764,000 |
| 27W - Opioid Abatement Settlement Account | |||
| State | 2,510,000 | 2,510,000 | 5,020,000 |
| 315 - Dedicated Cannabis Account | |||
| State | 3,513,000 | 3,513,000 | 7,026,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | |||
| GFS | 2,363,000 | 2,363,000 | 4,726,000 |
| Other | 6,956,000 | 6,956,000 | 13,912,000 |
| Totals | 9,319,000 | 9,319,000 | 18,638,000 |
Expected Results
Prevent or reduce the misuse and abuse of alcohol, marijuana, tobacco, and other drugs.
G015 - Community Substance Use Disorder Services
Financial support and program direction for community substance use disorder programs delivered by Behavioral Health Organizations and Integrated Managed Care providers for Medicaid eligible and non-Medicaid eligible clients and services. Programs include Community Engagement and Referral, Triage Services, Outpatient Treatment, Housing, Residential, Recovery Support and Secure Detox.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | |||
| 001 - General Fund | |||
| State | 90,815,000 | 90,814,000 | 181,629,000 |
| Federal | 83,000 | 83,000 | 166,000 |
| Medicaid Federal | 1,435,000 | 1,435,000 | 2,870,000 |
| 05C - Criminal Justice Treatment Account | |||
| State | 10,738,000 | 10,738,000 | 21,476,000 |
| 27W - Opioid Abatement Settlement Account | |||
| State | 5,299,000 | 5,299,000 | 10,598,000 |
| 315 - Dedicated Cannabis Account | |||
| State | 14,339,000 | 14,339,000 | 28,678,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | |||
| GFS | 90,815,000 | 90,814,000 | 181,629,000 |
| Other | 31,894,000 | 31,894,000 | 63,788,000 |
| Totals | 122,709,000 | 122,708,000 | 245,417,000 |
Expected Results
Implement a continuum of intervention and treatment services to meet local, regional, tribal, and statewide needs which specifically address the needs of adults, youth, women, children, and families.
G022 - Program Support for Substance Use Disorder
Program Support provides the administrative support for substance use disorder services. Activities include statewide program/policy development, strategic/fiscal planning, information system management, personnel, budget oversight, discretionary grants as well as legislative and regional coordination
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | 66.1 | 64.7 | 64.7 |
| 001 - General Fund | |||
| State | 18,522,000 | 15,706,000 | 34,228,000 |
| Federal | 1,348,000 | 1,358,000 | 2,706,000 |
| Local | 144,000 | 129,000 | 273,000 |
| Medicaid Federal | 23,266,000 | 23,557,000 | 46,823,000 |
| 05C - Criminal Justice Treatment Account | |||
| State | 1,283,000 | 1,283,000 | 2,566,000 |
| 08K - Problem Gambling Account | |||
| State | 1,621,000 | 1,628,000 | 3,249,000 |
| 27W - Opioid Abatement Settlement Account | |||
| State | 24,622,000 | 23,157,000 | 47,779,000 |
| 315 - Dedicated Cannabis Account | |||
| State | 4,999,000 | 4,998,000 | 9,997,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | 66.1 | 64.7 | 65.4 |
| GFS | 18,522,000 | 15,706,000 | 34,228,000 |
| Other | 57,283,000 | 56,110,000 | 113,393,000 |
| Totals | 75,805,000 | 71,816,000 | 147,621,000 |
Expected Results
Provide and ensure quality services that support individuals and families in their efforts to raise children who are free of alcohol, marijuana, tobacco, and other drugs.
G085 - Residential Substance Use Disorder Treatment Services
Residential treatment includes intensive inpatient, long term, recovery house, and treatment services for American Indian/Alaskan Native clients and residential services delivered by BHO and IMC providers.
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | |||
| 001 - General Fund | |||
| State | 3,400,000 | 3,400,000 | 6,800,000 |
| 05C - Criminal Justice Treatment Account | |||
| State | 1,747,000 | 1,752,000 | 3,499,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | |||
| GFS | 3,400,000 | 3,400,000 | 6,800,000 |
| Other | 1,747,000 | 1,752,000 | 3,499,000 |
| Totals | 5,147,000 | 5,152,000 | 10,299,000 |
Expected Results
Implement a continuum of intervention and treatment services to meet local, regional, tribal, and statewide needs which specifically address the needs of adults, youth, women, chaildren, and families.
G098 - Support Services for Clients Receiving Substance Use Disorder Treatment
Support services include Parent Child Assistance for pregnant and parenting women, Fetal Alcohol Spectrum Disorders Diagnosis and Prevention, Parent Trust parenting education and family support services, Tribal and Non-Native Encounters and Treatment and Native American Government to Government contracts
| Account | FY 2026 | FY 2027 | Biennium Total |
|---|---|---|---|
| FTE | 2.8 | 2.9 | 2.9 |
| 001 - General Fund | |||
| State | 17,192,000 | 16,019,000 | 33,211,000 |
| Federal | 706,000 | 684,000 | 1,390,000 |
| Medicaid Federal | 13,762,000 | 10,294,000 | 24,056,000 |
| 27W - Opioid Abatement Settlement Account | |||
| State | 7,028,000 | 7,038,000 | 14,066,000 |
| 29A - Tribal Opioid Prev & Treatment Acc | |||
| State | 9,064,000 | 7,750,000 | 16,814,000 |
| 315 - Dedicated Cannabis Account | |||
| State | 695,000 | 695,000 | 1,390,000 |
| FY 2026 | FY 2027 | Biennium Total | |
|---|---|---|---|
| FTES | 2.8 | 2.9 | 2.9 |
| GFS | 17,192,000 | 16,019,000 | 33,211,000 |
| Other | 31,255,000 | 26,461,000 | 57,716,000 |
| Totals | 48,447,000 | 42,480,000 | 90,927,000 |
Expected Results
Provide clients the supports they need to prevent or reduce the misuse and abuse of alcohol, marijuana, tobacco, and other drugs.