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Agency: 300 - Department of Social and Health Services

Last Updated: 10/08/2025

C063 - Mental Health Facilities Services

State psychiatric hospitals include Eastern and Western State and the Child Study and Treatment Center. Services include inpatient psychiatric services for acutely and chronically mentally ill persons, mentally ill legal offenders, geriatric patients and inpatient psychiatric services for severely mentally ill children and adolescents.

Account FY 2026 FY 2027 Biennium Total
FTE 5,467.7 5,493.3 5,493.3
001 - General Fund
State 702,125,000 726,962,000 1,429,087,000
Local 7,155,000 7,996,000 15,151,000
Medicaid Federal 102,520,000 102,186,000 204,706,000
23P - Model Toxics Control Operating Acct
State 680,000 680,000
706 - Coronavirus St Fiscal Recovery Fund
Federal 7,575,000 7,575,000
FY 2026 FY 2027 Biennium Total
FTES 5,467.7 5,493.3 5,480.5
GFS 702,125,000 726,962,000 1,429,087,000
Other 117,930,000 110,182,000 228,112,000
Totals 820,055,000 837,144,000 1,657,199,000
View Additional Data

Expected Results

Provide and ensure quality and cost-effective inpatient psychiatric services that support the health and well-being of adults and children 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 7 7 7
001 - General Fund
State 1,283,000 2,068,000 3,351,000
FY 2026 FY 2027 Biennium Total
FTES 7 7 7
GFS 1,283,000 2,068,000 3,351,000
Other
Totals 1,283,000 2,068,000 3,351,000

Expected Results

Account for its use of public dollars.

D028 - Employment and Day Programs

Employment and Day Services integrate clients with developmental disabilities into the community and prevent institutionalization. County contracted employment services help clients obtain and maintain employment in integrated settings. Day services for adults over age 62 or those who opt out of employment services enable clients to participate in the community. Both employment services and day services provide respite for family caregivers. Services are provided mainly under a Medicaid waiver requiring clients to be functionally and financially eligible for Medicaid. A small number of clients served are funded with state-only dollars. This activity also includes the county contracted Child Development Services (CDS) program which provides specialized therapeutic and educational services for children at risk of developmental delays to promote the child's attainment of age-related developmental milestones. CDS includes the required state portion of funding for birth to age three services associated with federal programs at the Department of Early Learning.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 82,661,000 82,956,000 165,617,000
Medicaid Federal 69,698,000 69,993,000 139,691,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 82,661,000 82,956,000 165,617,000
Other 69,698,000 69,993,000 139,691,000
Totals 152,359,000 152,949,000 305,308,000
View Additional Data

Expected Results

Enable adults to obtain and maintain employment in integrated settings and earn a wage, or participate in community activities. This also provides respite for family caregivers. Enroll children in therapeutic and educational programs to promote development and prevent more costly interventions in schools and other services later in life.

D034 - Individual and Family Services

Individual and Family Services waiver, prevents more costly interventions by promoting the long-term health and well-being of people with developmental disabilities, and by providing supports to their family caregivers. Services include assistive technology, behavior supports, community engagement, environmental and vehicular adaptations, respite, person-centered planning, specialized equipment and supplies, skilled nursing, peer mentoring, specialized nutrition, supported parenting, specialized evaluations, specialized clothing, occupational, speech and physical therapy, consultation and training and transportation to a waiver service. Funding includes federal match, and the number of people qualifying for services is limited by the funding available. Eligibility criteria are established in statute.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 5,992,000 6,096,000 12,088,000
Medicaid Federal 5,900,000 6,032,000 11,932,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 5,992,000 6,096,000 12,088,000
Other 5,900,000 6,032,000 11,932,000
Totals 11,892,000 12,128,000 24,020,000
View Additional Data

Expected Results

Caregiver stress is alleviated and clients receiving these services are able to maintain independence by living with their families in their own homes, preventing or delaying more costly community interventions or institutionalization.

D036 - Field Services

Field Services staff provide case management for clients with developmental disabilities. This includes assisting in determining service needs, providing ongoing information and referral, completing assessments and service plans, locating providers, and authorize services. Staff also develop and monitor contracted community services, provide technical assistance to private contractors, and coordinate the planning and delivery of training services with county governments.

Account FY 2026 FY 2027 Biennium Total
FTE 1,152.5 1,138.5 1,138.5
001 - General Fund
State 85,501,000 86,090,000 171,591,000
Medicaid Federal 61,172,000 59,835,000 121,007,000
FY 2026 FY 2027 Biennium Total
FTES 1,152.5 1,138.5 1,145.5
GFS 85,501,000 86,090,000 171,591,000
Other 61,172,000 59,835,000 121,007,000
Totals 146,673,000 145,925,000 292,598,000
View Additional Data

Expected Results

Staff ensure that individuals receive needed services for which they are eligible and for which funding is available, and monitor clients over time to respond to changes in service needs and continue to serve clients in the community whenever possible. Client assessments and service plans are completed and current, ensuring compliance with federal regulations and continued participation in Medicaid programs.

D065 - Office of Deaf and Hard of Hearing

The Office of the Deaf and Hard of Hearing contracts with Regional Service Centers of the Deaf and Hard of Hearing to provide client services to the Deaf, Hard of Hearing, and Deaf-Blind individuals and their families. Client services include case management, education, training, outreach, information, and referral. A similar contract with Deaf-Blind Service Center provides an additional service; support services provider (SSP) for the Deaf-Blind to live independently.

Account FY 2026 FY 2027 Biennium Total
FTE 13.6 11.6 11.6
001 - General Fund
State 4,081,000 4,138,000 8,219,000
FY 2026 FY 2027 Biennium Total
FTES 13.6 11.6 12.6
GFS 4,081,000 4,138,000 8,219,000
Other
Totals 4,081,000 4,138,000 8,219,000
View Additional Data

Expected Results

Clients and families needing advocacy, signing, counseling, outreach, and information, receive quality, timely service.

D070 - Other Community Programs

Other Community Programs prevent the institutionalization of people with developmental disabilities by maintaining them safely in the community. Services include provider background checks, respite care for Medicaid waiver clients who live with their family, and support services paid under the federally required State Supplemental Payment program. It also includes crisis intervention diversion beds contracted with mental health Regional Support Networks (RSNs) to prevent state psychiatric hospitalization of clients with developmental disabilities.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 47,839,000 51,571,000 99,410,000
Medicaid Federal 35,248,000 39,187,000 74,435,000
851 - Developmental Dis Comm Service Acct
State 1,006,000 1,014,000 2,020,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 47,839,000 51,571,000 99,410,000
Other 36,254,000 40,201,000 76,455,000
Totals 84,093,000 91,772,000 175,865,000
View Additional Data

Expected Results

Appropriate background checks are timely and complete. Diversion and crisis intervention services are effectively delivered to prevent state hospital commitment. Respite services are delivered for waiver clients to relieve family caregiver stress and prevent long-term use of more costly services. Payments are made to families on time to ensure federal compliance with the State Supplemental Payment program.

D074 - Personal Care

Personal care services serve clients in a community setting instead of in institutions. Clients have a range of acuity and receive assistance with activities of daily living such as personal hygiene, toileting, bathing, dressing, cooking, assistance with medication, and eating. Clients receive assistance from the provider for completing household tasks which include shopping, laundry and housework, and transportation to medical appointments. The majority of clients live at home with their families and have contracted providers such as home care Agency Providers (APs) or Individual Providers (IPs). Some clients reside in Adult Family Homes or Boarding Homes. Clients meet the financial and functional eligibility criteria for either the Community First Choice (CFC) or Medicaid Personal Care (MPC) programs. This activity also includes statutorily required training for providers.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 456,578,000 491,137,000 947,715,000
Local 421,000 441,000 862,000
Medicaid Federal 573,585,000 617,151,000 1,190,736,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 456,578,000 491,137,000 947,715,000
Other 574,006,000 617,592,000 1,191,598,000
Totals 1,030,584,000 1,108,729,000 2,139,313,000
View Additional Data

Expected Results

Personal care services enable clients to remain in their own home or a relative's home, or in an Adult Family Home or Assisted Living Facility, preventing or delaying a move to more costly institutional care

D076 - Professional Services

Professional Services are contracted professional services provided to clients with developmental disabilities. These Medicaid waiver clients receive services designed to maintain them in the community and prevent institutionalization. Services include medical and dental services, technical assistance, and therapeutic services like counseling/behavioral management, and speech, occupational, and physical therapy.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 17,678,000 18,071,000 35,749,000
Medicaid Federal 15,414,000 15,723,000 31,137,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 17,678,000 18,071,000 35,749,000
Other 15,414,000 15,723,000 31,137,000
Totals 33,092,000 33,794,000 66,886,000
View Additional Data

Expected Results

Professional services are delivered to waiver clients to support the clients' medical and behavioral needs in order for them to remain in the community and avoid more costly institutionalization.

D079 - Program Support for Developmental Disabilities

Program Support staff provide administrative and technical support for all activities within the Division of Developmental Disabilities. Included are policy and program development, legislative and regional coordination, and coordination with Management Services (Long-Term Care activity E051) for fiscal planning, budgeting, and information technology.

Account FY 2026 FY 2027 Biennium Total
FTE 23.7 23.7 23.7
001 - General Fund
State 3,782,000 3,845,000 7,627,000
Medicaid Federal 2,683,000 2,678,000 5,361,000
FY 2026 FY 2027 Biennium Total
FTES 23.7 23.7 23.7
GFS 3,782,000 3,845,000 7,627,000
Other 2,683,000 2,678,000 5,361,000
Totals 6,465,000 6,523,000 12,988,000

Expected Results

Central administration promotes consistency in the statewide application of legislative policy and programs and compliance with state and federal regulations. The administrative function provides for the infrastructure necessary to facilitate direct client services efficiently.

D086 - Residential Habilitation Facilities

Residential Habilitation Centers (RHCs) are four, state-operated facilities that provide 24/7 care for clients with developmental disabilities who meet federal Medicaid criteria for institutional level of care. Services include assessment, treatment, training, habilitative programs, recreation, and nursing care. RHCs also provide limited services to community clients including diagnostic, evaluation, consultation, emergency, licensed professional services, and a limited amount of out-of-home respite care services. Beginning July 1, 2012, RHCs will no longer serve individuals under the age of 16.

Account FY 2026 FY 2027 Biennium Total
FTE 2,638.9 2,485.3 2,485.3
001 - General Fund
State 156,214,000 151,860,000 308,074,000
Local 9,915,000 9,586,000 19,501,000
Medicaid Federal 133,418,000 123,302,000 256,720,000
FY 2026 FY 2027 Biennium Total
FTES 2,638.9 2,485.3 2,562.1
GFS 156,214,000 151,860,000 308,074,000
Other 143,333,000 132,888,000 276,221,000
Totals 299,547,000 284,748,000 584,295,000
View Additional Data

Expected Results

Clients receive benefits from participating in active habilitative treatment to help them acquire behaviors required to function with as much self-determination as possible.

D087 - Residential Program

The Residential Program integrates clients with developmental disabilities into the community. Contracted Residential Programs, such as supported living and group homes, are provided as alternatives to institutionalization for clients who meet federal criteria for institutional level of care but choose to waive those services in favor of community placement. Clients meet the financial and functional eligibility criteria for the Medicaid Core waiver. Residential services can range from a few hours a month to up to 24/7 care based on acuity of the client.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 564,323,000 583,235,000 1,147,558,000
Local 1,762,000 1,762,000 3,524,000
Medicaid Federal 544,741,000 563,000,000 1,107,741,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 564,323,000 583,235,000 1,147,558,000
Other 546,503,000 564,762,000 1,111,265,000
Totals 1,110,826,000 1,147,997,000 2,258,823,000
View Additional Data

Expected Results

Clients participate in the activities in their Individual Service Plan to enable them to acquire necessary behaviors to live at their maximum level of independence, be employed, and avoid institutionalization.

D095 - State Operated Living Alternatives

The State Operated Living Alternatives (SOLA) program is similar to the “Residential Program” activity, except staffing supports are provided by state employees. While Residential Program contractors may choose not to serve some clients, SOLA is a 'zero-reject' option for clients who are not able to be placed in the Residential Program and otherwise would be in an RHC.

Account FY 2026 FY 2027 Biennium Total
FTE 981.1 1,004.8 1,004.8
001 - General Fund
State 55,102,000 59,224,000 114,326,000
Local 50,000 50,000 100,000
Medicaid Federal 48,126,000 49,277,000 97,403,000
FY 2026 FY 2027 Biennium Total
FTES 981.1 1,004.8 993
GFS 55,102,000 59,224,000 114,326,000
Other 48,176,000 49,327,000 97,503,000
Totals 103,278,000 108,551,000 211,829,000
View Additional Data

Expected Results

Clients participate in the activities in their Individual Service Plan to enable them to acquire necessary behaviors to live at their maximum level of independence, be employed, and avoid institutionalization.

D107 - Community Crisis Stabilization Services

The Community Crisis Stabilization Services (CCSS) is a state operated community behavioral health program that provides stabilization services that enable an individual to remain in the community through a crisis or, if necessary, provides short term (up to 180-days) facility based services to stabilize the individual and return them successfully to their home community. Services are provided by a mobile participant team that includes the client’s natural supports and community providers as well as a crisis stabilization facility located in Lakewood, Washington. The program focuses on behavior stabilization, skill development, and supported transition to the community placement. Services include: individualized assessments; service planning; specialty treatment; collaborative treatment planning; transition planning; and in-home supports.

Account FY 2026 FY 2027 Biennium Total
FTE 182.3 174.8 174.8
001 - General Fund
State 12,440,000 12,475,000 24,915,000
Medicaid Federal 4,126,000 3,430,000 7,556,000
FY 2026 FY 2027 Biennium Total
FTES 182.3 174.8 178.6
GFS 12,440,000 12,475,000 24,915,000
Other 4,126,000 3,430,000 7,556,000
Totals 16,566,000 15,905,000 32,471,000
View Additional Data

Expected Results

Individuals who are in crisis and/or who are at risk of hospitalization or institutional placement will receive stabilization services that will enable them to remain in their own home and community.

E010 - Recoveries

Recovery of the cost of correctly paid long-term services and supports, Medicaid assistance, and related medical charges from the estates of decedents.  Recovery may be made from estates of recipients of state-funded long-term care services (without regard to age) and Medicaid services aged 55 and older at the time of death.  Proceeds from recoveries are used to offset the cost of medical and personal care delivered to current recipients.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State -7,185,000 -7,185,000 -14,370,000
Medicaid Federal -8,292,000 -8,292,000 -16,584,000
FY 2026 FY 2027 Biennium Total
FTES
GFS -7,185,000 -7,185,000 -14,370,000
Other -8,292,000 -8,292,000 -16,584,000
Totals -15,477,000 -15,477,000 -30,954,000
View Additional Data

Expected Results

Effective and efficient recovery, collection, and billing services for nursing and community residential services.

E049 - Adult Day Health Community Services

Adult Day Health Community Services (ADH) is a supervised daytime program providing nursing and rehabilitative therapy services to adults with medical or disabling conditions.  Services are provided in centers and clients typically attend an average of  2 to 3 days per week. Clients attending ADH also receive other services such as home care or residential services. Clients must be functionally and financially eligible for Medicaid, be enrolled on the Community Options Program Entry System (COPES) waiver, and have a skilled nursing or rehabilitation need, as determined by a doctor.  Case managers review eligibility and ongoing need for services.  ADH services are provided under contract, and centers are monitored by the Area Agencies on Aging (AAAs).

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 3,819,000 3,901,000 7,720,000
Medicaid Federal 3,818,000 3,900,000 7,718,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 3,819,000 3,901,000 7,720,000
Other 3,818,000 3,900,000 7,718,000
Totals 7,637,000 7,801,000 15,438,000
View Additional Data

Expected Results

ADH services supplement other services in order to delay or eliminate the need for hospital or nursing facility services.

E050 - Adult Family Home Community Services

Adult Family Homes (AFHs) are contracted, private homes that serve between two and six residents. Clients receive room, board, laundry, necessary supervision, and assistance with activities of daily living, personal care, and social services. Some AFHs specialize in serving individuals with dementia, developmental disabilities, or mental illnesses. AFHs whose provider is a professional nurse will frequently provide limited nursing care for individuals with more complex nursing and medical needs. Clients residing in adult family homes meet the financial and functional eligibility criteria for either the Medicaid Personal Care (MPC) program or the Community Options Program Entry System (COPES) Medicaid waiver, or are vulnerable adults under Chapter 74.34 RCW, receiving state-funded adult protective services.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 458,170,000 473,545,000 931,715,000
Local 2,704,000 2,873,000 5,577,000
Medicaid Federal 540,179,000 558,167,000 1,098,346,000
274 - Adult Family Home Account
Non-Appropriated 250,000 250,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 458,170,000 473,545,000 931,715,000
Other 543,133,000 561,040,000 1,104,173,000
Totals 1,001,303,000 1,034,585,000 2,035,888,000
View Additional Data

Expected Results

AFHs provide a non-institutional, home-like setting, which delays or prevents a move to a more costly nursing home setting.

E051 - Program Support for Long Term Care

Program Support for Aging and Long Term Care Support Adminstration (ALTSA) includes program support for ALTSA and management services support for both ALTSA and Developmental Disabilities. ALTSA program support staff ensure compliance with federal regulations, and develop specific services and agency policy for both Area Agencies on Aging (AAAs) and ALTSA field staff. Management services perform accounting and budget, contract management, forecasting caseloads and expenditures, data analysis, performance management, and information technology support for both ALTSA and Developmental Disabilities.

Account FY 2026 FY 2027 Biennium Total
FTE 113.2 99.9 99.9
001 - General Fund
State 16,047,000 16,266,000 32,313,000
Local 600,000 600,000 1,200,000
Medicaid Federal 16,241,000 16,589,000 32,830,000
FY 2026 FY 2027 Biennium Total
FTES 113.2 99.9 106.6
GFS 16,047,000 16,266,000 32,313,000
Other 16,841,000 17,189,000 34,030,000
Totals 32,888,000 33,455,000 66,343,000
View Additional Data

Expected Results

Program support and management services insure compliance with state and federal regulations on programmatic and payment issues that allow Washington state to continue to participate in the federal Medicaid program. The administrative function provides for the infrastructure necessary to facilitate direct client services. Accurate accounting, data analysis, forecasting, rate structures, and budgeting improve efficiency, and insure transparency for external stakeholders.

E052 - Eligibility/Case Management Services

Eligibility/Case Management Services includes determining eligibility to receive Aging and Long Term Support Administration (ALTSA) services, information and referral, and case management services for clients, either via state staff or via contractor (Area Agencies on Aging for ongoing in-home clients only). Financial eligibility staff determine if clients qualify for ALTSA Medicaid or other services. Case management consists of assessing and reassessing functional eligibility (level of disability), updating and monitoring a plan of care, finding a placement or provider, coordinating non-department services in response to a client’s need, responding to emergencies and status changes, and providing any additional assistance a client may need to maintain their placement or in some cases move to a new setting.

Account FY 2026 FY 2027 Biennium Total
FTE 1,278.9 1,265.5 1,265.5
001 - General Fund
State 172,917,000 173,449,000 346,366,000
Medicaid Federal 174,695,000 172,534,000 347,229,000
12T - Traumatic Brain Injury Account
State 3,597,000 3,607,000 7,204,000
FY 2026 FY 2027 Biennium Total
FTES 1,278.9 1,265.5 1,272.2
GFS 172,917,000 173,449,000 346,366,000
Other 178,292,000 176,141,000 354,433,000
Totals 351,209,000 349,590,000 700,799,000
View Additional Data

Expected Results

Staff ensure that individuals receive needed services for which they are eligible, ensure compliance with federal and state regulations, and monitor clients over time. The security and self-sufficiency of Washington's vulnerable adults are improved by the increased number of adults who live in their own homes or in community settings.

E053 - In-Home Services

Clients receiving in-home services have a range of acuity, and continue to live at home while receiving assistance with activities of daily living such as personal hygiene, toileting, bathing, dressing, cooking, assistance with medication, and eating. Clients may receive assistance with shopping, laundry, housework, or transportation to medical appointments. Contracted providers include home care agency providers (APs) or individual providers (IPs). Additional In-Home Services may include home-delivered meals, nutrition programs, adult day care, environmental modifications, special medical equipment, and skilled nursing care. Clients receiving In-Home Services meet the financial and functional eligibility criteria for either the Medicaid Personal Care (MPC) program or the Community Options Program Entry System (COPES) Medicaid waiver.

Account FY 2026 FY 2027 Biennium Total
FTE 38.1 38.1 38.1
001 - General Fund
State 1,298,444,000 1,421,931,000 2,720,375,000
Federal 23,871,000 36,372,000 60,243,000
Local 10,352,000 10,078,000 20,430,000
Medicaid Federal 1,672,252,000 1,787,304,000 3,459,556,000
FY 2026 FY 2027 Biennium Total
FTES 38.1 38.1 38.1
GFS 1,298,444,000 1,421,931,000 2,720,375,000
Other 1,706,475,000 1,833,754,000 3,540,229,000
Totals 3,004,919,000 3,255,685,000 6,260,604,000
View Additional Data

Expected Results

Personal care services enable clients to remain in their own home or a relative's home, preventing or delaying a move to more costly out-of-home care.

E054 - Investigations/Quality Assurance for Vulnerable Adults

Adult Protective Services (APS) investigates reports of suspected abuse, abandonment, neglect, self-neglect, and financial exploitation of vulnerable adults living in their own homes. For facilities, Residential Care Services verifies that the facility itself and its staff who come in contact with vulnerable adults are providing appropriate services and quality care. This includes periodic surveying, inspecting, and certification/licensing of nursing homes, adult family homes and assisted living facilities, and monitoring the quality of service, including investigating complaints of abuse and neglect or perpetrators, and related enforcement actions. Quality Assurance includes the review of case management work, and the examination of payment authorizations to ensure compliance with federal and state laws, such as correct client eligibility determination and payment. Oversight and monitoring of home care agencies and certification of Supported Living providers are done under contract, otherwise services are state-staffed.

Account FY 2026 FY 2027 Biennium Total
FTE 1,159.8 1,165 1,165
001 - General Fund
State 66,540,000 67,219,000 133,759,000
Local 43,356,000 45,480,000 88,836,000
Medicaid Federal 66,923,000 62,721,000 129,644,000
FY 2026 FY 2027 Biennium Total
FTES 1,159.8 1,165 1,162.4
GFS 66,540,000 67,219,000 133,759,000
Other 110,279,000 108,201,000 218,480,000
Totals 176,819,000 175,420,000 352,239,000
View Additional Data

Expected Results

Staff surveys and investigations contribute to the health, safety, and well being of clients served in nursing facilities and residential settings. APS investigations contribute to the health and safety of vulnerable adults. Quality assurance activities enable ADSA to use limited resources efficiently.

E055 - Residential Community Services

Assisted Living Facilities (ALF) are contracted facilities that may serve seven or more residents. Clients receive room and board, personal care, and assistance with medication. Some residents may receive limited nursing services, limited supervision, and specialized dementia care. ALFs include Adult Residential Care (ARC), Enhanced Adult Residential Care (EARC), and Assisted Living (AL). Clients residing in ALFs meet the financial and functional eligibility criteria for either the Medicaid Personal Care (MPC) program or the Community Options Program Entry System (COPES) Medicaid waiver, depending on the type of ALF in which they reside, or are vulnerable adults under Chapter 74.34 RCW, receiving state-funded Adult Protective Services.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 192,326,000 218,151,000 410,477,000
Local 1,105,000 1,089,000 2,194,000
Medicaid Federal 218,003,000 246,041,000 464,044,000
12E - Assisted Living Fac Temp Mgmt Acct
Non-Appropriated 981,000 981,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 192,326,000 218,151,000 410,477,000
Other 220,089,000 247,130,000 467,219,000
Totals 412,415,000 465,281,000 877,696,000
View Additional Data

Expected Results

Long-term care residential settings offer personal care services and supervision for clients who cannot live at home, while preventing or delaying admission to a more costly nursing home setting.

E064 - Nursing Home Services

The Aging and Long Term Support Administration (ALTSA) contracts with licensed and certified Nursing Homes to serve Medicaid-eligible persons who need post-hospital recuperative care, require nursing services, or have chronic disabilities necessitating long-term medical services. Nursing Homes provide 24-hour supervised nursing care, personal care, therapy, and supervised nutrition. There is a small amount of funding for nurse-aide training, and cash assistance is provided for persons leaving Nursing Homes to help re-establish them in independent living or in lower-cost community settings.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 426,034,000 449,315,000 875,349,000
Local 2,115,000 2,189,000 4,304,000
Medicaid Federal 561,247,000 569,247,000 1,130,494,000
20P - Nursing Fac Qual Enhance Account
Non-Appropriated 11,000,000 11,000,000
562 - Skilled Nursing Facility Net Trust
State 66,680,000 66,680,000 133,360,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 426,034,000 449,315,000 875,349,000
Other 641,042,000 638,116,000 1,279,158,000
Totals 1,067,076,000 1,087,431,000 2,154,507,000
View Additional Data

Expected Results

Nursing homes provide temporary services to clients who are recovering from acute illnesses, in need of post-hospital recuperative care, or requiring licensed nursing services, enabling many of them to safely return home or to less restrictive residential settings. Nursing homes also provide care for some terminally ill clients who cannot be cared for elsewhere.

E077 - Managed Care Services

Aging and Disability Services Administration (ADSA) contracts with a vendor to provide managed care services that include medical care, Long-Term Care services, substance abuse treatment and mental health treatment under one service package and capitated payment per member per month. These programs help clients remain in the community for as long as possible by providing comprehensive health and social services to meet the unique needs of each client. Current contracts are for the Program of All-Inclusive Care for the Elderly (PACE) and the Washington Medicaid Integration Partnership (WMIP). The vendors assume all financial responsibility for medical expenses associated with meeting a client's needs for as long as the client remains enrolled in the program.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 56,936,000 63,357,000 120,293,000
Medicaid Federal 59,682,000 66,412,000 126,094,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 56,936,000 63,357,000 120,293,000
Other 59,682,000 66,412,000 126,094,000
Totals 116,618,000 129,769,000 246,387,000
View Additional Data

Expected Results

Managed care services allow clients to remain in the community and receive health and long-term care services, while preventing or delaying admission to a more costly nursing home setting.

E088 - WA Cares Program Services and Supports

The Home and Community Living Administration (HCLA) administers benefits for the WA Cares Fund long-term care insurance program to ensure all working Washingtonians can earn and access long-term care when they need it. HCLA provides eligibility determinations and program support through statewide and regional management, customer service, options counseling, application assistance, functional eligibility determinations, suggested services planning, provider registration, appeals, quality assurance, and program integrity.

Account FY 2026 FY 2027 Biennium Total
FTE 339.1 498.3 498.3
567 - Long-Term Servs & Sup Trust Account
State 96,577,000 118,297,000 214,874,000
FY 2026 FY 2027 Biennium Total
FTES 339.1 498.3 418.7
GFS
Other 96,577,000 118,297,000 214,874,000
Totals 96,577,000 118,297,000 214,874,000

Expected Results

Effective and efficient WA Cares eligibility determinations and statewide and regional program management.

F006 - Automated Client Eligibility Systems (ACES)

The Automated Client Eligibility System (ACES) is a mission critical system in the DSHS Information Technology (IT) Portfolio. The system automates the eligibility determination and case maintenance process for the Temporary Assistance for Needy Families (TANF); Supplemental Nutrition Assistance Program (SNAP); and medical assistance programs.

Account FY 2026 FY 2027 Biennium Total
FTE 10.6 8 8
001 - General Fund
State 38,336,000 36,207,000 74,543,000
Federal 2,531,000 1,550,000 4,081,000
Local 1,222,000 1,250,000 2,472,000
Medicaid Federal 35,905,000 34,595,000 70,500,000
Temporary Assistance for Needy Families 2,226,000 2,222,000 4,448,000
FY 2026 FY 2027 Biennium Total
FTES 10.6 8 9.3
GFS 38,336,000 36,207,000 74,543,000
Other 41,884,000 39,617,000 81,501,000
Totals 80,220,000 75,824,000 156,044,000

Expected Results

Timely and accurate eligibility determination and issuance of benefits to clients.

F010 - Child Support Enforcement

The Division of Child Support (DCS) establishes, modifies, and enforces child support orders and medical insurance obligations to support the needs of children with custodial or non-custodial parents residing in Washington State. Enforcement includes wage and/or other income withholding, IRS tax refund attachment, and interstate referrals. Services may include license revocation, personal property seizure, or referral for contempt. Families who receive Temporary Assistance for Needy Families (TANF)or Medicaid automatically receive full-collection services. In addition to collection services, DCS assists custodial parents with paternity establishment and services needed to locate non-custodial responsible parents for the purposes of collecting child support. DCS staffs work collaboratively with local and tribal governments to effectively provide these services throughout the State.

Account FY 2026 FY 2027 Biennium Total
FTE 979.2 975.6 975.6
001 - General Fund
State 48,029,000 48,992,000 97,021,000
Federal -8,882,000 -6,542,000 -15,424,000
Family Support/Child Welfare 124,715,000 124,235,000 248,950,000
FY 2026 FY 2027 Biennium Total
FTES 979.2 975.6 977.4
GFS 48,029,000 48,992,000 97,021,000
Other 115,833,000 117,693,000 233,526,000
Totals 163,862,000 166,685,000 330,547,000
View Additional Data

Expected Results

Non-custodial parents provide financial support for their children. Increased enforcement encourages greater family self-sufficiency and reduce a families' need for public assistance (Supplemental Nutrition Assistance Program, TANF and Medicaid programs).

F011 - Retained Child Support

As a condition of eligibility for Temporary Assistance for Needy Families (TANF), custodial parents assign rights to child support payments to the state for each month they receive TANF. The Division of Child Support (DCS) collects millions of dollars annually on TANF and former TANF cases that are retained by the state.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State -17,683,000 -17,140,000 -34,823,000
Family Support/Child Welfare -17,681,000 -17,140,000 -34,821,000
FY 2026 FY 2027 Biennium Total
FTES
GFS -17,683,000 -17,140,000 -34,823,000
Other -17,681,000 -17,140,000 -34,821,000
Totals -35,364,000 -34,280,000 -69,644,000
View Additional Data

Expected Results

Retain child support collected for a family member who has applied for or is receiving TANF cash assistance.

F016 - Office of Financial Recovery

The Office of Financial Recovery (OFR) is the centralized collection office for funds owed to the Department of Social and Health Services (DSHS) and partner agencies. OFR recovers revenues, collects overpayments, and bills and collects fees in the following major collection programs: Estate Recovery, Client Overpayments, Food Assistance Overpayments, Public Assistance Overpayments, Social Service Overpayments, Vendor Overpayments, Supplemental Security Income, Medical Premiums, Developmental Disabilities, Mental Health, and Time Loss.

Account FY 2026 FY 2027 Biennium Total
FTE 64 64 64
001 - General Fund
State 3,197,000 3,195,000 6,392,000
Federal 761,000 803,000 1,564,000
Medicaid Federal 887,000 934,000 1,821,000
Temporary Assistance for Needy Families 116,000 123,000 239,000
FY 2026 FY 2027 Biennium Total
FTES 64 64 64
GFS 3,197,000 3,195,000 6,392,000
Other 1,764,000 1,860,000 3,624,000
Totals 4,961,000 5,055,000 10,016,000
View Additional Data

Expected Results

Provide effective and efficient recovery, collection, and billing services for the Department of Social and Health Services and partner agencies.

F024 - Diversion Cash Assistance (DCA)

Diversion Cash Assistance (DCA) provides alternative assistance for families who have a short term need and do not wish to receive Temporary Assistance for Needy Families (TANF) assistance. Eligible families must meet the income and resource requirements for TANF, but demonstrate they expect to have income and resources to meet their long-term needs. DCA can help families with expenses such as housing, transportation, medical bills, and employment. This benefit is available once in each 12-month period for each adult applicant. If the recipient receives TANF cash assistance within 12 months of receiving DCA, a pro-rated portion of the DCA benefit is recovered by deduction from the recipient’s monthly cash grant.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 1,552,000 1,552,000 3,104,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 1,552,000 1,552,000 3,104,000
Other
Totals 1,552,000 1,552,000 3,104,000

Expected Results

Prevent families with short-term financial needs from entering the public assistance system.

F038 - Supplemental Nutrition Assistance Program (SNAP)

Community Services Division (CSD) staff determine eligibility and provide case management services for the federal Supplemental Nutrition Assistance Program (SNAP). SNAP provides food assistance to low-income individuals and families based on income and resource standards established by the federal government. This activity also includes federal funding for Basic Food Education and Outreach, Nutrition Education, and the Basic Food Employment and Training (BFE&T) program. The BFE&T program provides job search and skills training to SNAP recipients not participating in the state's Temporary Assistance for Needy Families (TANF) program.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 1,946,000 1,761,000 3,707,000
Federal 47,614,000 53,316,000 100,930,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 1,946,000 1,761,000 3,707,000
Other 47,614,000 53,316,000 100,930,000
Totals 49,560,000 55,077,000 104,637,000
View Additional Data

Expected Results

Maintain a safety net for people in need. Reduce hunger and food insecurity.

F039 - Aged, Blind or Disabled and Pregnant Women Assistance Program

The Aged, Blind, or Disabled Program provides financial grants to low-income adults who are age 65 or older, blind, or likely to meet Supplemental Security Income (SSI) disability criteria. This activity also includes the cost of Incapacity Examinations and SSI Consultative Evaluations. The Pregnant Women Assistance Program provides financial grants to eligible women who are pregnant and ineligible for Temporary Assistance for Needy Families (TANF) program and State Family Assistance (SFA) for reasons other than a refusal to cooperate with TANF/SFA requirements.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 140,164,000 144,456,000 284,620,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 140,164,000 144,456,000 284,620,000
Other
Totals 140,164,000 144,456,000 284,620,000

Expected Results

Provide a safety net for disabled, elderly, and otherwise unemployable individuals.

F042 - Immigrant State Food Assistance

The Immigrant State Food Assistance Program (FAP) provides food assistance for legal immigrants who are no longer eligible for federal food assistance. Benefit are determined by the size of the household, as well as the net income of the assistance unit.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 110,208,000 93,367,000 203,575,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 110,208,000 93,367,000 203,575,000
Other
Totals 110,208,000 93,367,000 203,575,000

Expected Results

Reduce hunger and food insecurity.

F068 - Other Client Services

Other Client Services includes Consolidated Emergency Assistance Program (CEAP), Ongoing Additional Requirements (OAR), Repatriation Program, Supplemental Security Income (SSI) State Supplemental Payments (SSP), and interpretative and translation services. The population served are primarily low-income individuals and families in need. State Supplemental Payments are expenditures necessary to maintain eligibility for Washington States' Title XIX program.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 37,499,000 37,514,000 75,013,000
Federal 90,985,000 99,708,000 190,693,000
Local 65,000 65,000 130,000
American Rescue Plan Act (ARPA) 3,367,000 3,367,000 6,734,000
07W - Domestic Violence Prevention Acct
State 1,202,000 1,202,000 2,404,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 37,499,000 37,514,000 75,013,000
Other 95,619,000 104,342,000 199,961,000
Totals 133,118,000 141,856,000 274,974,000

Expected Results

Help low-income families meet their basic needs.

F078 - Program Support

Program Support staff provide administrative and technical support for all activities within the Community Services Division and Office of the Assistant Secretary. Included are policy and program development, legislative and regional coordination, fiscal planning, budgeting, quality assurance, and information technology.

Account FY 2026 FY 2027 Biennium Total
FTE 682.3 667.1 667.1
001 - General Fund
State 73,299,000 73,848,000 147,147,000
Federal 35,748,000 28,863,000 64,611,000
Local 1,200,000 1,200,000 2,400,000
Family Support/Child Welfare 2,520,000 3,000,000 5,520,000
Medicaid Federal 6,153,000 5,825,000 11,978,000
Temporary Assistance for Needy Families 8,953,000 9,278,000 18,231,000
American Rescue Plan Act (ARPA) 2,574,000 2,574,000
FY 2026 FY 2027 Biennium Total
FTES 682.3 667.1 674.7
GFS 73,299,000 73,848,000 147,147,000
Other 57,148,000 48,166,000 105,314,000
Totals 130,447,000 122,014,000 252,461,000

Expected Results

Provide the administrative and functional supports needed to ensure the delivery of timely, accurate services.

F083 - Refugee Assistance Program

Refugee Assistance provides assistance to needy refugees who have settled in Washington State and promotes economic self-sufficiency through the effective use of social services and financial assistance.  The populations served are refugees authorized by the U.S. State Department to immigrate into the country and are granted permanent residence.  In addition to cash assistance, services include case management, employment assistance, English training, skills training, preventive health, foster care, mental health and cultural adaptation, community development and technical assistance, volunteer services, naturalization services and social services.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 31,011,000 6,471,000 37,482,000
Federal 70,991,000 69,146,000 140,137,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 31,011,000 6,471,000 37,482,000
Other 70,991,000 69,146,000 140,137,000
Totals 102,002,000 75,617,000 177,619,000

Expected Results

Help refugees establish a new life in the United States through resettlement assistance.

F100 - Temporary Assistance for Needy Families (TANF)

TANF grants provide monthly cash assistance to needy families with children and to low-income pregnant women. Eligibility is determined by comparing the family’s countable income to the grant payment standard for the applicant’s household size. Funding for the program is shared by state and federal governments.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 139,389,000 122,878,000 262,267,000
Temporary Assistance for Needy Families 131,569,000 133,590,000 265,159,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 139,389,000 122,878,000 262,267,000
Other 131,569,000 133,590,000 265,159,000
Totals 270,958,000 256,468,000 527,426,000
View Additional Data

Expected Results

Help low-income families meet their basic needs.

F108 - WorkFirst Employment and Training

The WorkFirst Employment program offers job search, subsidized employment, vocational education, job readiness training, basic education, career counseling, and non-salaried work experience to TANF-eligible clients. This federally mandated program is designed to move clients from public assistance to permanent self-sufficiency.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 24,845,000 24,823,000 49,668,000
Temporary Assistance for Needy Families 91,444,000 91,318,000 182,762,000
120 - Administrative Contingency Account
State 2,000,000 2,000,000 4,000,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 24,845,000 24,823,000 49,668,000
Other 93,444,000 93,318,000 186,762,000
Totals 118,289,000 118,141,000 236,430,000
View Additional Data

Expected Results

Help low-income families achieve economic self-sufficiency.

F109 - Child Care Subsidy Program

The Child Care Subsidy Program (CCSP) helps families with low incomes pay for child care while working or participating in WorkFirst. Community Services Division (CSD) staff determine eligibility and authorize child care services for the Working Connections Child Care (WCCC) and Seasonal Child Care (SCC) programs. The Department of Early Learning (DEL) administers the CCSP.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
Temporary Assistance for Needy Families 176,701,000 176,701,000 353,402,000
FY 2026 FY 2027 Biennium Total
FTES
GFS
Other 176,701,000 176,701,000 353,402,000
Totals 176,701,000 176,701,000 353,402,000

Expected Results

Provide access to affordable, safe, and developmentally appropriate child care. Help families and communities safeguard and improve the well-being of children in their own home and in out-of-home care.

F110 - Division of Disability Determination Services

The Division of Disability Determination Services (DDDS) is contracted with the Social Security Administration (SSA) to adjudicate medical eligibility for disability benefits under Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) rules and regulations. The DDDS processes claims for Non-Grant Medical Assistance (NGMA).

Account FY 2026 FY 2027 Biennium Total
FTE 305 305 305
001 - General Fund
State 1,292,000 1,323,000 2,615,000
Federal 58,690,000 59,732,000 118,422,000
Medicaid Federal 1,748,000 1,748,000 3,496,000
FY 2026 FY 2027 Biennium Total
FTES 305 305 305
GFS 1,292,000 1,323,000 2,615,000
Other 60,438,000 61,480,000 121,918,000
Totals 61,730,000 62,803,000 124,533,000

Expected Results

Provide accurate and timely disability decisions through efficient use of public resources and in accordance with Social Security Administration Regulations.

F120 - CSD Field Support Services

The CSD Field Support Services Activity is comprised of all CSD staff who are providing eligibility determination services and social work services to clients.

Account FY 2026 FY 2027 Biennium Total
FTE 1,972 1,972 1,972
001 - General Fund
State 131,794,000 134,858,000 266,652,000
Federal 52,188,000 52,724,000 104,912,000
Medicaid Federal 9,844,000 9,087,000 18,931,000
Temporary Assistance for Needy Families 21,929,000 22,324,000 44,253,000
FY 2026 FY 2027 Biennium Total
FTES 1,972 1,972 1,972
GFS 131,794,000 134,858,000 266,652,000
Other 83,961,000 84,135,000 168,096,000
Totals 215,755,000 218,993,000 434,748,000

Expected Results

Field staff that support multiple programs are accurately described in a consolidated activity

J103 - Vocational Rehabilitation Administration

Administration includes expenses necessary to carry out the administrative functions of the Vocational Rehabilitation (VR) program. Administrative activities are defined as statewide activities related to program planning and evaluation, information systems, budgeting, accounting, financial management, staff development, and quality assurance. Expenses include salaries and fringe benefits of staff who conduct administrative activities, including overhead costs. Administration includes costs incidental to carrying out the functions of the Rehabilitation Act of 1973, as amended, State Rehabilitation Council, as required by the Rehabilitation Act and the State Independent Living Council. Also included are funds expended for DSHS administrative indirect costs.

Account FY 2026 FY 2027 Biennium Total
FTE 56.5 56.6 56.6
001 - General Fund
State 3,305,000 4,022,000 7,327,000
Federal 7,936,000 7,553,000 15,489,000
FY 2026 FY 2027 Biennium Total
FTES 56.5 56.6 56.6
GFS 3,305,000 4,022,000 7,327,000
Other 7,936,000 7,553,000 15,489,000
Totals 11,241,000 11,575,000 22,816,000

Expected Results

The DVR State Plan is effectively and efficiently administered. Federal standards and indicators including the number of employment outcomes and the rehabilitation rate are increased each federal fiscal year.

J104 - Vocational Counseling and Guidance

Vocational Counseling and Guidance includes expenses incidental to the provision of Vocational Rehabilitation (VR) services, directly. Expenses include salaries, fringe benefits, and personnel development of VR Counselors and Rehabilitation Technicians, as well as overhead costs. VR Counseling staff provide assessment, counseling, guidance, and placement services to assist individuals with disabilities in assessing their vocational interests and strengths, selecting a job goal, and identifying VR services needed to achieve employment. Counseling and Guidance expenses also include costs associated with personnel that provide support, supervision, and consultation for the provision of vocational rehabilitation services.

Account FY 2026 FY 2027 Biennium Total
FTE 273 273 273
001 - General Fund
State 14,955,000 14,836,000 29,791,000
Federal 18,260,000 19,319,000 37,579,000
FY 2026 FY 2027 Biennium Total
FTES 273 273 273
GFS 14,955,000 14,836,000 29,791,000
Other 18,260,000 19,319,000 37,579,000
Totals 33,215,000 34,155,000 67,370,000
View Additional Data

Expected Results

Eligibility determinations, development and implementation of the individual employment plan and referral services are timely. Individuals receive information and support services to assist the individual in exercising informed choice throughout the rehabilitation process. The numbers of individuals who are successfully rehabilitated is increased in each federal fiscal year.

J105 - Vocational Rehabilitation Direct Client Services

Direct client services include expenses for goods and services purchased from public or private vendors on behalf of the Vocational Rehabilitation (VR) client. Goods and services are purchased to assist the individuals with disabilities to overcome the unique employment barriers they experience. The division offers a variety of goods and services including assessment services for determining service eligibility and vocational rehabilitation needs, diagnostic or treatment services for physical or mental impairments, job readiness training, augmentative skills training, vocational and occupational skills training, transportation, personal assistance services, job search and job placement services, job retention services, follow up and follow along services, rehabilitation technology services, and post employment services.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 7,000,000 7,100,000 14,100,000
Federal 33,792,000 34,647,000 68,439,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 7,000,000 7,100,000 14,100,000
Other 33,792,000 34,647,000 68,439,000
Totals 40,792,000 41,747,000 82,539,000
View Additional Data

Expected Results

Individuals with disabilities receive timely vocational rehabilitation services and become sucessfully employed.

K001 - Administration and Supporting Services

As part of the Secretary's Office and in direct support of the Secretary's initiatives, the Administration and Supporting Services program provides management, planning, evaluation and control of the operations for all programs within the Department of Social and Health Services. This program provides infrastructure services to all DSHS programs. This includes personnel, budget, accounting, payroll, fraud investigations, facilities management, purchasing, research and data analysis, Indian Policy, and other internal functions.

Account FY 2026 FY 2027 Biennium Total
FTE 525.5 526 526
001 - General Fund
State 52,023,000 52,208,000 104,231,000
Federal 21,667,000 11,878,000 33,545,000
Family Support/Child Welfare 643,000 639,000 1,282,000
Medicaid Federal 11,352,000 11,245,000 22,597,000
Temporary Assistance for Needy Families 2,045,000 2,032,000 4,077,000
FY 2026 FY 2027 Biennium Total
FTES 525.5 526 525.8
GFS 52,023,000 52,208,000 104,231,000
Other 35,707,000 25,794,000 61,501,000
Totals 87,730,000 78,002,000 165,732,000

Expected Results

Provide policy direction and infrastructure services that ensures the department runs efficiently and makes the most effective use of public resources.

M001 - Program Support for SCC

Administrative Services consists of the Superintendant’s office and the staff who manage resident records, resident legal activity coordination, recruitment, disciplinary investigative process, internal policy and Washington Administrative Code preparation, processing and investigating of resident tort claims, and resident misbehavior hearings review. Includes funding for the Consolidated Institutional Business Services (CIBS).

Account FY 2026 FY 2027 Biennium Total
FTE 3 3 3
001 - General Fund
State 892,000 909,000 1,801,000
FY 2026 FY 2027 Biennium Total
FTES 3 3 3
GFS 892,000 909,000 1,801,000
Other
Totals 892,000 909,000 1,801,000

Expected Results

These basic infrastructure services allow for the efficient and effective management of resident records and required legal responses, required staffing to maintain resident and staff safety, and other regulatory needs.

M005 - Facility and Island Operation

The Facility and Island Operations consists of managers and staff who provide direct support to the overall operation of McNeil Island. This includes the fire department, janitorial service, food service, investigations, information technology, and the safety officeri ncludes funding for the Consolidated Maintenance and Operation (CMO) division.

Account FY 2026 FY 2027 Biennium Total
FTE 19 19 19
001 - General Fund
State 2,278,000 2,353,000 4,631,000
FY 2026 FY 2027 Biennium Total
FTES 19 19 19
GFS 2,278,000 2,353,000 4,631,000
Other
Totals 2,278,000 2,353,000 4,631,000

Expected Results

The resources purchased in this activity ensure staff, residents, other individuals, and the goods and services required can get to and from the SCC. This activity also provides care and maintenance of state and federal resources.

M010 - SCC Total Confinement Facility

The Total Confinement Facility includes managers and staff who operate the secure main facility consisting of low, medium, and high security living units capable of housing over 300 residents. This activity provides direct supervision and behavioral control of a residential population of adult sexually violent predators. It includes the health services clinic, forensic services, facility operations, and sex offender treatment services.

Account FY 2026 FY 2027 Biennium Total
FTE 344.5 343.9 343.9
001 - General Fund
State 55,136,000 55,010,000 110,146,000
FY 2026 FY 2027 Biennium Total
FTES 344.5 343.9 344.2
GFS 55,136,000 55,010,000 110,146,000
Other
Totals 55,136,000 55,010,000 110,146,000
View Additional Data

Expected Results

Residents are provided a secure, safe, and therapeutic living environment. Staff receive the training and resources needed to ensure that the facility is secure and safe for both residents, staff, contractors and visitors.

M020 - Civil Commitment Less Restrictive Alternatives

Less restrictive alternatives (LRAs) include Secure Community Transition Facilities (SCTFs) and community placements. SCTFs provide less restrictive, alternative residential living and community transitional services for sex offenders who have been civilly committed and have received court-ordered conditional release from total confinement. The Pierce County SCTF is located on McNeil Island, and has the capacity to hold up to 24 residents. The King County SCTF can house up to six residents.

Account FY 2026 FY 2027 Biennium Total
FTE 67.5 67.5 67.5
001 - General Fund
State 22,048,000 22,563,000 44,611,000
FY 2026 FY 2027 Biennium Total
FTES 67.5 67.5 67.5
GFS 22,048,000 22,563,000 44,611,000
Other
Totals 22,048,000 22,563,000 44,611,000
View Additional Data

Expected Results

Special Commitment Center residents receive alternative residential living and community transitional services that provide for community safety and resident rehabilitation.

N073 - Payment to Other Agencies

This program consolidates payments Department of Social and Health Services (DSHS) makes to other support service agencies. Funding supports payments to department-wide services, including Washington Technology Solutions (WA Tech), Office of Financial Management, Department of Enterprise Services, Washington State Patrol, Human Rights Commission, State Archives, General Administration, the State Auditor, the Attorney General, and Administrative Hearings.

Account FY 2026 FY 2027 Biennium Total
FTE
001 - General Fund
State 82,964,000 68,511,000 151,475,000
Federal 17,723,000 20,618,000 38,341,000
Family Support/Child Welfare 4,074,000 4,035,000 8,109,000
Medicaid Federal 9,006,000 9,099,000 18,105,000
Temporary Assistance for Needy Families 1,515,000 1,515,000 3,030,000
FY 2026 FY 2027 Biennium Total
FTES
GFS 82,964,000 68,511,000 151,475,000
Other 32,318,000 35,267,000 67,585,000
Totals 115,282,000 103,778,000 219,060,000

Expected Results

The department will make timely accurate payments for the support services rendered by its government partners.

P001 - Division of Information Technology

The Division of Information Technology (DIT) offers a comprehensive array of IT services across multiple domains to support the organization's needs. Services include Networking & Infrastructure services including network management, telephony, and state data center operations; Data & Document Management including imaging and document handling; IT Support & Service Desk functions providing helpdesk and remote assistance; Application & Remote Access services including Active Directory and infrastructure applications; Production Control & Transaction Services; Enterprise IT & Architecture services, which encompass project management, enterprise architecture, and business analysis; IT Security & Compliance to safeguard information and mitigate network risks; Executive & Administrative Services focused on IT leadership and strategic direction. Together, these services promote effective IT governance, enhance operational efficiency, and ensure alignment with the organization’s strategic objectives.

Account FY 2026 FY 2027 Biennium Total
FTE 695 695 695
001 - General Fund
State 69,591,000 69,641,000 139,232,000
Federal 28,247,000 28,303,000 56,550,000
Medicaid Federal 14,996,000 15,051,000 30,047,000
Temporary Assistance for Needy Families 209,000 215,000 424,000
FY 2026 FY 2027 Biennium Total
FTES 695.4 695 695.2
GFS 69,591,000 69,641,000 139,232,000
Other 43,452,000 43,569,000 87,021,000
Totals 113,043,000 113,210,000 226,253,000

Expected Results

Provide an efficient and secure wide area network (WAN) and electronic messaging system; develop and maintain data security, disaster recovery and information technology (IT) policy and best practice for DSHS; administer and maintain the DSHS enterprise architecture and IT Portfolio programs, provide telephony, mainframe processing, internet/intranet and other supporting services.

Q001 - Consolidated Business Services

The three regional Consolidated Business Service offices provide business support to offices in the field while reporting directly to headquarters. These consolidated business centers provide budget-related functions, accounting, purchasing, fixed asset management, facilities management, vehicle management, and time and attendance for all DSHS programs. CBS staff at 24/7 facilities provide Local Funds management, and warehousing services in addition to the services listed above. The Consolidated Maintenance and Operations (CMO) division manages corrective and preventative maintenance at each of the 24/7 facilities.

FY 2026 FY 2027 Biennium Total
FTES 149.4 149.4 149.4
GFS
Other
Totals

Expected Results

Increase operating efficiency while decreasing administrative costs that leads to fewer service disruptions for our most vulnerable citizens.