Department of Social and Health Services - Long Term Care
| Average Annual FTEs | Near General Fund State | Other Funds | Total Funds | |
|---|---|---|---|---|
| (Dollars in Thousands) | ||||
| Current Budget | 2,526.8 | 3,393,737 | 5,193,918 | 8,587,655 |
| 2021-23 Maintenance Level | 2,532.6 | 3,293,502 | 5,117,616 | 8,411,118 |
| Difference from Original | 5.8 | (100,235) | (76,302) | (176,537) |
| % Change from Original | 0.23% | (3.0%) | (1.5%) | (2.1%) |
2021-23 Policy Other Changes |
||||
| Enhanced FMAP | 0.0 | (202,163) | 202,163 | 0 |
| Personal Protective Equipment | 0.0 | 108 | 100 | 208 |
| Translation Service Rates | 0.0 | 149 | 131 | 280 |
| Acute Care Hospital Capacity | 0.0 | 18,511 | 17,667 | 36,178 |
| 2021-23 Policy Other Changes Total | 0.0 | (183,395) | 220,061 | 36,666 |
| Total Policy Changes | 0.0 | (183,395) | 220,061 | 36,666 |
| Policy Level | 2,532.6 | 3,110,107 | 5,337,677 | 8,447,784 |
| Difference from Original | 5.8 | (283,630) | 143,759 | (139,871) |
| % Change from Original | 0.23% | (8.4%) | 2.8% | (1.6%) |
Policy Changes
Enhanced FMAP
The federal Families First Coronavirus Response Act authorized additional federal matching funds (FMAP) for the duration of the public health emergency. State funds are reduced, and Medicaid funding is increased to reflect an additional 6.2% federal Medicaid matching rate from January 1, 2023 through June 30, 2023. (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Personal Protective Equipment
Funding is provided to cover the increased costs incurred for personal protective equipment during the COVID-19 pandemic. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Translation Service Rates
Funds are provided for translation services to clients in federally required languages through a contracted vendor. (General Fund - Medicaid Federal, General Fund - State, General Fund - Cash, other funds)
Acute Care Hospital Capacity
Funding is provided to address the Harborview acute care hospital bed capacity crisis. This includes contracted nursing staff, both for the whole long-term care system of nursing facility providers and specifically for Harborview Medical Center (HMC) nursing home bed readiness facilities. Additionally, funding is included for incentive payments for complex clients transitioning from HMC to a skilled nursing facility or assisted living facility and the creation of 10 slots for non-citizens to transition them from HMC more quickly. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - State, other funds)
