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Department of Social and Health Services - Developmental Disabilities

  Average Annual FTEs Near General Fund State Other Funds Total Funds
  (Dollars in Thousands)
Current Budget 1,411.7 1,785,920 1,878,182 3,664,102
2019-21 Maintenance Level 1,425.7 1,779,121 1,857,514 3,636,635
Difference from 2017-19 14.0 (6,799) (20,668) (27,467)
% Change from 2017-19 0.99% (0.4%) (1.1%) (0.7%)

2019-21 Policy Other Changes

Consumer Directed Employer Program 0.50 5,281 5,962 11,243
Restore Workload/Lease Funding 8.2 1,328 976 2,304
Asset Verification System 0.20 45 44 89
Service Plan Signatures 6.4 893 656 1,549
Agency Provider Parity Definitions 0.0 75 96 171
DD Continuum of Care Workgroup 1.2 180 120 300
Dan Thompson Community Investments 0.0 0 1,000 1,000
Family Mentorship Program 0.0 225 0 225
Cross Agency Complex Youth 14.6 1,858 1,598 3,456
Expanded SOLA Options 16.2 1,723 1,636 3,359
Essential IT Service Impacts 0.0 323 224 547
2019-21 Policy Other Changes Total 47.3 11,931 12,312 24,243

2019-21 Policy Comp Changes

PERS & TRS Plan 1 Benefit Increase 0.0 49 41 90
2019-21 Policy Comp Changes Total 0.0 49 41 90
Total Policy Changes 47.3 11,980 12,353 24,333
2019-21 Policy Level 1,473.0 1,791,101 1,869,867 3,660,968
Difference from 2017-19 61.3 5,181 (8,315) (3,134)
% Change from 2017-19 4.3% 0.29% (0.4%) (0.1%)

Policy Changes

Consumer Directed Employer Program

Funding is provided to continue the implementation of ESSB 6199, an act relating to the Consumer Directed Employer (CDE) program. This bill was enacted during the 2018 legislative session and requires DSHS to contract with up to two CDE vendors to be the legal employer of individual providers (IPs) for the purpose of performing administrative functions. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

Restore Workload/Lease Funding

Funding is provided to fully fund increased staff and lease costs associated with caseload growth as projected in the November forecasts. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

Asset Verification System

Funding and FTEs are provided to continue the implementation of a federally-compliant asset verification system for asset-based Medicaid eligibility decisions. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

Service Plan Signatures

Funding is provided to implement new processes necessary to ensure compliance with federal requirements to collect provider signatures on all service care plans. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

Agency Provider Parity Definitions

Funding is provided for employer taxes for home care agency providers. This item supports agency request legislation which seeks to change agency parity methodology so that future parity will provide sufficient funding to home care agencies to pay required employer taxes rather than an award calculated for individual providers (IP) who have a lower tax liability. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

DD Continuum of Care Workgroup

Funding is provided solely for the department to advance the recommendations of the "Rethinking Intellectual Disability Policy to Empower Clients, Develop Providers and Improve Services" Ruckelshaus report. The purpose of this work is to design and implement a modern, community-focused, person-centered and individualized service delivery system for individuals who currently reside in residential habilitation centers, with an emphasis on investments in community residential service options, including services and options for those with complex behavioral needs. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

Dan Thompson Community Investments

This item funds family support and/or employment/day services for eligible persons with developmental disabilities who can be served by community-based developmental disability services. (Developmental Dis Comm Trust Acct - State)

Family Mentorship Program

Funding is provided to increase the family mentorship program by 50 percent, which will help connect families with loved ones in institutional settings with families who have successfully transitioned into a community setting. (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - State, other funds)

Cross Agency Complex Youth

This item adds two new children's state-operated living alternative (SOLA) homes to serve youth age 20 and younger. These individuals are no longer eligible for residential habilitation center admission and are not able to successfully transition to out-of-home residential placements because suitable community options do not exist. These SOLA homes will house six children and be phased in by June 30, 2021. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

Expanded SOLA Options

This funding will provide nine community residential placements in three (SOLAs) for adults seeking a community placement. Placements will be phased in by June 30, 2021. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)

Essential IT Service Impacts

One-time funding is provided to maintain current information technology service levels and avoid adverse impacts to clients. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - State, other funds)

PERS & TRS Plan 1 Benefit Increase

For eligible Public Employees' and Teachers' Retirement Systems Plan 1 members, this item provides an increase of 1.5 percent, up to a maximum of $22 per month. (General Fund - Federal, General Fund - State)