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 | 2,292.1 | 2,768,011 | 3,655,547 | 6,423,558 |
| 2019-21 Maintenance Level | 2,333.7 | 2,749,078 | 3,628,397 | 6,377,475 |
| Difference from 2017-19 | 41.6 | (18,933) | (27,150) | (46,083) |
| % Change from 2017-19 | 1.8% | (0.7%) | (0.7%) | (0.7%) |
2019-21 Policy Other Changes |
||||
| Consumer Directed Employer Program | 4.7 | 14,738 | 15,715 | 30,453 |
| Restore Workload/Lease Funding | 49.7 | 9,408 | 5,473 | 14,881 |
| Asset Verification System | 2.6 | 504 | 503 | 1,007 |
| Service Plan Signatures | 10.5 | 3,045 | 3,087 | 6,132 |
| Agency Provider Parity Definitions | 0.0 | 439 | 559 | 998 |
| Restore NH Discharge Reduction | 0.0 | 9,489 | 8,213 | 17,702 |
| Nursing Home Rate Increase | 0.0 | 15,255 | 15,254 | 30,509 |
| Essential IT Service Impacts | 0.0 | 216 | 193 | 409 |
| 2019-21 Policy Other Changes Total | 67.5 | 53,094 | 48,997 | 102,091 |
2019-21 Policy Comp Changes |
||||
| PERS & TRS Plan 1 Benefit Increase | 0.0 | 36 | 31 | 67 |
| 2019-21 Policy Comp Changes Total | 0.0 | 36 | 31 | 67 |
| Total Policy Changes | 67.5 | 53,130 | 49,028 | 102,158 |
| 2019-21 Policy Level | 2,401.2 | 2,802,208 | 3,677,425 | 6,479,633 |
| Difference from 2017-19 | 109.1 | 34,197 | 21,878 | 56,075 |
| % Change from 2017-19 | 4.8% | 1.2% | 0.60% | 0.87% |
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 regular 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)
Restore NH Discharge Reduction
Funding is provided to fully fund the expected cost of nursing home services as projected in the November forecasts. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - State, other funds)
Nursing Home Rate Increase
Funding is provided to better align nursing facility Medicaid payment rates with facility operating costs by moving to an annual rate rebase and adding an economic inflation factor. (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)
