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2011-2013 Biennial Budget
Regional Stakeholder/Partner Meetings
July 2011
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Department
Vision
Mission
Core Set of Values
Economic Situation
Slow economic recovery
Disappointing revenue forecasts
Increasing caseloads
Concerns for our clients, and your own families’ financial futures
Reduce spending while providing core services to Washington’s most
vulnerable residents
Continue sharing your ideas not only on how to reduce costs, but on how
we can do business more efficiently and effectively continue to explore
options for more partnering, shared responsibilities and streamlining
business practices
Reset of government in response to the Great Recession
One Position the Department and the state of Washington for a strong recovery
Department
Vision
Mission
Core Set of Values
Department Framework
Does the activity need to be paid for with state general funds?
Should users pay a portion of the costs?
Find and maximize efficiencies and savings within contracts and
operations.
Controlling the long-term growth of the Department’s general fund
budget.
Taking actions to improve performance and control expenditures.
Strengthen and expand existing home and community based service
delivery systems.
Provide integrated case management services to high need/high cost
individuals served by the Department.
Managing and measuring for results.
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Department Preserving services for the most vulnerable.
Vision
Mission
Core Set of Values
2011-13 Biennial Budget Highlights
Policy level reductions total $621 million GF-State
for the 2011-13 Biennium.
FTE appropriation is reduced by 651.9 for the
2011-13 Biennium.
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Department
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Mission
Core Set of Values
Key Additions
Community investments in Developmental Disabilities -
$10 million GF-State
Expanded participation in evidence-based programs by
the Juvenile Rehabilitation Administration - $1 million
GF-State
Additional resources are provided for fraud
investigations through the Performance Audits of
Government Account-State - $900,000
Vulnerable Adults/Adult Family Home Quality Assurance
- $1.5 million total funds
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Department
Vision
Mission
Core Set of Values
Department of Social and
Health Services
2011-13
Biennial Budget Details
by Program
One Includes: 2ESHB 1087
Excludes: Medicaid Purchasing Administration
Department
Vision
Mission
Core Set of Values
Agency Wide Reduction
2011-13 Biennial Budget
Medical Purchasing Administration : ($4,395)m GF-State, ($5,977)m Other
Funds, (803.6) FTEs
The Medical Purchasing Administration and all responsibilities related to the
administration of the Medicaid program are transferred to and become part of the
Health Care Authority (HCA). Several responsibilities that had been shared between
programs/divisions of DSHS will continue to be shared between the Health Care
Authority and DSHS. These programs including Long Term Care, Developmental
Disabilities, Alcohol and Substance Abuse, and Mental Health will remain with DSHS.
3% State Employees Pay Cut: ($41.0) m GF-State, ($15.4)m Other
Funding is reduced for employee salaries by 3 percent, excluding employees earning less than
$2,500 per month.
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Department
Vision
Mission
Core Set of Values
Agency Wide Reduction
2011-13 Biennial Budget
Suspend Plan 1 Uniform Cost of Living Adjustment (COLA): ($23.3)m GF-
State, ($8.6)m Other
Future automatic benefit increases in the Public Employees' Retirement System Plan 1 are stopped.
The basic minimum benefit amount is not affected, and the alternative minimum benefit is raised
to $1,500 per month.
Management Efficiency and Administrative Reductions: ($18.3)m GF-State,
($4.1)m Other
Funding to the Agency is reduced to reflect management and administrative reforms. This
represents a 7-10 percent reduction for programs over the biennia.
Workers Comp Changes: $7.1m GF-State, $3.1m Other
Medical Aid and Industrial Insurance rates increased. Funding for these increased workers
compensation costs was provided.
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Department
Vision
Mission
Core Set of Values
Children’s Administration
2011-13 Biennial Budget
Reduce Regional Staffing: ($6.4)m GF-State, ($10.2)m Other
The Children's Administration (CA) will reduce 244.0 FTE to achieve savings. This reduction is a
continuation from the 2011 Supplemental Budget.
Medicaid Treatment Child Care (MTCC): ($5.0)m GF-State, ($4.3)m Other
Through agreement funding for MTCC is transferred from the CA to the Department of Early
Learning. MTCC provides intensive child development services to young children. This
reduction is a continuation from the 2011 Supplemental Budget.
No impact to clients – program transferred to DEL.
Private Agency Fees: ($2.7)m GF-State, ($0.5)m Other
The fees paid to private agencies are reduced. The CA contracts with private agencies for
services for family foster homes, including case management and intensive case management
fees for each child placed in a privately licensed foster home. Each fee includes foster parent
recruitment, support, monitoring and certification.
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Department
Vision
Mission
Core Set of Values
Juvenile Rehabilitation Administration
2011-13 Biennial Budget
Reduce Parole Services: ($3.7)m GF-State
Funding is reduced for parole services by reducing rates paid for diagnostic services and
amounts budgeted for client services. This reduction is a continuation from the 2011
Supplemental Budget.
Youth will receive services at a reduced level of frequency.
Close Maple Lane School: ($3.3)m GF-State
Maple Lane School in Rochester will close at the end of Fiscal Year 2011. These savings occur as
a result of the closure.
184 Beds are reduced due to caseload, minimum early release, and transfers to Green Hill
School and Echo Glen Children’s Center .
Reduce Juvenile Rehabilitation Administration (JRA) Institution Costs:
($4.6)m GF-State
The JRA will make reductions at the state-run institutions.
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Department
Vision
Mission
Core Set of Values
Mental Health
2011-13 Biennial Budget
Close Western State Hospital (WSH) Ward: ($6.6)m GF-State
The number of patients who can receive treatment at WSH under the state's civil commitment
laws was reduced in October 2010, by closing a hospital ward. This reduction is a continuation
from the 2011 Supplemental Budget.
Bed capacity will be reduced by 30.
Reduce Regional Support Network (RSN): ($8.7)m GF-State
Community mental health allocations for persons and services not eligible for federal Medicaid
matching funds are reduced by 3.5 percent. RSNs will prioritize between crisis response,
involuntary commitment, emergency hospitalization, and residential support services. This
reduction is a continuation from the 2011 Supplemental Budget.
26,000 clients could receive fewer non-crisis services.
RSN Medicaid Rates: ($8.7)m GF-State, ($8.7)m Other
RSN Medicaid capitation rates are reduced 3 percent, or to the bottom of the federally-
allowable rate range, reducing state and federal funds for community mental health services
One by an average of 2.3 percent.
Department
Vision
Mission
Core Set of Values
Alcohol & Substance Abuse and
Vocational Rehabilitation
2011-13 Biennial Budget
Reduce Chemical Dependency Services: ($7.1)m GF-State
Outpatient and residential services for low income individuals who do not qualify for other
state programs, non-federally matched services for individuals on Medicaid or receiving
medical care through the 1115 waiver, and the associated state and county administration is
reduced by approximately 11 percent. This reduction is a continuation from the 2011
Supplemental Budget.
Approximately 1,443 clients a year needing chemical dependency treatment services may
not be served.
Basic Support Grant : ($2.5)m GF-State, ($9.2)m Other
Across-the-board reductions are made to the Division of Vocational Rehabilitation (DVR),
reducing GF-State expenditures while still meeting the Federal Maintenance of Effort (MOE)
requirements. This reduction is a continuation from the 2011 Supplemental Budget.
The opportunity to provide employment services to approximately 3,000 individuals with
barriers to employment will not be realized.
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Department
Vision
Mission
Core Set of Values
Developmental Disabilities
2011-13 Biennial Budget
Provide Community Placements: $5.6m GF-State, $5.4m Other
Funding is provided for out-of-home community residential placements for 58 individuals with
developmental disabilities. These clients have been identified as aging out of foster care, ready for
discharge from juvenile rehabilitation and mental health institutions, or ready for release from the
Department of Corrections.
Individuals will receive services in a community setting.
Reduce Personal Care Hours: ($14.4)m GF-State, ($14.4)m Other
Personal care provides assistance with activities of daily living to individuals who meet functional
and financial eligibility. Clients personal care services hours will be reduced 6 to 18 percent
depending on acuity. This reduction is a continuation of the 2011 Supplemental Budget.
43,000 persons with disabilities or long term care needs will receive a reduced level of personal
care hours each month.
Delay Mandatory Training: ($13.2)m GF-State, ($10.7)m Other
Mandatory increases and enhancements to training, new certification requirements, and federal
fingerprint background checks for long term care workers are delayed until the 2013-15 Biennium.
One This reduction is a continuation from the 2011 Supplemental Budget.
Providers will not receive additional fund to provide expanded in-home training.
Department
Vision
Mission
Core Set of Values
Developmental Disabilities
2011-13 Biennial Budget
Modifications to Employment and Day Services : ($2.9)m GF-State
Several changes are made to employment and day services for clients with developmental
disabilities and the adult working policy will be reformed. Clients currently receiving adult day
health services may continue to do so by moving to a long term care waiver program or may
choose to receive employment or community access services through a developmental
disability waiver program.
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Department
Vision
Mission
Core Set of Values
Long Term Care
2011-13 Biennial Budget
Nursing Home (NH) Quality Incentive Payments: ($3.2)m GF-State, $172.8m
Other
NHs will be required to pay a Skilled Nursing Facility Safety Net Assessment. These funds will be
used to leverage federal Medicaid matching funds that will be used to increase rates to most
providers.
166 NHs will be assessed a per bed fee.
Reduce Personal Care Hours: ($73.9)m GF-State, ($73.9)m Other
Personal care provides assistance with activities of daily living to individuals who meet functional
and financial eligibility. Clients personal care services hours will be reduced an average of 10
percent. Clients with lower need levels will have a larger proportional reduction than those with
higher needs.
43,000 persons with disabilities or long term care needs will receive a reduced level of personal
care hours each month.
Delay Mandatory Training: ($14.1)m GF-State, ($11.0)m Other
Mandatory increases and enhancements to training, new certification requirements, and federal
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fingerprint background checks for long term care workers are delayed until the 2013-15 Biennium.
This reduction is a continuation from the 2011 Supplemental Budget.
Department
Vision
Providers will not receive additional funds to provide expanded in-home training.
Mission
Core Set of Values
Long Term Care
2011-13 Biennial Budget
Modifications to Employment and Day Services : ($8.6)m GF-State
Several changes are made to employment and day services for clients with developmental
disabilities and the adult working policy will be reformed. Clients currently receiving adult day
health services may continue to do so by moving to a long term care waiver program or may
choose to receive employment or community access services through a developmental disability
waiver program.
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Department
Vision
Mission
Core Set of Values
Economic Services Administration
2011-13 Biennial Budget
Eliminate Child Support Pass Through: ($18.8)m GF-State, ($18.8)m Other
Funding is reduced to reflect the suspension of the child support pass through which was
authorized under the federal Deficit Reduction Act of 2005. This reduction is a continuation
from the 2011 Supplemental Budget.
Approximately 14,000 TANF families will not receive an average of $114 in child support pass-
through payments each month.
Reduce Disability Lifeline (DL) Grant: ($100.3)m GF-State
The budget continues the reductions made in Fiscal Year 2011 to DL cash grants. In Fiscal Year
11, the monthly cash grant for all DL recipients was reduced by 42 percent.
About 36,000 persons receive a DL cash grant each month.
Disability Lifeline (DL): ($79.5)m GF-State
Engrossed Substitute House Bill 2082 ends the DL program effective October 31, 2011, and
creates three new programs effective November 1, 2011: (1) Aged, Blind or Disabled
Assistance, (2) Pregnant Women Assistance, and (3) Essential Needs and Housing Support.
One About 19,000 persons will lose their DL-U cash grant but will continue to receive medical
assistance.
Department
Vision
Mission
Core Set of Values
Economic Services Administration
2011-13 Biennial Budget
State Food Assistance: ($30.3)m GF-State
Funding is reduced to reflect a reduction in benefit amounts for clients eligible for the State
Food Assistance Program. The current implementation timeline is not yet determined due to a
preliminary injunction in federal court.
About 14,000 people in 10,000 households may receive less food assistance if the injunction
is lifted.
WorkFirst Changes
ESSB 5921 addresses reforms and changes to Washington’s Temporary Assistance for Needy
Families program. These changes and further development of WorkFirst Redesign
recommendations will be realized within the framework of the program’s core assumptions, in
balance with current and future fiscal realities and constraints.
Eligible families and children will receive benefits and services enabling them to be on a
pathway out of poverty.
Naturalization and Refugee and Immigrant Services: ($7.3)m GF-State
Funding is reduced for the Naturalization Program and for Refugee Employment Services.
In State Fiscal year 2010, about 345 people each month received Naturalization Services.
One About 3,000 low-income refugees and immigrants received Refugee Employment Services
Department each month.
Vision
Mission
Core Set of Values
Special Commitment Center
2011-13 Biennial Budget
Reduce Administrative Staff: ($3.3)m GF-State
Funding is reduced for administrative staffing positions at the Special Commitment Center.
(SCC).
Fund McNeil Island Operations: $6.1m GF-State
McNeil Island Corrections Center closed April 1, 2011. The funding necessary for marine and
island operations is transferred from the Department of Corrections to the Department of
Social and Health Services. This is a continuation from the 2011 Supplemental Budget.
Reduce Secure Community Transitional Facilities (SCTF) Staffing Ratios:
($3.8)m GF-State
Legislation reduced staffing levels for the SCTF in Pierce and King Counties. This reduction is a
continuation from the 2011 Supplemental Budget.
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Department
Vision
Mission
Core Set of Values
Administration and Supporting Services &
Payments to Other Agencies
2011-13 Biennial Budget
Eliminate Family Policy Council: ($2.8)m GF-State
Eliminate Council for Children and Families: ($2.1)m GF-State, ($0.4)m
Other
Second Substitute House Bill 1965 (adverse experiences/children) eliminates the Family Policy
Council and the Council for Children and Families effective July 1, 2012, and creates a new
public-private partnership aimed at reducing adverse childhood experiences.
Interagency Charges - AG: $2.9m GF-State, $1.2m Other
Funding levels reflect anticipated changes in billings for services provided by the Office of the
Attorney General.
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Department
Vision
Mission
Core Set of Values
Questions, Comments and
Suggestions
Questions on Budget
Implementation Issues or Suggestions
Ideas for the Agency’s 2012 Supplemental Budget Request
Other questions, comments or suggestions
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Department
Vision
Mission
Core Set of Values
Shared Leadership & Responsibility
Continue helping people transform their lives, decreasing
poverty, increasing health status and educational and
employment success .
State government shares responsibility for the work of
social services with communities and with partners like
you.
We must work together to leverage resources and
opportunities
Not just reducing; but resetting for the future
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Department
Vision
Mission
Core Set of Values
Shared Leadership & Responsibility
Emerging from difficult economic times better positioned
to succeed.
We will work with you to help free up resources.
History will judge our leadership, creativity and ability to
envision a different future.
Thank for all you do each day to serve and represent our
citizens who depend on us.
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Department
Vision
Mission
Core Set of Values
Further Information
This presentation is available on our website:
http://www.dshs.wa.gov/ppt/ea/BiennialBudget.pptx
Other legislation information can be found at:
DSHS.wa.gov Click on: “DSHS legislative highlights”
And on the Legislative Evaluation & Accountability Program
Committee’s website:
http://leap.leg.wa.gov/leap/Budget/Detail/2011/SOAgencyDetail0
524.pdf
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Department
Vision
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Core Set of Values
