Department of Social and Health Services Detail for Governors Directed Freeze/1% Cuts/November Reduction/and Federal Contingency and Waivers Saturday, January 10, 2009 Workbook Sheet Totals Rec-Sum Totals Spreadsheet Totals Differences Governors Directed Freeze 19,600,000 16,510,000 3,090,000 Governors Directed 1% Cut 39,404,000 43,707,000 -4,303,000 Governors Directed November Reduction 55,139,000 51,104,166 4,034,834 Federal Funds 330,796,000 333,649,000 -2,853,000 444,939,000 444,970,166 -31,166 Governors Directed Freeze Program 10 20 30 40 50 60 70 80 100 110 135 Total Governors Directed 1% Cut Program 10 20 30 40 50 60 70 80 100 110 135 Total
Rec-Sum 0 1,340 1,800 1,330 3,340 3,980 420 3,540 120 2,410 1,320 19,600
Worksheet 0 1,340 1,515 1,204 677 3,980 420 3,524 120 2,410 1,320 16,510
Difference
Explanation 0 0 285 Difference picked-up in 1% Reduction 126 Difference picked-up in 1% Reduction 2,663 Difference picked-up in 1% Reduction 0 0 16 0 0 0 3,090
Rec-Sum 0 602 3,551 3,281 1,050 8,340 10,140 10,930 1,020 60 430 39,404
Worksheet 0 602 3,836 3,294 5,055 8,340 10,140 10,930 1,020 60 430 43,707
Difference
Explanation 0 0 -285 Overage to cover Freeze and November shortage -13 Overage to cover Freeze and November shortage -4,005 Overage to cover Freeze shortage in both 040 and 050 0 0 0 0 0 0 -4,303
Governors Directed November Reduction Program Rec-Sum 10 20 30 40 50 60 70 80 100 110 135 Total
Worksheet 3,000 2,367 9,413 1,537 2,216 7,505 5,053 23,548 0 0 500 55,139 3,000 2,797 9,413 1,250 1,213 7,105 2,279 23,548 0 0 500 51,105
Difference
Explanation 0 -430 0 287 Difference picked-up in 1% Reduction 1,003 Difference picked-up in 1% Reduction 400 2,774 Difference picked-up in Federal Funding 0 0 0 0 4,034
Governors Budget (Federal Stimulus/One-Time General Fund/TANF Contingency Funds) Program Rec-Sum Worksheet Difference 133,190 60 133,190 19,753 70 17,000 3,100 100 3,000 177,606 ALL 177,606 Total 333,649 330,796
Explanation 0 -2,753 Overage to cover November shortage -100 0 -2,853
GOVERNOR DIRECTED FREEZE item 010 None description of item how One -time or On-going Effective Date NGFS savings $0 Federal $0 Notes
Target NGFS 0 GFF 0
020 Staff Reduction and related expenditures
JRA implemented a hiring freeze on positions that were not included in the Governor's Hiring Freeze/Vacancies; Admin improved exceptions (90%). Freeze on (travel, etc) restrictions & equipment, Personal Services contracts and reductions out of state travel (10%). Across abroad reductions were also implemented
One-Time
Immediate
$1,340,000
$0
1,340
0
030 Western State Hospital Vacancies
13.8 FTEs - the majority of the FTE reduction consist of grounds staff while some do provide direct services. 8.5 FTEs - the majority of the FTE reduction consist of grounds staff while some do provide direct services. 11 FTEs - Headquarters Staff savings on fuel due to reduced travel savings on freeze of equipment savings due to reduced travel savings due to equipment freeze savings due to travel freeze savings on freeze of equipment
One time
Immediate
$595,000
$0
Eastern State Hospital
Vacancies
One time
Immediate
$186,000
$0
Headquarters Western State Hospital
Vacancies Fuel Consumption Equipment Travel
One time One time One time One time One time One time One time
Immediate Immediate Immediate Immediate Immediate Immediate Immediate
$502,000 $11,000 $50,000 $30,000 $80,000 $33,000 $28,000 $1,515,000
$0 $0 $0 $0 $0 285,000 short but difference $0 picked up in $0 1% reduction worksheet $0
Eastern State Hospital Child Study and Treatment Center TOTAL - Program 030
Equipment Travel Equipment
1,800
0
item 040 Goods & Services, Travel and Equipment Reduction Reduce Medical & Psych Evaluations TOTAL - Program 040
description of item
how
One -time or On-going On-Going
Effective Date 11/1/2008
NGFS savings $877,000
Federal $766,000
Notes
NGFS
GFF
This item represents a 20% reduction from FY Limit & monitor identified 2008 expenditure level for Field Services and expenditures Program Support Refers individuals for evaluations for such things as medication management. Limit & monitor identified expenditures
On-Going
11/1/2008
$327,000 $1,204,000
$82,000 $848,000 1,330 0
050 Equipment Reduction
This item represents a 20% reduction from Limit & monitor identified FY08 expenditure level for HCS Field Services, expenditures RCS Field Services, and LTC Program Support. This item represents a 20% reduction from Limit & monitor identified FY08 expenditure level for HCS Field Services, expenditures RCS Field Services, and LTC Program Support. This item represents a 1% reduction in FY09 FTEs for HCS Field Services, RCS, Field Services, and LTC Program Support. Abolish vacant positions (24 FTEs) throughout Long Term Care and reduce current staffing levels in HCS.
On-Going
10/1/2008
$128,000
$128,000
Travel Reduction
On-Going
10/1/2008
$171,000
$171,000
Staffing Reduction
On-Going
10/1/2008
$378,000
$378,000
TOTAL - Program 050
$677,000
$677,000
3,340
0
060 Staffing Reductions and related expenses
Freeze on hiring, travel, personal services Reduced allotments to divisions contracts, and equipment and other in all areas and held staff to the purchasing. Reductions taken approximately freeze requirements. 40% from staff 56% from goods and services' and 4% equipment.
On-Going
8/1/2008
$3,980,000
$0 3,980 0
070 Hiring Freeze/Vacancy Savings
Hiring Freeze/Vacancy Savings - 5.5 FTEs. These are located in headquarters and consist of both IT and programmatic positions.
Hiring Freeze/Vacancies; Admin (travel, etc) restrictions & reductions
One time
Immediate
$420,000
$298,000 420 0
item
description of item
how
One -time or On-going
Effective Date
NGFS savings
Federal
Notes
NGFS
GFF
080 Hiring Freeze/Vacancy Savings
Savings from hiring freeze. Roughly 32 to 50 position would be used. Majority are FTE Savings currently vacant. Savings estimate based on FY08 and overall program. Limit & monitor all expenditures Limit purchase of equipment Reduce Usage Implement printer management Cut back on RDA work requests Eliminate Benefits Terminate contract - 30 days notification Terminate contract - 30 days notification
Ongoing
Immediate
1,000,000
1,000,000
Anticipated overall budget savings Equipment Reductions Printing Reductions Print Service Contracts savings Reduce RDA budget by 50% Family Planning Supplies
Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing
Immediate Immediate Immediate Immediate Immediate 1/1/2009 1/1/2009
1,000,000 88,000 100,000 12,000 64,000 13,000 1,247,000 3,524,000
1,000,000 88,000 100,000 12,000 64,000 13,000 0 2,277,000 3,540 0
Eliminate Cover All Kids Outreach Terminating outreach activities
100 Staffing Reductions and related expenses
Freeze on hiring which has lead to reduction Positions that were vacant or in workforce and related employee became vacant are remaining expenditures. unfilled.
One-time
Immediate
$120,000
$440,000 120 0
110 Reduction in staff levels (2.2 FTEs), savings due to vacancies, as well as reduction in expenditures for supplies, printing, training and travel. Also, the amount of funding in the contract with the Washington Mentoring Partnership has been reduced by $20k. Positions that were vacant or became vacant are remaining unfilled. Review of expenditures for other categories has been made and reduction efforts put into place.
Executive Management
On-going
Varies
$297,088
$218,500
item
description of item
Management Services Administration
One -time or On-going Positions that were vacant or The majority became vacant are remaining of the savings unfilled. The lease savings are are on-going. Reduction in staff levels (23.8 FTEs), savings due to a late renewal of an However, due to vacancies, as well as reduction in existing lease so we paid at a some of the expenditures for supplies, printing, training, lower rate for several months, savings are leases and travel. Also, the amount of as well as the termination of the only for funding in the contract with HIS Consulting River Road lease effective SFY09, such ($67k) and for Rhodes Consulting Services 3/31/09. Review of as savings ($20k) in connection with the Social Services expenditures for other from Payment System (SSPS) have been reduced. categories such as cell phones, positions due blackberries, etc. has been made to the and reduction efforts put into employee place. being out on how Positions that were vacant or became vacant are remaining unfilled. Review of expenditures for other categories has been made and reduction efforts put into place. How the reduction will be made is up to the discretion of the Executive Director of CCF. How the reduction will be made is up to the discretion of the Staff Director of the FPC. How the reduction will be made is up to the discretion of the Office Chief of GJJAC.
Effective Date
NGFS savings
Federal
Notes
NGFS
GFF
Varies
$1,206,000
$1,048,000
Reduction in staff levels (21.7 FTEs), savings due to vacancies, retirements and Leave Financial Services Administration Without Pay (LWOP). There were also reductions in Goods and Services and Travel.
On-going
Varies
$726,912
$792,500
Council for Children & Families (CCF)
Reduction in overall funding for CCF.
$74,000
$0
Family Policy Council (FPC)
Reduction in overall funding for FPC.
$72,000
$0
Governor's Juvenile Justice Advisory Committee (GJJAC) TOTAL - PROGRAM 110
Reduction in overall funding for CCF.
$34,000
$0
$2,410,000
$2,059,000
2,410
0
item 135
description of item
how RRC 2s (7.0 FTEs) and RRC 3s (3.0 FTEs) (total 10.0 FTEs) positions will be reduced based on the staffing needs of SCC's residential living units. Reducing training programs for internal staff. SCC reduced the base hourly rate for resident wages to a graduated hourly rate tied to residents treatment plans. Eliminating three contracts not critical to SCC program and reducing nursing service contracts. Nursing contracts are being reduced as staff were hired into permanent positions and contract services will be performed by the SCC staff.
One -time or On-going
Effective Date
NGFS savings
Federal
Notes
NGFS
GFF
Implementation of Residential Rehabilitation Counselors (RRCs) Reduction of RRC staff in SCC main facility staff model changes.
On-going
1/1/2009
$475,000
$0
Staff Training
Internal staff training
On-going
7/1/2008
$207,000
$0
Resident Wages
Reduction of resident wages
On-going
7/1/2008
$114,000
$0
Client Service Contracts
Reduction in client contract services
On-going
7/1/2008
$524,000
$0
TOTAL - PROGRAM 135 GRAND TOTAL
$1,320,000 $16,510,000
$0 $6,599,000
1320 $19,600
0 $0
GOVERNOR DIRECTED 1% CUT item 010 None description of item how One-Time or On-Going Effective Date NGFS savings $0 Federal $0 Notes
Targets NGFS 0 GFF 0
020 Consumable Inventories Consumable Inventory
JRA institutions will spend down there consumable inventories for SFY 09 and additional administrative cuts were implemented.
One-time
Varies
$602,000
$0
602
0
030 Western State Hospital Consumable Inventory Savings from lowering the level of consumable inventory One-time Varies $385,000 $0
Eastern State Hospital Consolidated Support Services Community Mental Health Community Mental Health Community Mental Health Total - Program 030
Savings on laundry fire proviso due to lower than expected expenditure Savings from lowering the level of Consumable Inventory consumable inventory Savings from lowering the level of Consumable Inventory consumable inventory Historically under spent - change Savings based on expenditure patterns contract based on historically data. Savings on Jail Services RSNs unspent dollars being sent Savings on Program of Assertive back to state Community Treatment (PACT) Laundry Fire Proviso
One-time One-time One-time One-time One-time One-time
November Varies Varies November November November
$334,000 $416,000 $473,000 $991,000 $321,000 $916,000 $3,836,000
$0 $0 $0 $0 $0 285,000 $0 overage is to offset variance $0 in Hiring Freeze.
3,551
0
item 040
description of item
how
One-Time or On-Going
Effective Date
NGFS savings
Federal
Notes
NGFS
GFF
Require IP for Some AP Clients
Requires an Individual Provider if clients are able to supervise and perform employer functions. Eligibility for Agency Care would be redefined to only those consumers who are unable to hire and supervise an employee. To WAC change filed provide employer responsibilities, Home Care Agencies are paid approximately $5.00 per hour more than the cost of one hour of service from an Individual Provider. For FY09, an adjustment to the accrual process for recording federal revenue the DDD claiming rate will be made. FY09 will have 13 entries posted rather than the standard 12 entries.
On-Going
3/1/2009
$207,000
$216,000
In FY09, DSHS will make a one-time accounting adjustment to the annual One time accounting change regarding reconciliation of the Medicaid claiming the Medicaid claiming rate. rate for federal participation. This will align the federal revenue with our expenditures. Total - Program 040
One-time
6/1/2009
$3,087,000
$0
$3,294,000
$216,000
3,281
0
050
Fair Rental Housing
The 2008 Supplemental budget provided $350,000 for a study on the costs and benefits of moving to a fair rental system for determining capital Did not proceed forward with study. payments to nursing homes. As a cost savings measure, ADSA has halted any further expenditure on this study.
One-Time
10/1/2008
$180,000
$170,000
item
description of item
how
One-Time or On-Going
Effective Date
NGFS savings
Federal
Notes
NGFS
GFF
AFH Dementia
The 2007-09 Biennial budget provided $200,000 for ADSA to contract for a review of a potential AFH dementia Did not proceed forward with study. program. As a cost savings measure, ADSA has halted any further expenditure on this study. The are seven components to the Nursing Home rate - direct care, therapy , support services, operations, property, financing allowance and variable return. The department sets Medicaid Payment rates for Nursing Homes based on client acuity levels, geographic areas, nursing home costs, and legislative cost of living increases. The rates are facility specific. Each Medicaid client acuity level is assessed using Minimum Data Set (MDS). A facility receives a quarterly rate adjustment based upon the service needs or acuity level of its Medicaid residents. This item represents a 3% reduction to nursing home rates. Nursing facility contractors will be impacted.
One-Time
10/1/2008
$100,000
$100,000
Nursing Home - Rates
RCW change is necessary. If not enacted by April 1, 2009, than deeper and earlier cuts will be needed to be taken in other areas of Long Term Care.
On-Going
4/1/2009
$2,400,000
$2,500,000
item
description of item DSHS sets Medicaid Payment rates for Adult Family Homes based on CARE classification levels, geographic areas, benchmarked costs, and legislative cost of living increases. The rates are individual specific. A facility may receive several different rates based upon the service needs of its Medicaid residents. Each Medicaid client is assessed using CARE. CARE determines the need for personal services. This item represents a 3% reduction to the 17 level payment system used in setting rates for Adult family Homes. Adult Family Home contractors will be impacted. DSHS sets Medicaid Payment rates for Boarding Homes based on CARE classification levels, geographic areas, benchmarked costs, and legislative cost of living increases. The rates are individual specific. A facility may receive several different rates based upon the service needs of its Medicaid residents. Each Medicaid client is assessed using CARE. CARE determines the need for personal services. This item represents a 3% reduction to the 17 level payment system used in setting rates for Boarding Homes. Assisted Living and Adult Residential Care Center contractors will be impacted.
how
One-Time or On-Going
Effective Date
NGFS savings
Federal
Notes
NGFS
GFF
Adult Family Home - Rates
Emergency WAC = 30 days, for a likely effective date of 3/1/2009 and a savings of $600,000 GF-State. Normal WAC = 120 days, for a likely effective date of 5/1/2009 and a savings of $300,000 GF-State. Programs cannot submit emergency WACs, therefore, the implementation will most likely be 5/1/09.
One-Time
5/1/2009
$300,000
$325,000
Boarding Home - Rates
Emergency WAC = 30 days, for a likely effective date of 3/1/2009 and a savings of $750,000 GF-State. Normal WAC = 120 days, for a likely effective date of 5/1/2009 and a savings of $375,000 GF-State. Programs cannot submit emergency WACs, therefore, the implementation will most likely be 5/1/09.
One-Time
5/1/2009
$375,000
$400,000
item
description of item This item requires an Individual Provider if clients are able to supervise and perform employer functions. Eligibility for Agency Care would be redefined to only those consumers who are unable to hire and supervise an employee. To provide employer responsibilities, Home Care Agencies are paid approximately $5.00 per hour more than the cost of one hour of service from an Individual Provider. The caseload for individual providers will likely increase and agency providers will decrease.
how
One-Time or On-Going
Effective Date
NGFS savings
Federal
Notes
NGFS
GFF
Require IP for Some AP Clients
Emergency WAC = 30 days, for a likely effective date of 3/1/2009 and a savings of $3.4 million GF-State. Normal WAC = 120 days, for a likely effective date of 5/1/2009 and a savings of $1.7 million GF-State. Programs cannot submit emergency WACs, therefore, the implementation will most likely be 5/1/09.
On-Going
5/1/2009
$1,700,000
$1,750,000
TOTAL - Program 050
$5,055,000
$5,245,000
1,050
0
060
Administrative Reductions
Additional administrative savings (16%); higher than forecasted SSI recoveries doe to availability of better Administrative changes between data to predict recoveries (46%); and DEL and larger than forecasted DEL expend additional ECEAP funds as recoveries. CCDF match allowing ESA to save GFS Match and spend TANF (38%).
On-going
8/1/2008
$8,340,000
$0
8,340
0
070 Reduce state only low-income treatment and detox
Reduces state funding by approximately 50% for treatment and detox services for low incomes clients Terminate contract - 30 days in both outpatient and residential notification settings; affects county and residential contracts
On-going
2/1/2009
$10,140,000
$0
10,140
0
item
description of item
how
One-Time or On-Going
Effective Date
NGFS savings
Federal
Notes
NGFS
GFF
080
Drug Rebate Accounting Adjustment Claim FMAP for Transportation Administrative Costs Eliminate Foster Care Nurse Hotline Eliminate Medicaid Asthma In-Home Pilot Eliminate Senior Dental Pilot Eliminate Center for Foster Care Health Eliminate Chronic Care Management Contracts Eliminate Medicare Part C Premium Coverage Eliminate Family Planning Nurses in CSOs Eliminate Adult Day Health Transportation Eliminate New Parent Support Services (MSS) Total - Program 080
Increase collection above forecast Additional federal match Eliminate benefit Eliminate benefit Eliminate benefit Eliminate benefit Eliminate benefit Eliminate benefit Eliminate nurses in CSOs Eliminate benefit Reduce benefit by 5%
OFR to increase collection effort CBO estimate SPA submitted to CMS on 12/22/08 Eliminate benefit Eliminate benefit Eliminate benefit Eliminate benefit Eliminate benefit Eliminate benefit Eliminate nurses in CSOs Eliminate benefit Resize benefit to clients
One-time On-Going On-Going On-Going On-Going On-Going On-Going On-Going On-Going On-Going On-Going
Immediate Immediate 1/1/2009 1/1/2009 1/1/2009 1/1/2009 1/1/2009 2/1/2009 2/1/2009 4/1/2009 4/1/2009
$8,000,000 $350,000 $44,000 $134,000 $50,000 $144,000 $53,000 $308,000 $240,000 $1,320,000 $287,000 $10,930,000
$8,000,000 ($350,000) $44,000 $0 $50,000 $149,000 $53,000 $0 $2,160,000 $1,320,000 $276,000 $11,702,000 10,930 0
100
Spend federal carry over funds first
DVR will spend 100% federal carry over funds from our FFY 08 grant until the carry over is spent. For FFY DVR met it's state match in September 09, DVR will not have sufficient GFS which allowed us to carry over to meet our full match and MOE approximately $20 million federal requirement thus reducing the grant funds. dollars available. The FFY 08 federal carry over funds will offset this reduction.
One-time
immediate
$1,020,000
$0
1,020
0
item 110 Management Services Administration
description of item
how
One-Time or On-Going
Effective Date
NGFS savings
Federal
Notes
NGFS
GFF
Reduction in staff levels. (1.0 FTE)
Positions that were vacant or became vacant are remaining unfilled.
On-going
Varies
$60,000
$0
60
0
135 Staff Positions
One administrative position (1.0 Three staff positions that are currently FTE) and two direct services vacant, will not be filled in FY 09. positions (2 FTEs) will be held as vacant positions to save dollars. Nursing contracts are being reduced as staff were hired into permanent positions to perform those contract services.
One-time
7/1/2008
$340,000
$0
Nursing Contract
Contract Nursing services are being reduced.
On-going
7/1/2008
$90,000
$0
Total - Program 135
$430,000
$0
430
0
GRAND TOTAL
$43,707,000
$17,163,000
$39,344
$0
GOVERNOR DIRECTED NOVEMBER REDUCTION item 010 Pay only for filled Secure Crisis Residential Center (SCRC) beds description of item Currently SCRC providers are paid a daily rate for a bed regardless if it is filled. The contracts will be amended to pay for the number of beds that match FY08 utilization rates. how One-Time or On-Going Effective Date NGFS savings Federal Notes
TARGETS NGFS GFF
Amend contracts One-Time 2/15/2009 $1,200,000 $0
Rescind FY 09 BRS VRI for 5 months
The 5% FY09 rate increase will be rescinded Amend contracts for BRS providers starting in February 2009. Private Agencies will receive a 5% rate reduction. Negotiations still in process. MTCC providers will receive a 5% rate reduction. Negotiations still in process. IFPS providers will receive a 5% rate reduction. Negotiations still in process. FC Child Aides will receive a 5% rate reduction. Negotiations still in process. Amend contracts
One-Time One-Time
2/1/2009 3/1/2009 2/15/2009 3/1/2009 3/1/2009
$1,400,000 $180,000 $90,000 $70,000 $50,000
$524,000 $30,000 $34,000 $0 $10,000
5% Rate Reduction for Private Agencies 5% Rate Reduction for MTCC providers 5% Rate Reduction for IFPS providers 5% Rate Reduction for FC Child Aides 5% Rate Reduction for Group Receiving Centers TOTAL - PROGRAM 010
Amend contracts Amend contracts
One-Time One-Time
Amend contracts
One-Time
Group Receiving Centers will receive a 5% Amend contracts rate reduction. Negotiations still in process.
One-Time
3/1/2009
$10,000 $3,000,000
$2,000 $600,000
3,000
600
020
Reduce County contracts
Use projected under expenditures.
Amend contracts
One-Time
Immediate
$1,100,000
$0
Eliminate evidence based enhancement in County contracts
JRA received funds to past to the counties in the 07-09 bien. To expand it's evidence based programs. A portion of the Amend contracts expansions has been reduced by approximately 75%. JRA received funds in the 07-09 bien. To expand it's evidence based programs. JRA will not implement a portion of the expanded programs
One-Time
2/1/2009
$767,000
$0
Eliminate evidence based enhancement in institutions
Freeze these funds One-Time Immediate $500,000 $0
Across the board reductions
Additonal reduction: Contracts, Goods and Services
Freeze these funds
One-Time
2/1/2009
$330,000
item
description of item
how
One-Time or On-Going Effective Date
NGFS savings
Federal
Notes
NGFS
GFF
E-Rate Program
JRA will receive a discount for telecommunications services, internet Apply available discount to access, & internal connections cost under reduction target. the universal service program, also known as the E-Rate program
One-Time
Immediate
TOTAL - PROGRAM 020
$100,000 $2,797,000
$0 $0
2,367
0
030
RSN Medicaid Services ratable 1.73% RSN Non-Medicaid contract reduction 7.5% Shift projects to federal block grant funding Cancel various contracts: Telesage, WINHRT, and Innovative Service Grants TOTAL - PROGRAM 030
Amend contract - 30 days notification Amend contract - 30 days notification Amend contract - 30 days notification Terminate contract - 30 days notification
Amend contract - 30 days notification Amend contract - 30 days notification Amend contract - 30 days notification Terminate contract - 30 days notification
On-Going 2/1/2009 On-Going 2/1/2009 On-Going 2/1/2009 On-Going 2/1/2009 $762,000 $9,413,000 $0 $1,394,000 9,413 1,394 $189,000 $0 $6,132,000 $0 $2,330,000 $1,394,000
040
Move state only residential clients to CORE waiver
Add people that are in residential services and currently funded by state only funds to a waiver in order to capture federal matching dollars for the services provided. Reduction reflects the net savings between the state only program and increased utilization of waiver services.
CMS notification, Client notification, move clients to Waiver caseload, client interim assessment completed for each participant, phase in starting in January 2009 through the 200911 biennium.
On-Going
1/1/2009
$250,000
($250,000)
Move state only E & D clients to Basic Waiver
CMS notification, County Contract Amendments, Client This moves all state only non waiver funded notification, move clients to individuals from county contracted Waiver caseload, client interim employment and day program services to assessment completed for each the Basic waiver in order to capture federal participant, phase in starting in matching dollars for the services February 2009 through the 2009-11 biennium.
On-Going
2/1/2009
$1,000,000
($993,000)
TOTAL - PROGRAM 040
$1,250,000
-$1,243,000
1,537
993
item 050
description of item
how
Senior Citizen Services Act (SCSA)
Area Agencies on Aging (AAA) administer the state’s SCSA funding. SCSA provides community based services for low income adults aged 60 or older to assist with access to services, home based services and contract, 30 days nutrition and health services that result in avoidance of institutionalization. This item represents a 10% reduction to the administrative component of SCSA funding. ADSA has approximately $140,000 GF-State in its budget that serves as state match for the senior companion and foster grandparent programs. This $140,000 is a part of the Area Agencies on Aging (AAA) contract, 30 days contracts. This item represents no further spending for the senior companion and foster grandparent state match, as of February 1, 2009. ADH is a structured daytime program providing skilled nursing and rehabilitative therapy. Participants may also receive psychological/counseling services, personal care, general therapeutic and recreational activities, and a nutritious meal. Emergency WAC = 30 days, for a likely effective date of 3/1/2009 and a savings of $2.2 million GF-State. Normal WAC = 120 days, for a likely effective date of 5/1/2009 and a savings of $1.1 million GF-State.
One-Time or On-Going Effective Date On-Going 2/1/2009
NGFS savings $59,166
Federal $0
Notes
NGFS
GFF
On-Going
2/1/2009
$53,000
$0
Senior Companion and Foster Grandparent
On-Going
5/1/2009
$1,100,000
$1,200,000
Adult Day Health (ADH)
TOTAL - Program 050
$1,212,166
$1,200,000
2,216
2,104
060
Eliminate CD counselors in CSO's
Cancel contracts with contracted counselors contract 30 days
On-Going
2/1/2009
$625,000
$0
item
description of item
how WAC changes need to be made by DEL. DSHS savings calculations were made believing normal WAC process was followed and DEL submitted by 12-31-2008 for a May implementation date. If DEL did not submit by 12-312008 then an emergency WAC will need to be enacted or savings will not be recognized.
One-Time or On-Going Effective Date
NGFS savings
Federal
Notes
NGFS
GFF
Child Care co-pay increase
Increase amount of client co-pays
On-Going
Partner Agency reduction of 10% Refugee employment services fund shift Sanction CEAP Funding TOTAL - Program 060
Reduce contract amounts by 10% Expend federal funds instead of state
Amend contract Accounting change On-Going One-time On-Going
5/1/2009 Determined by WF Subcabinet 11/1/2008 11/1/2008
$600,000
$0
$3,000,000 $1,900,000 $980,000 $7,105,000
$0 -$1,900,000 $0 -$1,900,000
Reduce funding to current expenditure level Freeze Funds
7,505
1,900
ICR Spokane Pilot Funding - SB6665 070 Remove Drug court treatment funding
Legislature did not authorize funding for a Pilot was not enacted. Monies Spokane ICR pilot, however funding was left being returned. in budget. Reduces drug court funding by 50% for 8 counties Eliminates all funding provided to counties via contract for ADATSA Living Stipends Terminate contract - 30 days notification Terminate contract - 30 days notification
One-time
Immediate
$546,000
$0
On-going
2/1/2009
$194,000
$0
Eliminate all ADATSA Living Stipends
On-going Focus Newsletter DASA newsletter - will post on website Terminate contract - 30 days notification
2/1/2009
$1,097,000
$0
On-going
1/1/2009
$4,000
$0
Eliminate Crisis/Respite childcare services Enterprise for Progress in the Community (EPIC) contract for children ages 0-6 while parents Terminate contract - 30 days Crisis Nursery are in Chemical Dependency treatment in notification Yakima
On-going
1/1/2009
$25,000
$0
item Fetal Alcohol Syndrome (FAS) Information
description of item
how
One-Time or On-Going Effective Date
NGFS savings
Federal
Notes
NGFS
GFF
Iceberg Newsletter - on hold for FY09 due to Terminate contract - 30 days personal service contract freeze. notification Cancel contract for Families in Recovery Terminate contract - 30 days Support Groups for those who are in or have notification completed treatment. Cancel contract for FAS/FRI Helpline, training, information dissemination for families with FASD children. Cancel FAS Family Advocacy - Support Groups, Summer Camp for FASD children/families. Terminate contract - 30 days notification Terminate contract - 30 days notification
On-going
1/1/2009
$5,000
$0
Parent Trust
On-going
1/1/2009
$50,000
$0
Washington PAVE
On-going
1/1/2009
$53,000
$0
NoFAS (National Organization of Fetal Alcohol Syndrome) Washington
On-going
1/1/2009
$20,000
$0
UW - FASDPN (Fetal Alcohol Syndrome Diagnostic and Prevention Network) UW
FASD Evaluation Training contract cancelled assessing children for FASD, oversees Terminate contract - 30 days legislative mandated satellite clinics via the notification 2008 legislature (FY 2009) On-going DASA Medical Consultant - contract cancelled 11-1-08 Reduction of admin funding for Prevention/Intervention Services in public schools contract with OSPI Eliminate Trends report for FY09 - will produce one report every 2 years Cancel contract for Student Employment Program Cancel contract for Student Employment Program Cancel contract for Adult Care Services Cancel contract for Adult Care awareness using out stationed Chemical Dependency Professionals (DPs) Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification On-going 1/1/2009 $33,000 $2,279,000 On-going 1/1/2009 11/1/2008 $177,000 $15,000 $0 $0
OSPI
On-going On-going On-going On-going On-going
1/1/2009 1/1/2009 1/1/2009 1/1/2009 1/1/2009
$21,000 $5,000 $7,000 $13,000 $14,000
$0 $0 $0 $0 $0 2,753,000 variance is offset with the federal $0 funds (see $0 contingency and
Trends Report - cancel contract Olympia School Dist N Thurston School Dist New Horizons Care Ctr
Prosperity TOTAL - Program 070
5,053
item
description of item
how Identify charges for category and making appropriate accounting adjustments Terminate contract - 30 days notification Terminate contract - 30 days notification
One-Time or On-Going Effective Date Ongoing Immediate
NGFS savings 2,100,000
Federal (2,100,000)
Notes
NGFS
GFF
080
Claim TXXI Match for Non-Cooperative Pregnant Move prenatal claims from TXIX to TXXI Women Eliminate First Steps Childcare Program Eliminate Interactive Provider Network Database Pharmacy Initiatives Durable Medical Equipment Adjustment to Match Medicare Stop 250% To 300% FPL Kids Expansion Pediatric Rate Reduction 7% Inpatient Hospital Ratable At 4% Outpatient Hospital Ratable At 4% TOTAL - Program 080 Various strategies to reduce pharmacy costs Stop covering childcare costs for prenatal visits
Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing
3/1/2009 1/1/2009 1/1/2009 1/1/2009 1/1/2009 1/1/2009 4/1/2009 4/1/2009
100,000 10,000 15,000,000 700,000 2,300,000 600,000 2,038,000 700,000 23,548,000
0 10,000 19,072,000 700,000 3,049,000 677,000 2,594,000 507,000 24,509,000
Various strategies are implemented on 1/1/09 MMIS modifications
Do not expand eligibility for higher income kids Rollback 07-09 pediatrician rate increases Rate reduction Rate reduction
Stop accepting applications Reduce rates paid on EPSDT; E&M; System change System change system change, SPA change
23,548
24,509
Medical Contract Services & Legal Services 135
Reduction of Medical & Legal expenditures
Manage and reduce medical client services. Reduction of obligated legal services due to reduction in expenditures in FY 09.
One-time
2/1/2009
$500,000
$0
500
0
GRAND TOTAL
$51,104,166
$24,560,000
$55,139 $31,500
FUND CONTINGENCIES AND WAIVERS item 060 TANF Contingency Funds description of item Washington State qualifies for TANF contingency funds. Receipt of these funds is based on meeting documentation requirements for states who qualify. The federal funds allow decreases in state-funded support. By using a waiver for the program's requirement for state spending, DASA has been able to return the state funds and spend solely from current and surplus federal funds. how One-time or On-going Effective Date NGFS savings Federal Notes
One time
Immediate
$133,190,000 Includes 2,753,000 million from 070 November reductions
070 SAPT Grant
One time
Immediate
$19,753,000
100
The initial $3 million reduction in state and the loss of federal funds is DVR anticipates a MOE shortfall during FFY 09 of covered by spending carry-over approximately $1 million. DVR will request a waiver to federal funding in lieu of state. The the MOE requirement. An additional $3 million GF-S Basic Support Grant Reduction additional $1 million MOE penalty was reduced that will also result in a cut of federal will be offset by spending federal funds, but will be compensated for by using federal carry over funds. An MOE waiver surplus carried over from the previous year. could eliminate the $1 million penatly.
One time
Immediate
$3,100,000
Federal Stimulus Package ALL FMAP AGENCY TOTAL
One time
Immediate
$177,606,000
-$177,606,000
$333,649,000
-$177,606,000
step Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov
pgm 010 010 010 010 010 010 010 020 020 020 020 020 030 030 030 030 040 040 050 050 050 060 060 060 060 060 070 070 070 070 070 070 070 070 070 070 070 070 070 070 070 070 070
Nov Nov Nov Nov Nov Nov Nov Nov Nov Nov
080 080 080 080 080 080 080 080 080 135
item Contract - Amend Secure Crisis Residential Center to pay only for filled beds Rate - 5% Reduction for FC Child Aides Rate - 5% Reduction for Group Receiving Centers Rate - 5% Reduction for IFPS providers Rate - 5% Reduction for MTCC providers Rate - 5% Reduction for Private Agencies Rate - Rescind FY 09 BRS VRI for 5 months Contract - Reduce County contracts Savings - E-Rate Program Savings - General Savings - Trim back evidence based enhancement in County contracts Savings - Trim back evidence based enhancement in institutions Contract - Amend to shift projects to federal block grant funding Contract - Cancel Telesage, WINHRT, and Innovative Service Grants Contract - Ratabley reduce RSN Medicaid Services by 1.73% Contract - Reduce RSN Non-Medicaid contract by 7.5% Waiver - Shift clients receiving State Only employment and day services to Waiver Waiver - Shift clients receiving State Only residential services to Waiver Contract - 10% Reduction to Administration for Senior Citizen Services Act (SCSA) Contract - Cancel Senior Companion and Foster Grandparent services Service - Reduce Adult Day Health (ADH) Accounting - Refugee employment services fund shift Contract - Cancel CD counselors in CSO's Contract - Reduce Partner Agency by 10% Savings - Sanction CEAP Funding Service - Child Care co-pay increase Contract - Cancel Adult Care Awareness (Prosperity) Contract - Cancel Adult Care Services (New Awareness) Contract - Cancel all ADATSA Living Stipends Contract - Cancel DASA UW Medical Consultant Contract - Cancel Drug court treatment funding Contract - Cancel Enterprise for Progress in the Community (EPIC) Crisis Nursery Contract - Cancel Families in Recovery Support Group (Parent Trust) Contract - Cancel FAS/FRI Helpline & FASD children (Washington PAVE) Contract - Cancel NoFAS Advocacy, Support, Summer Camp Contract - Cancel student employment (N Thurston School Dist) Contract - Cancel student employment (Olympia School Dist) Contract - Cancel Trends Report - cancel contract Contract - Cancel UW - FASDPN (Fetal Alcohol Syndrome Diagnostic and Prevention Network)Evaluation Training Contract - Fetal Alcohol Syndrome (FAS) Information newsletter Contract - Reduce OSPI admin funding for Prevention/Intervention Services Savings - ICR Spokane Pilot Funding Service - Post newsletter on web
Contract - Cancel First Steps Childcare Program Contract - Cancel Interactive Provider Network Database Rate - Inpatient Hospital 4% Ratable Rate - Outpatient Hospital 4% Ratable Rate - Pediatric Rate Reduction 7% Savings - Initiatives to reduce Pharmacy costs Savings - Move parents receiving prenatal services who are not eligible under TXIX to TXXI where possible Service - Durable Medical Equipment Adjustment to Match Medicare Service - Stop 250% To 300% FPL Kids Expansion Contract - Medical Contract Services & Legal Services
description of item Currently SCRC providers are paid a daily rate for a bed regardless if it is filled. The contracts will be amended to FC Child Aides will receive a 5% rate reduction. Negotiations still in process. Group Receiving Centers will receive a 5% rate reduction. Negotiations still in process. IFPS providers will receive a 5% rate reduction. Negotiations still in process. MTCC providers will receive a 5% rate reduction. Negotiations still in process. Private Agencies will receive a 5% rate reduction. Negotiations still in process. The 5% FY09 rate increase will be rescinded for BRS providers starting in February 2009. Use projected under expenditures. JRA will receive a discount for telecommunications services, internet access, & internal connections cost under Additonal reduction: Contracts, Goods and Services JRA received funds to past to the counties in the 07-09 bien. To expand it's evidence based programs. A portion JRA received funds in the 07-09 bien. To expand it's evidence based programs. JRA will not implement a portion Amend contract - 30 days notification Terminate contract - 30 days notification Amend contract - 30 days notification Amend contract - 30 days notification This moves all state only non waiver funded individuals from county contracted employment and day program services to the Basic waiver in order to capture federal matching dollars for the services Add people that are in residential services and currently funded by state only funds to a waiver in order to capture federal matching dollars for the services provided. Reduction reflects the net savings between the state Area Agencies on Aging (AAA) administer the state’s SCSA funding. SCSA provides community based services for low income adults aged 60 or older to assist with access to services, home based services and nutrition and ADSA has approximately $140,000 GF-State in its budget that serves as state match for the senior companion and foster grandparent programs. This $140,000 is a part of the Area Agencies on Aging (AAA) contracts. This ADH is a structured daytime program providing skilled nursing and rehabilitative therapy. Participants may also receive psychological/counseling services, personal care, general therapeutic and recreational activities, and a Expend federal funds instead of state Cancel contracts with contracted counselors Reduce contract amounts by 10% Reduce funding to current expenditure level Increase amount of client co-pays Prosperity: Cancel contract for Adult Care awareness using out stationed Chemical Dependency Professionals New Awareness: Cancel contract for Adult Care Services Eliminates all funding provided to counties via contract for ADATSA Living Stipends DASA Medical Consultant - contract cancelled 11-1-08 Reduces drug court funding by 50% for 8 counties Eliminate Crisis/Respite childcare services contract for children ages 0-6 while parents are in Chemical Cancel contract for Families in Recovery Support Groups for those who are in or have completed treatment. Cancel contract for FAS/FRI Helpline, training, information dissemination for families with FASD children. NoFAS (National Organization of Fetal Alcohol Syndrome) Washington - Cancel FAS Family Advocacy - Support Cancel contract for Student Employment Program Cancel contract for Student Employment Program Eliminate Trends report for FY09 - will produce one report every 2 years FASD Evaluation Training contract cancelled -assessing children for FASD, oversees legislative mandated satellite Iceberg Newsletter - on hold for FY09 due to personal service contract freeze. Reduction of admin funding for Prevention/Intervention Services in public schools contract with OSPI Legislature did not authorize funding for a Spokane ICR pilot, however funding was left in budget. DASA newsletter - will post on website
Stop covering childcare costs for prenatal visits Rate reduction Rate reduction Rollback 07-09 pediatrician rate increases Various strategies to reduce pharmacy costs Move prenatal claims from TXIX to TXXI Do not expand eligibility for higher income kids Reduction of Medical & Legal expenditures
how Amend contracts Amend contracts Amend contracts Amend contracts Amend contracts Amend contracts Amend contracts Amend contracts Apply available discount to reduction target. Freeze these funds Amend contracts Freeze these funds Amend contract - 30 days notification Terminate contract - 30 days notification Amend contract - 30 days notification Amend contract - 30 days notification CMS notification, County Contract Amendments, Client notification, move clients to Waiver caseload, client interim assessment completed for each participant, phase in starting in February 2009 through the 2009-11 CMS notification, Client notification, move clients to Waiver caseload, client interim assessment completed for each participant, phase in starting in January 2009 through the 2009-11 biennium. contract, 30 days contract, 30 days Emergency WAC = 30 days, for a likely effective date of 3/1/2009 and a savings of $2.2 million GF-State. Normal WAC = 120 days, for a likely effective date of 5/1/2009 and a savings of $1.1 million GF-State. Accounting change contract 30 days Amend contract Freeze Funds WAC changes need to be made by DEL. DSHS savings calculations were made believing normal WAC process was followed and DEL submitted by 12-31-2008 for a May implementation date. If DEL did not submit by 12-31-2008 Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Terminate contract - 30 days notification Pilot was not enacted. Monies being returned. Terminate contract - 30 days notification
Terminate contract - 30 days notification Terminate contract - 30 days notification System change system change, SPA change Reduce rates paid on EPSDT; E&M; System change Various strategies are implemented on 1/1/09 Identify charges for category and making appropriate accounting adjustments MMIS modifications Stop accepting applications Manage and reduce medical client services. Reduction of obligated legal services due to reduction in
One -time or On-going One-Time One-Time One-Time One-Time One-Time One-Time One-Time One-Time One-Time One-Time One-Time One-Time On-Going On-Going On-Going On-Going On-Going On-Going On-Going On-Going On-Going One-time On-Going On-Going On-Going On-Going On-going On-going On-going On-going On-going On-going On-going On-going On-going On-going On-going On-going On-going On-going On-going One-time On-going
Effective Date 2/15/2009 3/1/2009 3/1/2009 3/1/2009 2/15/2009 3/1/2009 2/1/2009 Immediate Immediate 2/1/2009 2/1/2009 Immediate 2/1/2009 2/1/2009 2/1/2009 2/1/2009 2/1/2009 1/1/2009 2/1/2009 2/1/2009 5/1/2009 11/1/2008 2/1/2009 Determined by WF Subcabinet 11/1/2008 5/1/2009 1/1/2009 1/1/2009 2/1/2009 11/1/2008 2/1/2009 1/1/2009 1/1/2009 1/1/2009 1/1/2009 1/1/2009 1/1/2009 1/1/2009 1/1/2009 1/1/2009 1/1/2009 Immediate 1/1/2009
NGFS savings $1,200,000 $50,000 $10,000 $70,000 $90,000 $180,000 $1,400,000 $1,100,000 $100,000 $330,000 $767,000 $500,000 $189,000 $762,000 $2,330,000 $6,132,000 $1,000,000 $250,000 $59,166 $53,000 $1,100,000 $1,900,000 $625,000 $3,000,000 $980,000 $600,000 $33,000 $14,000 $1,097,000 $15,000 $194,000 $25,000 $50,000 $53,000 $20,000 $13,000 $7,000 $5,000 $177,000 $5,000 $21,000 $546,000 $4,000
Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing Ongoing One-time
3/1/2009 1/1/2009 4/1/2009 4/1/2009 1/1/2009 1/1/2009 Immediate 1/1/2009 1/1/2009 2/1/2009
100,000 10,000 2,038,000 700,000 600,000 15,000,000 2,100,000 700,000 2,300,000 $500,000
Federal $0 $10,000 $2,000 $0 $34,000 $30,000 $524,000 $0 $0 $0 $0 $0 $0 $1,394,000 $0 ($993,000) ($250,000) $0 $0 $1,200,000 -$1,900,000 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0
0 10,000 2,594,000 507,000 677,000 19,072,000 (2,100,000) 700,000 3,049,000 $0
ITEMIZATION OF '09 GOVERNOR'S PROPOSED SUPPLEMENTAL BUDGET
Department of Social and Health Services
Category Item Effective Date 2/15/2009 $ 3/1/2009 3/1/2009 3/1/2009 2/15/2009 3/1/2009 $ $ $ $ $ NGFS savings Federal
PROGRAM: Children's Administration Amend to pay only for filled beds in Secure Crisis Contracts Residential Center Amend to reduce rate for FC Child Aides rate by 5% Amend to reduce rate for Group Receiving Centers by 5% Amend to reduce rate for IFPS providers by 5% Amend to reduce rate for MTCC providers by 5% Amend to reduce rate for Private Agencies by 5% Amend to rescind FY 09 BRS VRI 5% rate increase for 5 months TOTAL: Children's Administration PROGRAM: Juvenile Rehabilitation Administration Contract Reduce County contracts Savings E-Rate Program General Reduce consumable inventory (JRA) Staffing reductions from hiring freeze and related expenses Trim back evidence based enhancement in County contracts evidence based enhancement in institutions Trim back TOTAL: Juvenile Rehabilitation Administration PROGRAM: Mental Health Division Contract Amend to shift projects to federal block grant funding Cancel Telesage, WINHRT, and Innovative Service Grants Ratably reduce RSN Medicaid Services by 1.73% Reduce RSN Non-Medicaid contract by 7.5% Savings Community Mental Health (General) Community Mental Health (Jail Srvcs) Community Mental Health (PACT) Equipment Equipment (ESH) Equipment (WSH) Fuel Consumption (Western State Hospital) Laundry reconstruction at WSH Reduce consumable inventory (CSS) Reduce consumable inventory (ESH) Reduce consumable inventory (WSH) Reduce travel (ESH) Reduce travel (WSH) Staff Eliminate vacancies (ESH - 8.5 FTE) Eliminate vacancies (MHD/HQ - 11 FTE) Eliminate vacancies (WSH - 13.8 FTE) TOTAL: Mental Health Division
1,200,000.00 50,000.00 10,000.00 70,000.00 90,000.00 180,000.00 1,400,000.00
$ $ $ $ $ $ $
10,000.00 2,000.00 34,000.00 30,000.00 524,000.00 600,000.00
2/1/2009 $ $
3,000,000.00 $
Immediate Immediate 2/1/2009 Varies Immediate 2/1/2009 Immediate
$ $ $ $ $ $ $ $
1,100,000.00 100,000.00 330,000.00 602,000.00 1,340,000.00 767,000.00 500,000.00 4,739,000.00
$ $ $ $ $ $ $ $
-
2/1/2009 2/1/2009 2/1/2009 2/1/2009 November November November Immediate Immediate Immediate Immediate November Varies Varies Varies Immediate Immediate Immediate Immediate Immediate
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
189,000.00 $ 762,000.00 $ 2,330,000.00 $ 6,132,000.00 $ 991,000.00 $ 321,000.00 $ 916,000.00 $ 50,000.00 $ 80,000.00 $ 28,000.00 $ 11,000.00 $ 334,000.00 $ 473,000.00 $ 416,000.00 $ 385,000.00 $ 33,000.00 $ 30,000.00 $ 186,000.00 $ 502,000.00 $ 595,000.00 $ 14,764,000.00 $
1,394,000.00 1,394,000.00
BPM 360.902.7897 mrkvibp@dshs.wa.gov C.B.O. - F.S.A. - D.S.H.S.
Page 34 of 38 6/7/2009
ITEMIZATION OF '09 GOVERNOR'S PROPOSED SUPPLEMENTAL BUDGET
Department of Social and Health Services
Category Item Effective Date 6/1/2009 11/1/2008 3/1/2009 11/1/2008 2/1/2009 1/1/2009 $ $ $ $ $ $ $ NGFS savings 3,087,000.00 877,000.00 207,000.00 327,000.00 1,000,000.00 $ $ $ $ $ Federal 766,000.00 216,000.00 82,000.00 (993,000.00) (250,000.00) (179,000.00)
PROGRAM: Division of Developmental Disabilities Accounting RHC reimbursement (settlement) Savings Goods & Services, Travel and Equipment Reduction Require IP for Some AP Clients (WAC) Service Reduce Medical & Psych Evaluations Shift clients receiving State Only employment and day Waiver services to Waiver Shift clients receiving State Only residential services to Waiver TOTAL: Division of Developmental Disabilities PROGRAM: Long-Term Care 10% Reduction to Administration for Senior Citizen Contract Services Act (SCSA) Cancel Senior Companion and Foster Grandparent services Home (WAC) Rates Boarding Adult Family Home (WAC) Savings Equipment (HCS, RCS, LTC Admin) Reduce travel Require IP for Some AP Clients (WAC) Service Reduce Adult Day Health (ADH) (WAC) Eliminate Vacant positions (HCS, RCS and Admin - 24 Staff FTE) Study AFH Dementia Fair Rental Housing TOTAL: Long-Term Care PROGRAM: Economic Services Administration Accounting Refugee employment services fund shift Contract Cancel CD counselors in CSO's Reduce Partner Agency by 10% Funds TANF Contingency Funds Savings General Sanction CEAP Funding Staffing reductions from hiring freeze and related expenses (5.5 FTE) Staffing reductions from hiring freeze and related expenses Service Child Care co-pay increase (WAC) TOTAL: Economic Services Administration
250,000.00 $ 5,748,000.00 $
2/1/2009 $ 2/1/2009 5/1/2009 5/1/2009 10/1/2008 10/1/2008 5/1/2009 5/1/2009 $ $ $ $ $ $ $
59,166.00 53,000.00 375,000.00 300,000.00 128,000.00 171,000.00 1,700,000.00 1,100,000.00 378,000.00
$ $ $ $ $ $ $ $ $
400,000.00 325,000.00 128,000.00 171,000.00 1,750,000.00 1,200,000.00 378,000.00 100,000.00 170,000.00 4,622,000.00
10/1/2008 $ 10/1/2008 $ 10/1/2008 $ $
100,000.00 $ 180,000.00 $ 4,544,166.00 $
11/1/2008 2/1/2009 TBD Immediate 8/1/2008 11/1/2008
$ $ $ $ $ $
1,900,000.00 625,000.00 3,000,000.00 133,190,000.00 8,340,000.00 980,000.00 420,000.00
$ $ $ $ $ $
(1,900,000.00) 298,000.00 (1,602,000.00)
Immediate $ 8/1/2008 $ 5/1/2009 $ $
3,980,000.00 $ 600,000.00 $ 153,035,000.00 $
BPM 360.902.7897 mrkvibp@dshs.wa.gov C.B.O. - F.S.A. - D.S.H.S.
Page 35 of 38 6/7/2009
ITEMIZATION OF '09 GOVERNOR'S PROPOSED SUPPLEMENTAL BUDGET
Department of Social and Health Services
Category Item Effective Date 1/1/2009 1/1/2009 2/1/2009 11/1/2008 2/1/2009 $ $ $ $ $ NGFS savings 33,000.00 14,000.00 1,097,000.00 15,000.00 194,000.00 25,000.00 50,000.00 53,000.00 20,000.00 13,000.00 7,000.00 5,000.00 177,000.00 4,000.00 5,000.00 21,000.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Federal -
PROGRAM: Division of Alcohol and Substance Abuse Contract Cancel Adult Care Awareness (Prosperity) Cancel Adult Care Services (New Awareness) Cancel all ADATSA Living Stipends Cancel DASA UW Medical Consultant Cancel Drug court treatment funding Cancel Enterprise for Progress in the Community (EPIC) Crisis Nursery Cancel Families in Recovery Support Group (Parent Trust) Cancel FAS/FRI Helpline & FASD children (Washington PAVE) Cancel NoFAS Advocacy, Support, Summer Camp Cancel student employment (N Thurston School Dist) Cancel student employment (Olympia School Dist) Cancel Trends Report - cancel contract Cancel UW - FASDPN (Fetal Alcohol Syndrome Diagnostic and Prevention Network)Evaluation Training contract printing contract and post newsletter on web Eliminate Fetal Alcohol Syndrome (FAS) Information newsletter Reduce OSPI admin funding for Prevention/Intervention Services Reduce state only low-income treatment and detox (50%) Funds MOE waiver for SAPT Grant Savings ICR Spokane Pilot Funding TOTAL: Division of Alcohol and Substance Abuse
1/1/2009 $ 1/1/2009 $ 1/1/2009 $ 1/1/2009 1/1/2009 1/1/2009 1/1/2009 $ $ $ $
1/1/2009 $ 1/1/2009 $ 1/1/2009 $ 1/1/2009 $ 2/1/2009 $ Immediate $ Immediate $ $
10,140,000.00 $ 19,753,000.00 $ 546,000.00 $ 32,172,000.00 $
BPM 360.902.7897 mrkvibp@dshs.wa.gov C.B.O. - F.S.A. - D.S.H.S.
Page 36 of 38 6/7/2009
ITEMIZATION OF '09 GOVERNOR'S PROPOSED SUPPLEMENTAL BUDGET
Department of Social and Health Services
Category Item Effective Date Immediate 1/1/2009 1/1/2009 3/1/2009 1/1/2009 4/1/2009 4/1/2009 1/1/2009 Immediate Immediate Immediate 1/1/2009 Immediate Immediate Immediate Immediate 1/1/2009 4/1/2009 1/1/2009 1/1/2009 2/1/2009 1/1/2009 1/1/2009 2/1/2009 1/1/2009 4/1/2009 1/1/2009 Immediate $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ NGFS savings 8,000,000.00 $ 1,247,000.00 $ 13,000.00 $ 100,000.00 $ 10,000.00 $ 2,038,000.00 $ 700,000.00 $ 600,000.00 $ 350,000.00 $ 88,000.00 $ 1,000,000.00 $ 15,000,000.00 $ 2,100,000.00 $ 12,000.00 $ 100,000.00 $ 64,000.00 $ 700,000.00 $ 1,320,000.00 $ 144,000.00 $ 53,000.00 $ 240,000.00 $ 44,000.00 $ 134,000.00 $ 308,000.00 $ 50,000.00 $ 287,000.00 $ 2,300,000.00 $ 1,000,000.00 $ 38,002,000.00 $ Federal 8,000,000.00 13,000.00 10,000.00 2,594,000.00 507,000.00 677,000.00 (350,000.00) 88,000.00 1,000,000.00 19,072,000.00 (2,100,000.00) 12,000.00 100,000.00 64,000.00 700,000.00 1,320,000.00 149,000.00 53,000.00 2,160,000.00 44,000.00 50,000.00 276,000.00 3,049,000.00 1,000,000.00 38,488,000.00
PROGRAM: Medical Assistance Program Accounting Drug Rebate Accounting Adjustment Contract Cancel Cover All Kids Outreach Cancel Family Planning Supplies Cancel First Steps Childcare Program Cancel Interactive Provider Network Database Rate Inpatient Hospital 4% Ratable Outpatient Hospital 4% Ratable Pediatric Rate Reduction 7% Savings Claim FMAP for Transportation Administrative Costs Equipment General Initiatives to reduce Pharmacy costs Move parents receiving prenatal services who are not eligible under TXIX to TXXI where possible Print Service Contracts Printing Reductions RDA budget by 50% Durable Medical Equipment Adjustment to Match Service Medicare Adult Day Health Transportation Eliminate Eliminate Center for Foster Care Health Eliminate Chronic Care Management Contracts Eliminate Family Planning Nurses in CSOs Eliminate Foster Care Nurse Hotline Eliminate Medicaid Asthma In-Home Pilot Eliminate Medicare Part C Premium Coverage Eliminate Senior Dental Pilot Reduce New Parent Support Services (MSS) by 5% Stop 250% To 300% FPL Kids Expansion Staff Eliminate vacancies and other staffing reductions TOTAL: Medical Assistance Program PROGRAM: Division of Vocational Rehabilitation Funds Basic Support Grant Reduction Maximize use of federal funds Savings Staffing reductions from hiring freeze and related expenses TOTAL: Division of Vocational Rehabilitation PROGRAM: Administration and Support Services Savings Council for Children & Families (CCF) Family Policy Council (FPC) Governor's Juvenile Justice Advisory Committee (GJJAC) Eliminate Vacancies and Supporting Resources Staff (Admin/Exec Svcs - 2.2 FTE) Eliminate Vacancies and Supporting Resources (Admin/FSA - 21.7 FTE) Eliminate Vacancies and Supporting Resources (Admin/MSA - 24.8 FTE) TOTAL: Administration and Support Services PROGRAM: Special Commitment Center Contract Medical Contract Services & Legal Services Reduce Client Service Contracts Reduce SCC Nursing Services
BPM 360.902.7897 mrkvibp@dshs.wa.gov C.B.O. - F.S.A. - D.S.H.S.
Immediate $ immediate $ Immediate $ $
3,100,000.00 1,020,000.00 $ 120,000.00 $ 4,240,000.00 $
440,000.00 440,000.00
$ $ $ Varies $ Varies $ Varies $ $
74,000.00 72,000.00 34,000.00 297,088.00 726,912.00 1,266,000.00
$ $ $ $ $ $
218,500.00 792,500.00 1,048,000.00 2,059,000.00
2,470,000.00 $
2/1/2009 $ 7/1/2008 $ 7/1/2008 $
500,000.00 524,000.00 90,000.00
$ $ $
Page 37 of 38 6/7/2009
ITEMIZATION OF '09 GOVERNOR'S PROPOSED SUPPLEMENTAL BUDGET
Department of Social and Health Services
Category Savings Item Effective Date 7/1/2008 $ 7/1/2008 $ 7/1/2008 $ 1/1/2009 $ $ Immediate $ $ NGFS savings 207,000.00 114,000.00 340,000.00 475,000.00 2,250,000.00 $ $ $ $ $ Federal (177,606,000.00)
Reduce Staff Training Resident Wages Staff Eliminate vacant positions (1 FTE) Reduce Residential Rehabilitation Counselors (RRCs) to parallel staffing model (10 FTE) TOTAL: Special Commitment Center Funds Federal Stimulus Package - FMAP
177,606,000.00 $ 442,570,166.00
GRAND TOTAL:
BPM 360.902.7897 mrkvibp@dshs.wa.gov C.B.O. - F.S.A. - D.S.H.S.
Page 38 of 38 6/7/2009