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Agency 300040
Developmental Disabilities
RCW 71A

Request

$798,563,660

Net change from current biennium

$71,080,155

Increase

Percent change from current biennium

9.8%

Increase

This program is responsible for the provision of services and supports in order to offer opportunities for growth and development for individuals with developmental disabilities. For a person to be eligible for services their disability must be attributable to: mental retardation, cerebral palsy, epilepsy, autism, and other neurological or other conditions closely related to mental retardation. The disability must have originated before the age of 18; it must be expected to continue indefinitely; and it must constitute a substantial handicap. Eligible individuals may receive services including case management to plan and arrange individual services, early intervention services, in-home family support services, vocational and employment programs, and out-of-home residential services.

The goal of the Division of Developmental Disabilities is to make a positive difference in the lives of people served by helping persons of disability grow, change, and be satisfied with their lives. This is accomplished by keeping people safe and free from harm, maintaining health and wellness, helping individuals acquire new skills, assisting people in dealing with personal crisis and stress, offering services and resources in a manner which meets their needs and promotes and supports everyday activities, routines, and relationships common to most citizens. and recognizing the worth and dignity of each individual.

Links to Category Level Detail

Community Services

Residential Habilitation Services

Special Projects

Program Support

Program Level Summary

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Operating Budget: Summary by Object

					1994-95 Actual			1995-96 Estimated			1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
Salaries And Wages				101,181,962			105,690,913			104,047,214			105,854,419			105,826,315
Employee Benefits				36,475,769			35,353,056			35,603,136			35,764,381			35,935,387
Goods And Services				31,673,162			27,375,642			29,836,583			27,705,597			27,336,760
Travel				433,834			527,548			448,034			483,092			483,092
Capital Outlays				663,225			1,252,526			939,759			1,171,796			988,872
Grants, Benefits & Client Services				173,802,404			186,265,578			198,869,788			220,093,835			233,429,793
Debt Service				459,186			535,378			384,496			434,583			384,496
Interagency Reimbursements				(1,339,051)			(1,242,097)			(284,808)			(284,808)			(284,808)
Intra-Agency Reimbursements				1,400,064			897,219			983,540			1,595,096			1,645,762

Annual Total				344,750,555			356,655,763			370,827,742			392,817,991			405,745,669

Operating Budget: Category Summary

					1994-95 Actual			1995-96 Estimated			1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
Community Services				194,707,990			207,880,218			219,603,848			240,961,279			254,007,129
Residential Habilitation Services				143,408,354			140,227,897			140,905,664			141,522,210			141,757,879
Special Projects				2,782,229			4,760,489			6,758,807			6,015,000			6,015,000
Program Support				3,851,982			3,787,159			3,559,423			4,319,502			3,965,661
Annual Total				344,750,555			356,655,763			370,827,742			392,817,991			405,745,669
Fiscal Year 1993-94				340,460,306
Biennium Total				685,210,861			727,483,505						798,563,660

Operating Budget: Change from Preceding Biennium

				1993-95 Actual								1995-97 Estimated								1997-99 Proposed
				Amount			Percent				Amount					Percent			Amount					Percent
Community Services			48,252,863			14.8%				54,066,918					14.5%			67,484,342					15.8%
Residential Habilitation Services			(35,432,719)			(10.5)%				(20,263,457)					(6.7)%			2,146,528					0.8%
Special Projects			2,822,831			3,110.2%				8,605,704					295.4%			510,704					4.4%
Program Support			(281,562)			(3.6)%				(136,521)					(1.8)%			938,581					12.8%

Total			15,361,413			2.3%				42,272,644					6.2%			71,080,155					9.8%

Employment Summary

			1994-95 Actual			1995-96 Estimated		1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
FTE Staff Years			3,444.3		3,396.3			3,410.5				3,377.0				3,378.0
Average FTE Staff Year Costs			29,377			31,119		30,508				31,346				31,328

Source of Funds

					1994-95 Actual			1995-96 Estimated				1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
General Fund - Basic Account - State				182,327,918			193,599,535				194,615,048			207,357,327			212,161,128
General Fund - Basic Account - Federal				155,291,859			3,118,122				3,939,000			6,015,000			6,015,000
General Fund - Basic Account - Federal Unanticipated				2,413,349			1,464,102				2,819,807
General Fund - Basic Account - Private/Local				4,688,429			4,826,513				4,273,487			4,864,000			4,865,000
General Fund - Basic Account - DSHS Medicaid Federal							152,926,491				161,222,400			169,899,664			177,793,541
Health Services Account - State				29,000			721,000				3,958,000			4,682,000			4,911,000

Annual Total				344,750,555			356,655,763				370,827,742			392,817,991			405,745,669

Agency Local Funds

Institutional Stores Fund
This fund is for the coffee shop serving residents and staff. Money comes from the sale of food items.
Residents' Trust Fund
This fund belongs to the residents. Money may come from Old Age Survivors Insurance (OASI), Supplemental Security Income (SSI), interest, veteran's pension, parents, relatives, and miscellaneous gifts to individual residents.
Institutional Welfare/Betterment Fund
This fund is for the general benefit of all residents, including gifts and donations.
Institutional Clearing/Transmittal Fund
This fund accounts for transfers to the State Treasurer.

Statement of Local Fund Balances

			6/30/95 Fund Balance			6/30/97 Estimated Fund Balance			1997-1999 Estimated Revenues			1997-1999 Estimated Expenditures		6/30/99 Estimated Fund Balance
Non-Budgeted Funds
Institutional Stores Fund			114,245			78,162		555,295			575,938			57,518
Institutional Residents' Deposit Account			1,114,057			1,187,080		12,229,425			12,132,110			1,284,395
Institutional Clearing/Transmittal Account			1,700					8,587			8,587
Institutional Welfare/Betterment Fund			659,107			620,185		1,158,439			1,060,109			718,515
Total Non-Budgeted Funds			1,889,109			1,885,427		13,951,746			13,776,744			2,060,428

Community Services

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The Community Services category provides community contracted and state operated residential programs, family support, respite care, employment and day programs, community access services, therapeutic and other professional support services as well as case management. Community Services provide a range of options to assist people with disabilities to remain in the community and avoid being institutionalized. Supportive Living services such as tenant support, alternative living, intensive tenant support, and group homes are designed for people who require up to 24 hour on-site support and monitoring, and live in their own home. Family support services strengthen a families' ability to care for their relative at home and prevent out-of-home placement. Funding is furnished to counties to provide employment services and community access programs which emphasize development of social, communication, and leisure skills which enable people to participate in typical community activities. These and other services in this category are aimed at facilitating a planning process to address individually identified needs of disabled people to enable them to live in the least restrictive residential environment they are capable of achieving.

The objectives of Community Services are to: facilitate an individual planning process to address identified needs; provide family support to individuals and their families to prevent out-of-home placement; and provide residential and day program opportunities for people with developmental disabilities who no longer reside in family homes.

Budget Unit Data

			1995-96 Estimated			1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
Residential Programs		109,498,472			111,208,029			118,483,016			121,775,375
Personal Care		33,164,884			36,325,500			49,425,310			57,425,500
Family Support		6,952,382			12,913,565			9,882,369			10,054,565
Professional Services		2,996,960			2,698,823			2,879,772			2,946,337
Employment & Day Programs		32,115,864			34,506,432			36,794,265			38,322,431
Field Services		13,881,602			12,867,796			13,659,077			13,668,888
Other Community Programs		139,000			139,000			352,100			355,600
State Operated Living Alternatives		9,131,054			8,944,703			9,485,370			9,458,433

Category Employment

			1994-95 Actual			1995-96 Estimated		1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
FTE Staff Years			447.9		461.3			455.8				459.8				460.8
Average FTE Staff Year Costs			32,161			33,269		32,592				33,875				33,800

Expenditure Detail

				1994-95 Actual			1995-96 Estimated			1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
Salaries and Benefits			18,818,867			20,022,008			19,509,811			20,394,580			20,400,414
Grants and Subsidies			170,833,787			182,214,969			192,726,161			214,694,015			228,363,973
Other Operating Costs			5,055,336			5,643,241			7,367,876			5,872,684			5,242,742

Annual Total			194,707,990			207,880,218			219,603,848			240,961,279			254,007,129
Fiscal Year 1993-94			178,709,158
Biennium Total			373,417,148			427,484,066						494,968,408

Source of Funds

					1994-95 Actual			1995-96 Estimated				1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
General Fund - Basic Account - State				112,985,039			124,567,978				127,152,140			139,420,573			145,244,863
General Fund - Basic Account - Federal				81,693,951
General Fund - Basic Account - DSHS Medicaid Federal							82,591,240				88,493,708			96,858,706			103,851,266
Health Services Account - State				29,000			721,000				3,958,000			4,682,000			4,911,000

Annual Total				194,707,990			207,880,218				219,603,848			240,961,279			254,007,129

Average Monthly Caseload
				1994-95 Actual			1995-96 Estimated			1996-97 Estimated				1997-98 proposed			1998-99 Proposed
Contracted Residential Programs					3,306			3,634			3,420				3,681			3,681
Family Support					1,382			1,555			2,175				2,300			2,300
Children's Personal Care					4,069			4,629			5,116				6,144			6,996
Employment and Day Programs					7,049			7,571			7,803				7,880			7,880
State Operated Living Alternatives					101			106			102				110			110

Residential Habilitation Services

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The Residential Habilitation Services category is comprised of the five Residential Habilitation Centers (RHCs) authorized under Title 71A RCW. Four are currently certified as Medicaid Intermediate Care Facilities for the Mentally Retarded (ICF\MR) and two are also certified as a Title XIX nursing facility. The two dual certified RHCs are Lakeland Village in Medical Lake and Fircrest School in Seattle. Yakima Valley School in Selah is certified solely as a nursing facility, and serves people with a variety of disabilities, with particular emphasis upon people who are multi-handicapped and non-ambulatory. Frances Haddon Morgan Center in Bremerton, certified entirely as an ICF\MR, provides specialized services for individuals who have autism and related disabilities involving chronic and severe behavioral disturbances. The fifth RHC, Rainier School located in Buckley, is also certified entirely as an ICF\MR. The purpose of this category is to provide a comprehensive array of assessment, treatment, training, therapeutic, and medical services to the residents of the RHCs. The RHCs provide a full range of habilitative services to help the individual achieve and maintain maximum independent functioning and to develop the skills necessary to live in a community setting. They also provide diagnostic, evaluation, consultation, emergency and respite care services. Services are based on Individual Habilitation Plans created for each resident. These plans typically include: basic care, custody and security; habilitation, training, adult education, therapies and health; 24-hour nursing care and medical and dental care; life enrichment activities including recreation and leisure activities.

The objective is to provide care, treatment, and habilitation to developmentally disabled individuals in residential facilities directed toward enabling each person to achieve and maintain maximum independence.

Budget Unit Data

			1995-96 Estimated			1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
Consolidated Services		4,025,489			4,075,985			4,074,131			4,073,926
Fircrest School		42,205,637			42,853,552			42,317,015			42,418,571
Rainier School		48,015,315			47,895,368			48,511,606			48,569,347
Lakeland Village School		27,663,411			27,804,031			27,962,417			28,009,101
Yakima Valley School		12,452,639			12,464,787			12,767,808			12,791,590
Francis Haddon Morgan		5,865,406			5,811,941			5,889,233			5,895,344

Category Employment

			1994-95 Actual			1995-96 Estimated		1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
FTE Staff Years			2,946.3		2,881.8			2,909.3				2,869.9				2,869.9
Average FTE Staff Year Costs			28,739			30,576		29,983				30,738				30,738

Expenditure Detail

				1994-95 Actual			1995-96 Estimated			1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
Salaries and Benefits			116,159,957			118,189,853			117,654,053			118,628,721			118,781,510
Grants and Subsidies			6,416			250
Other Operating Costs			27,241,981			22,037,794			23,251,611			22,893,489			22,976,369

Annual Total			143,408,354			140,227,897			140,905,664			141,522,210			141,757,879
Fiscal Year 1993-94			157,988,664
Biennium Total			301,397,018			281,133,561						283,280,089

Source of Funds

					1994-95 Actual			1995-96 Estimated				1996-97 Estimated			1997-98 Proposed			1998-99 Proposed
General Fund - Basic Account - State				66,078,719			66,012,792				64,373,485			64,737,690			63,970,874
General Fund - Basic Account - Federal				72,641,206
General Fund - Basic Account - Private/Local				4,688,429			4,826,513				4,273,487			4,864,000			4,865,000
General Fund - Basic Account - DSHS Medicaid Federal							69,388,592				72,258,692			71,920,520			72,922,005

Annual Total				143,408,354			140,227,897				140,905,664			141,522,210			141,757,879

Statistical Summary--Developmental Disabilities Institutions
				1994-95 Actual			1995-96 Estimated			1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
Expenditures					143,408,459			140,190,970			140,905,663				144,938,000			146,828,000
FTE Staff Years					2,935.9			2,871.5			2,864.2				2,895.2			2,902.1
Average Daily Population					1,322			1,295			1,268				1,247			1,232
FTE Staff per Resident					2.22			2.22			2.26				2.32			2.36
Annual Per Capita Cost					108,478			108,256			111,124				116,229			119,179
Daily Per Capita Cost					297.20			296.59			304.45				318.44			326.52
FTE Staff Years
				1994-95 Actual			1995-96 Estimated			1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
Fircrest School					861.5			869.4			862.1				868.6			868.6
Rainier School					1,004.9			980.3			985.1				1,006.3			1,013.0
Lakeland Village					653.0			643.9			636.2				639.5			639.5
Yakima Valley Nursing Facility					276.3			261.2			265.4				265.5			265.5
Frances Haddon Morgan Center					121.0			116.7			115.4				115.5			115.5
Totals					2,935.9			2,871.5			2,864.2				2,865.4			2,902.1
Average Daily Population
				1994-95 Actual			1995-96 Estimated			1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
Fircrest School					381			375			370				362			356
Rainier School					465			458			450				442			436
Lakeland Village					302			293			285				282			279
Yakima Valley Nursing Facility					121			116			110				108			108
Frances Haddon Morgan Center					53			53			53				53			53
Totals					1,322			1,295			1,268				1,247			1,232
FTE Staff Years Per Resident
				1994-95 Actual			1995-96 Estimated			1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
Fircrest School					2.26			2.32			2.33				2.40			2.44
Rainier School					2.16			2.14			2.19				2.28			2.32
Lakeland Village					2.16			2.20			2.23				2.27			2.29
Yakima Valley Nursing Facility					2.28			2.25			2.41				2.46			2.46
Frances Haddon Morgan Center					2.28			2.20			2.18				2.18			2.18
Average FTE Staff Years Per Resident					2.22			2.22			2.26				2.32			2.36
Annual Per Capita Costs
				1994-95 Actual			1995-96 Estimated			1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
Fircrest School					107,518			122,548			115,865				118,638			121,880
Rainier School					106,097			104,756			106,448				113,909			117,728
Lakeland Village					107,765			108,153			111,687				115,812			118,016
Yakima Valley Nursing Facility					108,720			107,350			113,476				120,281			121,601
Frances Haddon Morgan Center					113,711			110,668			109,824				113,091			114,144
Average Per Capita Cost					108,478			108,256			111,124				116,229			119,179
Daily Per Capita Costs
				1994-95 Actual			1995-96 Estimated			1996-97 Estimated				1997-98 Proposed			1998-99 Proposed
Fircrest School					294.57			308.35			317.44				325.04			333.96
Rainier School					290.68			287.00			291.64				312.08			322.54
Lakeland Village					295.25			296.31			305.99				317.29			323.33
Yakima Valley Nursing Facility					297.86			294.11			310.89				329.54			333.15
Frances Haddon Morgan Center					311.54			303.20			300.89				309.84			312.72
Total Average Daily Per Capita Cost					297.20			296.59			304.45				318.44			326.52