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Program 040

DSHS - Developmental Disabilities

Recommendation Summary

Dollars in Thousands

																								FY 97 FTEs											General Fund-State					Other Funds			Total Funds
1995-97 Expenditure Authority																						3,410.5												378,548					333,730			712,278
Supplemental Changes
Medicaid Personal Care Caseload																																		1,982					1,768			3,750
Background Checks-Provider Premiums																																		236					194			430
Federal Earnings Adjustment																																		400					(400)
Community Protection Initiative																																		758					716			1,474
ACES Cost Recovery																																		8					4			12
SSPS Year 2000 Critical Maintenance																																		162					70			232
Transfer of BHP Premiums																																							1,120			1,120
Subtotal - Supplemental Changes																																		3,546					3,472			7,018
Total Proposed Budget																						3,410.5												382,094					337,202			719,296
Difference																																		3,546					3,472			7,018
Percent Change from Current Biennium																																		.9%					1.0%			1.0%

Supplemental Changes

Medicaid Personal Care Caseload
This step funds growth in the Medicaid Personal Care caseload. The growth can be attributed to increased enrollments, plus added costs for FICA/FUTA contributions and nurse oversight. Adult caseloads are increasing at 13 percent each year instead of 6.3 percent as budgeted. Children's caseloads are increasing by over 30 percent each year instead of the budgeted 21 percent. (General Fund-State, General Fund-Federal)
Background Checks-Provider Premiums
This item funds two steps. During this biennium, "hold harmless" provisions for community residential providers serving dangerous clients were eliminated from their contracts, with these providers having to purchase private liability insurance premiums at increased cost. This step funds the increased cost of the premiums. The second step funds legislatively-mandated background checks for providers serving developmentally disabled clients. (General Fund-State, General Fund-Federal)
Federal Earnings Adjustment
State funding is provided to replace federal funds which are not being collected at the budgeted level in the Residential Habilitation Centers (RHCs). The current spending plan assumed 54.4 percent of RHC expenditures would be covered by federal matching funds. Actual earnings reflect a percentage of only 52.8 percent. This item also reflects a $1.5 million settlement that offsets much of the shortfall created by the reduced federal earnings. (General Fund-State, General Fund-Federal)
Community Protection Initiative
This item provides funding to move 40 developmentally disabled clients currently residing in community settings into more secure Intensive Tenant Support settings with 24 hour supervision. These clients have histories of sexual violence, physical assault, and arson and are considered high risks to the communities where they live. (General Fund-State, General Fund-Federal)
ACES Cost Recovery
This item funds additional Automated Client Eligibility System (ACES) costs associated with system operation and additional contractor and state staff required to reduce problem and change request response times. The original projections in the Advanced Planning Document (APD) did not adequately maintain ACES during the conversion period. (General Fund-State, General Fund-Federal)
SSPS Year 2000 Critical Maintenance
Funding is provided for modification of the Agency's Social Service Payment System (SSPS)-Phase 1 to ensure correct date functioning through and beyond the Year 2000. This application provides authorization and payment calculation for services performed for clients, and collects social service client data required for state and federal reports. (General Fund- State, General Fund- Federal)
Transfer of BHP Premiums
Funding for home care workers to enroll in the Basic Health Plan (BHP) is currently in the Long Term Care budget authority for the 1995-97 Biennium. This step transfers the funding of BHP for those home care workers who are serving developmentally disabled clients to the Division of Developmental Disabilities. (General Fund-Federal, Health Services Account)