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Program 050
DSHS - Long Term Care Services
Recommendation Summary
Dollars in Thousands
FY 97 FTEs General Fund-State Other Funds Total Funds
1995-97 Expenditure Authority 635.2 764,349 780,388 1,544,737
Supplemental Changes
ACES Cost Recovery 269 269 538
SSPS Year 2000 Critical Maintenance 188 155 343
Community Program Caseload 3,331 3,048 6,379
Fire Inspections in Nursing Homes 273 273
Nursing Home Caseload/Rate (9,197) (9,360) (18,557)
Nursing Home Resident Protection 6.0 253 253 506
Transfer BHP Funding to DDD (1,120) (1,120)
Subtotal - Supplemental Changes 6.0 (4,883) (6,755) (11,638)
Total Proposed Budget 641.2 759,466 773,633 1,533,099
Difference 6.0 (4,883) (6,755) (11,638)
Percent Change from Current Biennium .9% (.6)% (.9)% (.8)%
Supplemental Changes
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)
Community Program Caseload
Funding is provided for adjustments in long term care community program caseloads. Increases in Community Options Program Entry System, Adult Day Health, and case management are off set by decreases in Chore, Medicaid Personal Care, and residential services. (General Fund-State, General Fund-Federal)
Fire Inspections in Nursing Homes
The State Fire Marshal's office conducts required fire inspections in nursing homes. Until the 1995-97 Biennium, when the State Fire Marshal was transferred to the State Patrol, it previously carried the spending authority to pay for the state portion of the costs of these inspections. This spending authority was not reflected in the transfer, and since that time the Fire Marshal has been billing DSHS for the state-only costs of inspections. This item funds the costs for both Fiscal Year 1996 and 1997.
Nursing Home Caseload/Rate
Nursing home caseloads and rates were both lower than projected for this fiscal year. The nursing home average census is estimated to be 14,997 instead of the budgeted 15,508, and the average daily rate is estimated to be $107.81 instead of $108.68. This item reflects the savings from these trends. (General Fund-State, General Fund-Federal)
Nursing Home Resident Protection
This item provides funding for a federally mandated nursing home resident protection program, with implementation starting in Fiscal Year 1997. Resident protection was formerly handled by the Department of Health (DOH). However, during a compliance review the federal Health Care Financing Administration (HCFA) determined that investigations of abuse were not being accomplished in a timely enough manner. DSHS and DOH mutually determined that DSHS should administer the Resident Protection Program to meet the HCFA guidelines. (General Fund-State, General Fund-Federal)
Transfer BHP Funding to DDD
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)