Recommendation Summary

Transcription

1 Budget Period: Children's Administration AJ Children's Advocacy Center AK Hope Beds AL FC Support Child Aide AM Foster Care Support Goods and Svc AN Receiving Care Support Services AP Receiving Care Center AQ Evaluations and Treatment AR Foster Parent Support AS Transportation AT Regional Administrative Reduction AU Behavioral Rehab. Services (BRS) AV FFH Maintenance Payments AW Victims of Domestic Violence AX UA Testing AY Continuum of Care RA FFH Private Agency Fees RC Receiving Home Care Maintenance RD Education Coordinators RE Pediatric Interim Care RF Ancillary RG Foster Parent Emplymnt Child Care RH Foster Parent Recruitment RJ Intensive Foster Care Assessment RK Permanency RL Voluntary Placement Agreements RM Sexually Aggressive Youth RN Responsible Living Skills RP SSI Recoveries. (72) (72). (276) (276). (2,55) (92) (3,452). (443) (1,275) (1,718). (524) (76) (6). (1,547) (181) (1,728). (527) (527). (61) (69) (67). (4,94) (1,644) (6,548) (1.) (6,48) (3,399) (9,87). (1,778) (4,578) (15,356). (6,96) (2,29) (9,115). (3,46) (3,46). (343) (343). (28) (28). (6,336) (1,596) (7,932). (68) (253) (321). (56) (56). (1,484) (1,484). (2,273) (42) (2,315). (3,461) (3,461). (333) (198) (531). (2,626) (2,626). (3,) (2,982) (5,982). (2,4) (1,6) (4,). (379) (379). (9) (9). (43) (43) Total Proposed Budget for 1 - Children's Administration SubTotal PL (1.) (63,329) (21,4) (84,333) Cumulative Total Thru PL (1.) (63,329) (21,4) (84,333) (1.) (63,329) (21,4) (84,333) Text AJ - Children's Advocacy Center (PL) The (DSHS) Children's Administration (CA), reduces ($72,) GF-State in the Biennium for Child Advocacy Centers. AK - Hope Beds (PL) The (DSHS), Children's Administration (CA), reduces ($276,) GF-State in the Biennium to reduce Hope Beds. AL - FC Support Child Aide

2 Budget Period: AL - FC Support Child Aide (PL) The (DSHS), Children's Administration (CA), reduces ($3,452,), ($2,55, GF-State) in the Biennium for the Foster Care Support Child Aide program. AM - Foster Care Support Goods and Svc (PL) The (DSHS), Children's Administration (CA), reduces ($1,718,), ($443,) GF-State in the Biennium by eliminating Foster Care Support Goods and Services program by July 1, 211. AN - Receiving Care Support Services (PL) The (DSHS), Children's Administration (CA), reduces ($6,), ($524,) GF-State in the Biennium by eliminating Receiving Care Support Services. AP - Receiving Care Center (PL) The (DSHS), Children's Administration (CA), reduces ($1,728,), ($1,547,) GF-State in the Biennium by eliminating Receiving Care Center program by July 1, 211. AQ - Evaluations and Treatment (PL) The (DSHS), Children's Administration (CA), reduces ($527,) GF-State in the Biennium for Evaluations and Treatment. AR - Foster Parent Support (PL) The (DSHS), Children's Administration (CA), reduces ($67,), ($61,) GF-State in the Biennium to eliminate Foster Parent Support program. AS - Transportation (PL) The (DSHS), Children's Administration (CA), reduces ($6,548,), ($4,94,) GF-State in the Biennium to eliminate transportation. AT - Regional Administrative Reduction (PL) The (DSHS), Children's Administration (CA), reduces 1. FTEs and ($9,87,), ($6,48,) GF-State in the Biennium for administrative staff reductions. AU - Behavioral Rehab. Services (BRS) (PL) The Children's Administration (CA), reduces ($15,356,), ($1,778,) GF-State in the Biennium for Behavioral Rehabilitative Services (BRS). AV - FFH Maintenance Payments (PL) The (DSHS), Children's Administration (CA), reduces ($9,115,), ($6,96,) GF-State in the Biennium for the Family Foster Homes (FFH) Maintenance Payments. AW - Victims of Domestic Violence (PL) The (DSHS), Children's Administration(CA) reduces ($3,46,) GF-State in the

3 Budget Period: AW - Victims of Domestic Violence Biennium for the Victims of Domestic Violence. AX - UA Testing (PL) The (DSHS), Children's Administration (CA), reduces ($343,) GF-State in the Biennium for urinalysis. AY - Continuum of Care (PL) The (DSHS), Children's Administration (CA), reduces ($28,) GF-State in the Biennium to eliminate Continuum of Care. RA - FFH Private Agency Fees (PL) The (DSHS), Children's Administration (CA), reduces ($7,932,), ($6,336,) GF-State) in the Biennium for Private Agency Service Fees. RC - Receiving Home Care Maintenance (PL) The (DSHS), Children's Administration (CA), reduces ($321,), ($68,) GF-State in the Biennium for Receiving Home Care Maintenance. RD - Education Coordinators (PL) The (DSHS), Children's Administration (CA), reduces ($56,) GF-State in the Biennium for Education Coordinators. RE - Pediatric Interim Care (PL) The (DSHS), Children's Administration (CA), reduces ($1,484,) GF-State in the Biennium to eliminate Pediatric Interim Care facility. RF - Ancillary (PL) The (DSHS), Children's Administration (CA), reduces ($2,315,), ($2,273,) GF-State in the Biennium for Ancillary Services. RG - Foster Parent Emplymnt Child Care (PL) The (DSHS), Children's Administration (CA), reduces ($3,461,) GF-State in the Biennium for Foster Parent Employment Child Care. RH - Foster Parent Recruitment (PL) The (DSHS), Children's Administration (CA), reduces ($531,), ($333,) GF-State in the Biennium for Foster Parent Recruitment. RJ - Intensive Foster Care Assessment (PL) The (DSHS), Children's Administration (CA), reduces ($2,626,) GF-State in the Biennium to eliminate the Intensive Foster Care Assessment & Comprehensive Assessment s.

4 Budget Period: RK - Permanency (PL) The (DSHS), Children's Administration (CA), reduces ($5,982,), ($3,,) GF-State in the Biennium for Permanency. RL - Voluntary Placement Agreements (PL) The (DSHS), Children's Administration (CA), reduces ($4,,), ($2,4,) GF-State in the Biennium for Voluntary Placement Agreements. RM - Sexually Aggressive Youth (PL) The (DSHS), Children's Administration (CA), reduces ($379,) GF-State in the Biennium for the Sexually Aggressive Youth. RN - Responsible Living Skills (PL) The (DSHS), Children's Administration (CA) reduces ($9,) GF-State in the Biennium for the Responsible Living Skills (RLSP). RP - SSI Recoveries (PL) The (DSHS), Children's Administration (CA), reduces ($43,) GF-State in the Biennium for supplemental Security Income (SSI) recoveries.

5 Budget Period: Juvenile Rehabilitatn Admin BF Reduce Regional Client Services BH JRA Institution Reductions BJ JRA Administrative Reduction. (5) (5) (5.5) (6,838) (6,838) (2.) (56) (56) Total Proposed Budget for 2 - Juvenile Rehabilitatn Admin SubTotal PL (52.5) (7,898) (7,898) Cumulative Total Thru PL (52.5) (7,898) (7,898) (52.5) (7,898) (7,898) Text BF - Reduce Regional Client Services (PL) The (DSHS), Juvenile Rehabilitation Administration (JRA), reduces ($5,) GF State in regional office services. BH - JRA Institution Reductions (PL) The (DSHS), Juvenile Rehabilitation Administration (JRA) reduces (5.5) FTEs and ($6,838,) GF-State in the Biennium for youth in residential facilities and consolidating living units. BJ - JRA Administrative Reduction (PL) The (DSHS), Juvenile Rehabilitation Administration (JRA) reduces ($56,) in GF-State and 2. FTEs for the Biennium including continued efficiency savings and a reduction in FTEs.

6 Budget Period: Mental Health CP State Hospital Ward Closure CQ WSH Reductions CR Hospital Reimbursement Group CS CSS Operating Cost Reduction CT Reduce Non-Medicaid Funding CU CSTC Reductions CV Reduce WIMHRT Technical Assistance CX Medicaid for PACT YE License & Certification Fee (49.) (4,1) (2,544) (6,644) (3.) (4,186) (3,156) (7,342). (161) (161) (5.5) (937) (937). (65,646) (65,646) (9.) (1,77) (856) (1,933). (738) (637) (1,375). (1,2) 1,2 1. (928) Total Proposed Budget for 3 - Mental Health SubTotal PL (92.5) (78,973) (4,999) (83,972) Cumulative Total Thru PL (92.5) (78,973) (4,999) (83,972) (92.5) (78,973) (4,999) (83,972) Text CP - State Hospital Ward Closure (PL) The (DSHS), would reduce (49.) FTEs and ($6,644,), ($4,1,) GF-State by closing one civil ward at Western State Hospital (WSH). CQ - WSH Reductions (PL) The Department of Social and health Services (DSHS), would reduce (3.) FTEs and ($7,342,), ($4,186,) GF-State by limiting overtime and a reorganization at Western State Hospital (WSH). CR - Hospital Reimbursement Group (PL) The (DSHS), would reduce ($8,) GF-State in Fiscal Year 212 and ($81,) GF-State in Fiscal Year 213 within Western State Hospital's Reimbursement Group budget. CS - CSS Operating Cost Reduction (PL) The (DSHS), would reduce (5.5) FTEs and ($937,) GF-State in the Biennial Budget to reduce operating costs of the Consolidated Support Services (CSS) unit at Eastern State Hospital. CT - Reduce Non-Medicaid Funding (PL) The (DSHS), would reduce ($65,646,) GF-State by reducing non-medicaid funding. CU - CSTC Reductions (PL) The (DSHS), would reduce (5.5) FTEs and $(1,933,), ($1,77,) GF-State by eliminating staff and reducing expenditures at the Child Study and Treatment Center (CSTC). CV - Reduce WIMHRT Technical Assistance

7 Budget Period: CV - Reduce WIMHRT Technical Assistance (PL) The (DSHS), would reduce ($1,375,), ($738,) GF-State by terminating contracts with Washington Institute for Mental Health Research and Training (WIMHRT). CX - Medicaid for PACT (PL) The Department of Social and health Services (DSHS), would reduce ($1,2,) GF-State by increasing federal participation in the for Active Community Treatment (PACT) teams. YE - License & Certification Fee (PL) The (DSHS), Aging and Disability Services Administration, Division of Behavioral Health and Recovery (DBHR), requests $66, (a reduction of $928, GF-State) and 1. FTE to establish licensing and certification fees at an amount adequate to reimburse the department for costs of its licensing, certification, and regulation activities for approved chemical dependency treatment programs and licensed community mental health providers.

8 Budget Period: Div of Developmental Disabilities DE RHC Staff & Service Reduction DL Personal Care Reduction - Acuity DM Professional Services Reduction DP Voluntary Placement Savings DQ E&D GFS only clients not in service DU Employment & Day Reduction DW Central Office Reductions DX Field Staff & Service Reduction DZ Residential Services Reduction EK Public Utility Assessment EM Convert AP Health Benefit EN 1915(k) Option for MPC ES AP to IP (Ability to Supervise) RB Delay Mandatory Training (4.) (2,6) (2,598) (5,198). (21,252) (21,252) (42,54). (1,92) (1,92) (2,184). (4) (4). (2,966) (2,966). (8,412) (8,42) (16,814). (12) (12) (24) (19.) (2,122) (1,415) (3,537). (22,536) (22,51) (45,46). (2,616) 61,43 4,787. (416) (414) (83). (3,397) 3,397. (498) (498) (996) (3.) (12,56) (11,6) (23,566) Total Proposed Budget for 4 - Div of Developmental Disabilities SubTotal PL (62.) (98,915) (4,543) (13,458) Cumulative Total Thru PL (62.) (98,915) (4,543) (13,458) (62.) (98,915) (4,543) (13,458) Text DE - RHC Staff & Service Reduction (PL) The (DSHS), Division of Developmental Disabilities (DDD) reduces ($5,198,), ($2,6,) GF-State in the Biennium by implementing across the board reductions of five percent in the Residential Habilitation Centers (RHCs). DL - Personal Care Reduction - Acuity (PL) The (DSHS), Division of Developmental Disabilities (DDD) reduces ($42,54,), ($21,252,) GF-State in the Biennium from an acuity based reduction in service hours for adult clients receiving personal care. DM - Professional Services Reduction (PL) The (DSHS), Division of Developmental Disabilities (DDD) reduces ($2,184,) ($1,92,) GF-State in the Biennium for therapy and technical assistance contracts. DP - Voluntary Placement Savings (PL) The (DSHS), Division of Developmental Disabilities (DDD) reduces ($4,) GF-State in the Biennium for the Voluntary Placement to align it with past years expenditure level. DQ - E&D GFS only clients not in service (PL) The (DSHS), Division of Developmental Disabilities (DDD) reduces ($2,966,) GF-State in the Biennium by eliminating funding to serve 24 "state only" clients in employment & day programs

9 Budget Period: DQ - E&D GFS only clients not in service that have not entered service. DU - Employment & Day Reduction (PL) The (DSHS), Division of Developmental Disabilities (DDD) reduces ($16,814,), ($8,412,) GF-State in the Biennium by reducing the rates paid to counties for providing employment and day services to people with developmental disabilities. DW - Central Office Reductions (PL) The (DSHS), Division of Developmental Disabilities (DDD) reduces $24, ($12, GF-State) in the Biennial Budget for central office functions. DX - Field Staff & Service Reduction (PL) The (DSHS), Division of Developmental Disabilities (DDD) reduces (19.) FTEs and ($3,537,), ($2,122, GF-State) in the Biennium by reducing staff and services in the division's regional field service offices. DZ - Residential Services Reduction (PL) The (DSHS), Division of Developmental Disabilities (DDD) reduces ($45,46,) (($22,536,) GF-State) in the Biennium by reducing funding for residential services to people with developmental disabilities. EK - Public Utility Assessment (PL) This (DSHS), Division of Developmental Disabilities (DDD), request is an increase of $4,787, ( -$2,616, GF State) in the Biennial Budget from the extension of the public utility assessment to Home and Community Based Services (HCBS) providers. EM - Convert AP Health Benefit (PL) The (DSHS), Developmental Disabilities Division (DDD) program, reduces ($83,), ($416, GF-State) in the Biennium by reforming the way health benefits are purchased for Agency Providers for Medicaid clients. EN (k) Option for MPC (PL) The (DSHS), Division of Developmental Disabilites (DDD), reduces ($3,397,) GF State, and an increase of $3,397, Federal, in the Biennium by eliminating the current Medicaid Personal Care (MPC) program. All current in home recipients of MPC would be converted to the new federal Community First program with a higher federal match rate. MPC clients who reside in community residential settings would be converted to HCBS waivers at the current match rate. ES - AP to IP (Ability to Supervise) (PL) The (DSHS), Developmental Disabilities Division (DDD), reduces ($1,188,) total funds ($594,) GF-State in the Biennium as in-home personal care services would be redefined to assure that clients receive personal care from the most cost-effective service that can meet their needs. RB - Delay Mandatory Training

10 Budget Period: RB - Delay Mandatory Training (PL) The (DSHS), Division of Developmental Disabilities (DDD) reduces ($23,566,), ($12,56,) GF-State and (3.) FTEs in the Biennium for a delay in the implementation of new mandatory training requirements for long term care workers.

11 Budget Period: Long Term Care Services DL Personal Care Reduction - Acuity EC Family Caregiver Medicaid Diversion EF Vulnerable Adults - Safety Improvem EJ Quality Assurance Fee for NH EK Public Utility Assessment EL Revised Phase-in for NH Discharge EM Convert AP Health Benefit EN 1915(k) Option for MPC ER NH Variable Return Component Saving ES AP to IP (Ability to Supervise) ET Nursing Home Allowance EV Volunteer Services Reinvestment EW HCBS NH Incentive RB Delay Mandatory Training. (76,26) (76,26) (152,412). (1,446) (8,346) (9,792) 47.8 (4,636) 25,126 2,49. (29,546) 74,734 45,188. (84,377) 13,354 45,977. (2,46) (2,46) (4,92). (8,34) (8,32) (16,66). (8,558) 8,558. (3,266) (3,268) (6,534). (29,192) (29,19) (58,382). (16,1) (16,1) (32,2). 3, 3,. 2, 2, (8.) (13,313) (11,584) (24,897) Total Proposed Budget for 5 - Long Term Care Services SubTotal PL 39.8 (272,44) 83,316 (189,88) Cumulative Total Thru PL 39.8 (272,44) 83,316 (189,88) 39.8 (272,44) 83,316 (189,88) Text DL - Personal Care Reduction - Acuity (PL) The (DSHS), Long Term Care (LTC) program, reduces a total of ($152,412,) (($76,26,) GF-State) in the Biennium from an acuity based reduction in service hours for adult clients receiving personal care. EC - Family Caregiver Medicaid Diversion (PL) The (DSHS), Long Term Care (LTC) program, reduces ($9,792,) (($1,446,) GF-State) in the Biennium to expand the Family Caregiver Support (FCSP), including specialized caregiver support for people with Alzheimer's disease. EF - Vulnerable Adults - Safety Improvem (PL) Consistent with protecting health and safety for vulnerable adults and with the recommendations of the Abuse/Neglect Study Group, the (DSHS) requests $24,5, ($4,636,) GF State and 47.8 FTEs for the Biennium. The Study Group was convened by the Secretary of DSHS to meet over the summer of 21 to compare Washington State with seven other states, and make recommendations on ways to improve the abuse response system (including improved investigative resources). This decision package also requests that facility license fees be adjusted to cover the costs of their oversight, thereby eliminating the GF-State subsidy for licensing activities. EJ - Quality Assurance Fee for NH (PL) The (DSHS), Long Term Care (LTC) program, proposes an increase of $45,188, (-$29,546, GF-State) in the Biennial Budget from the creation of a nursing home provider fee.

12 Budget Period: EK - Public Utility Assessment (PL) This (DSHS), Long Term Care (LTC) program, request is an increase of $45,977, (($84,377,) GF-State) in the Biennial Budget from the extension of the public utility assessment to Home and Community Based Services (HCBS) providers. EL - Revised Phase-in for NH Discharge (PL) The (DSHS), Long Term Care (LTC) program, reduces a total of ($4,92,), ($2,46,) GF-State in the Biennium from greater than anticipated placement of nursing home clients into community settings. EM - Convert AP Health Benefit (PL) The (DSHS), Long Term Care (LTC) program, reduces a total of ($16,66,), ($8,34,) GF-State in the Biennium by reforming the way health benefits are purchased for Agency Providers for Medicaid clients. EN (k) Option for MPC (PL) The (DSHS), Long Term Care (LTC) program, reduces ($8,558,) GF-State, and increases $8,558, Federal, in the Biennium by eliminating the current Medicaid Personal Care (MPC) program. All current in-home recipients of MPC would be converted to the new federal Community First program with a higher federal match rate. MPC clients who reside in community residential settings would be converted to HCBS waivers at the current match rate. ER - NH Variable Return Component Saving (PL) The (DSHS), Long Term Care (LTC) program, reduces a total of ($6,534,), ($3,266,) GF-State in the Biennium from changes to the variable return component of the nursing home rate methodology. ES - AP to IP (Ability to Supervise) (PL) The (DSHS), Long Term Care (LTC) program, reduces a total of ($58,382,), ($29,192,) GF-State in the Biennium because in-home personal care services would be redefined to assure that clients receive personal care from the most cost-effective service that can meet their needs. ET - Nursing Home Allowance (PL) The (DSHS), Long Term Care (LTC) program, reduces ($3,2,), ($14,1,) GF-State in the Biennium from statutory changes that add efficiencies in the nursing home rate methodology. EV - Volunteer Services Reinvestment (PL) The (DSHS), Long Term Care (LTC) program, requests an increase of $3,, GF State in the Biennium to the state funded Volunteer Services program. EW - HCBS NH Incentive (PL) The (DSHS), Long Term Care (LTC) program, proposes a reinvestment of $2,, GF State in the Biennium for re-envisioning nursing home involvement in the home and community

13 Budget Period: EW - HCBS NH Incentive based service system. RB - Delay Mandatory Training (PL) The (DSHS), Long Term Care (LTC) program, reduces ($24,897,) ($13,313,) GF-State and (8.) FTEs in the Biennium for a delay in the implementation of new mandatory training requirements for long term care workers.

14 Budget Period: Economic Services Admin FA Elimination - Naturalization FB Elimination - State Food Assistance FE Elimination-Child Support Pass Thru FH Elimination - IRS Re-Distribution FK Reduction - Disability Lifeline FP Reduction - Refugee Services FQ Reduction TANF/Other FR Reinvestment of Naturalization Prog FS Reinvestment to Food Banks QJ Administrative Reductions. (4,74) (4,74) (14.2) (53,34) (53,34). (18,776) (18,776) (37,552). (6,274) (6,276) (12,55). (49,726) (49,726) (4.) (1,6) (1,6). (65,2) (65,2). 1,5 1,5. 2, 2, (9.) (86) (871) (1,731) Total Proposed Budget for 6 - Economic Services Admin SubTotal PL (27.2) (25,116) (25,923) (231,39) Cumulative Total Thru PL (27.2) (25,116) (25,923) (231,39) (27.2) (25,116) (25,923) (231,39) Text FA - Elimination - Naturalization (PL) The (DSHS), Economic Services Administration (ESA) reduces $4,74, GF-State in the Biennium associated with the elimination of naturalization services contracts. FB - Elimination - State Food Assistance (PL) The (DSHS), Economic Services Administration (ESA), reduces $53,34, GF-State and 14.2 FTEs in the Biennium associated with the elimination of the state Food Assistance (FAP). FE - Elimination-Child Support Pass Thru (PL) The (DSHS), Economic Services Administration (ESA) proposes to repeal a state law authorized under the Federal Deficit Reduction Act (DRA) of 25 that provides for child support pass-through payments to families. Repeal of this provision will result in savings totaling ($37.6 million), ($18.8 million) GF-State in the Biennium. FH - Elimination - IRS Re-Distribution (PL) The (DSHS), Economic Services Administration (ESA) proposes to repeal a provision adopted under the Federal Deficit Reduction Act (DRA) of 25 that provided for the distribution of child support collections made through federal tax intercepts to families. Repeal of this provision will result in savings totaling ($12.6 million), ($6.3 million) GF-State in the Biennium. FK - Reduction - Disability Lifeline (PL) The (DSHS), Economic Services Administration (ESA) reduces ($49,726,) GF-State in the Disability Lifeline program in the Biennium through grant reductions and eligibility changes.

15 Budget Period: FP - Reduction - Refugee Services (PL) The (DSHS), Economic Services Administration (ESA) reduces ($1,6,) GF-State and 4. FTEs in the Biennium associated with the elimination of state-funded refugee employment services. FQ - Reduction TANF/Other (PL) The (DSHS), Economic Services Administration (ESA) reduces ($65.2 million) GF-State to the Termporary Assistance to Needy Families (TANF)/Work First program in the Biennium. FR - Reinvestment of Naturalization Prog (PL) The (DSHS), Economic Services Administration (ESA) requests $1,5, GF-State in the Biennium for development of a new model for naturalization to be attained through low interest loans. FS - Reinvestment to Food Banks (PL) The (DSHS), Economic Services Administration (ESA) requests that $2,, GF-State in the Biennium be reinvested in community food banks. QJ - Administrative Reductions (PL) The (DSHS), Economic Services Administration (ESA) reduces ($1,731,), ($86,) GF-State and 9. FTEs in the Biennium associated with administrative reductions.

16 Budget Period: Div of Alc/Substnce Abuse YE License & Certification Fee YF DL & ADATSA-Impl Fed Waiver 1115 YG 2% Tribal Admin Reduction YI Reduce Adult Long Term Res CD. (1,454) 1,454. (16,11) 16,11. (61) (61). (458) (458) Total Proposed Budget for 7 - Div of Alc/Substnce Abuse SubTotal PL. (18,83) 17,564 (519) Cumulative Total Thru PL. (18,83) 17,564 (519). (18,83) 17,564 (519) Text YE - License & Certification Fee (PL) The, Aging and Disability Services Administration (ADSA), Division of Behavioral Health and Recovery (DBHR), Alcohol and Substance Abuse (ASA) reduces ($727,) GF-State and increases $727, in Private/Local appropriation to support legislation directing the department to establish licensing and certification fees at an amount adequate to reimburse the Department for all costs of its licensing, certification, and regulation activities for approved chemical dependency treatment programs and licensed community mental health agencies. YF - DL & ADATSA-Impl Fed Waiver 1115 (PL) The (DSHS), Aging and Disability Services Administration (ADSA), Alcohol and Substance Abuse (ASA) increases $16,11, in Federal funds and reduces ($16,11,) GF-State to implement federal waiver 1115 for Disability Lifeline and Alcohol and Drug Addiction Treatment Support Act (ADATSA) clients. YG - 2% Tribal Admin Reduction (PL) The (DSHS), Aging and Disability Services Administration (ADSA), Alcohol and Substance Abuse (ASA) reduces ($61,) GF-State by reducing Tribal Administration from ten to eight percent of the maximum consideration of the contract. YI - Reduce Adult Long Term Res CD (PL) The (DSHS), Aging and Disability Services Administration (ADSA), Alcohol and Substance Abuse reduces ($458,) GF-State by realigning residential services by reducing the Adult Long Term Residential Treatment.

17 Budget Period: Medical Assistance HQ Optional Service Reductions HR State- Eliminations. (272,112) (269,245) (541,357). (216,214) (134,84) (35,298) Total Proposed Budget for 8 - Medical Assistance SubTotal PL. (488,326) (43,329) (891,655) Cumulative Total Thru PL. (488,326) (43,329) (891,655). (488,326) (43,329) (891,655) Text HQ - Optional Service Reductions (PL) The (DSHS), Medicaid Purchasing Administration (MPA) submits spending reductions totaling -$541,357, (-$272,112, GF-State) that would result in the elimination of optional Medicaid services coverage for mostly adult clients in the Biennium. This submittal is in response to the required ten percent ($521 M GF-State) across-the-board reduction. This request will be updated upon availability of the final October 21 Medical Assistance expenditure forecast. HR - State- Eliminations (PL) The (DSHS), Medicaid Purchasing Administration (MPA) submits spending reductions totaling -$35,298, (-$216,214, GF-State) that would result from the elimination of state-only programs in the Biennium. This submittal is in response to the required ten percent ($521 M GF-State) across-the-board reduction. This request will be updated upon availability of the final October 21 Medical Assistance expenditure forecast.

18 Budget Period: Vocational Rehabilitation JA Reduce Basic Support Grant. (2,479) (2,479) Total Proposed Budget for 1 - Vocational Rehabilitation SubTotal PL. (2,479) (2,479) Cumulative Total Thru PL. (2,479) (2,479). (2,479) (2,479) Text JA - Reduce Basic Support Grant (PL) The (DSHS), Division of Vocational Rehabilitation (DVR), reduces match dollars for the Basic Support Grant ($2,479,) GF-State in the Biennium budget.

19 Budget Period: Admin & Supporting Svcs KE Administrative Reductions (21.) (3,1) (486) (3,586) Total Proposed Budget for 11 - Admin & Supporting Svcs SubTotal PL (21.) (3,1) (486) (3,586) Cumulative Total Thru PL (21.) (3,1) (486) (3,586) (21.) (3,1) (486) (3,586) Text KE - Administrative Reductions (PL) The (DSHS) reduces ($3,586,) $3,1, GF-State and (21.) FTEs through Administrative Reductions.

20 Budget Period: Payment to Other Agencies KD Central Services Reduction. (7,728) (3,49) (11,218) Total Proposed Budget for Payment to Other Agencies SubTotal PL. (7,728) (3,49) (11,218) Cumulative Total Thru PL. (7,728) (3,49) (11,218). (7,728) (3,49) (11,218) Text KD - Central Services Reduction (PL) The (DSHS) reduces ($11,218,) $7,728, GF-State for the Central Services costs.