Washington State Department of Social and Health Services Home page
Error processing SSI file

Legislative Reports

Assisted Living Facilities
Care and Medicaid Payments for Licensed Boarding Homes
Requires the department to report about the development of the Comprehensive Assessment Reporting Evaluation - CARE assessment process and case mix system for determining client care needs and establishing payment rates that reflect a client's care needs. Also, the Legislature mandated that the report include actual costs of providing care and services in licensed boarding homes and a comparison of the actual costs with the department's Medicaid payment rates.

Authorization:    C231, L03
Type of Report: One-Time
Report Date:      December 2004 (PDF)
Homecare Health Options

Requires the department to report in consultation with the Home Care Quality Authority and the Health Care Authority shall examine how the state determines the appropriate level of health care costs when establishing state contribution rates for all agency and individual home care workers caring for state subsidized clients. The department shall recommend options as to how equivalent benefits can be purchased on behalf of home care workers in a more cost effective manner to the Office of Financial Management and the appropriate fiscal committees of the legislature by October 1, 2006.

Authorization:    C372, L06, Section 206
Type of Report: One-Time
Report Date:      October 2006 (PDF)

Preliminary Transition Plan Downsizing Fircrest
This Preliminary Transition Report is in response to the 2003 legislative session directive to downsizing Fircrest School by four cottages during the 2003-05 Biennium and develop a transition plan for Fircrest School.

Authorization:    C25, L03, Sec 211(1)(e)
Type of Report: One-Time
Report Date:      January 2004 (PDF)
Third Party Health Care Coverage

Requires the Department to report the expenditures and revenues associated with DSHS funds for providing services to community clients by licensed professionals at state operated Residential Habilitation Centers - RHC.

Authorization:     Chapter 518, Laws of 2005, Section 205 (1)(h)
Type of Report:  Annual
Report Date:       December 2006 (PDF)

Wage Increase in Direct Care & Effect on Low-wage Workers in Adult Family Homes and Boarding Homes
Requires the department, for fiscal year 2002, to add forty-five cents per patient day to the direct care rate which would otherwise be paid to each nursing facility in accordance with Chapter 74.46 RCW. Requires the department, for fiscal year 2003, to increase the median price per case-mix unit for each of the applicable peer groups by six-tenths of one percent in order to distribute the available funds. Requires the department, in consultation with the statewide associations representing nursing facilities, to establish a mechanism for testing the extent to which funds have been used for this purpose. Requires the department to report the results to the fiscal committees of the legislature by February 1, 2002.

Authorization:
     Chapter 7, Laws of 2001, Second Extraordinary Session, Section 206(12) Uncodified
Type of Report: 
One-Time
Report Date:       February 2002
The Effect of Geographic Areas in Medicaid Rate Setting - Impact on Staff and Provider Turnover
Requires the department to examine whether establishing payment rates based on geographic location affects provider and staff turnover.

Authorization:
    Chapter 522, Laws of 2007, Section 206(13)
Type of Report:
One time
Report Date:      June 2008 (PDF)

Extraordinary Medical Placement (Joint Report)

The Department was required to report jointly with the Department of Corrections to
identify and track cost savings to DOC including medial cost savings and to identify
and track expenditures incurred by DSHS.

Authorization:      ESHB 1244, C564 L09 Sec. 206(18)
Type of Report:  One time
Report Date:       November 2010 (PDF)


Conversion of the Medicaid Personal Care Program

3ESHB 2127 requires the Department to assess the feasibility of converting in-home services currently provided by the Medicaid Personal Care (MPC) program to self-directed services within an individualized budget under the Home and  Community-based Services Medicaid option provided by Section 1915(i) of the Social Security Act.  Identical language is included in both Section 205(f) of 3ESHB 2127 that appropriates MPC funding for people with developmental disabilities and Section 206(8) that appropriates MPC funding for people with needs related to long-term care. 

Authorization:      3ESHB 2127, Laws of 2012, Section 205(f) and Section 206(8)
Type of Report:   One-time
Report Date:        December 2012 (PDF)



Back to top
Community Protection Placements
Requires the department to report to the appropriate committees of the legislature, within 45 days following each fiscal year quarter, the number of persons served with these additional community services, where they were residing, what kinds of services they were receiving prior to placement, and the actual expenditures for all community services to support these clients.

Authorization:
   Chapter 518, Laws of 2005, Section 205(1)(d) Uncodified
Type of Report: Quarterly  (REPORTING REQUIREMENTS HAVE BEEN MET)
Report Date:      February 2006 (PDF)
                            May 2006 (PDF)
                            August 2006 (PDF)
                            November 2006 (PDF)
                            February 2007 (PDF)
                            May 2007(PDF)
                            August 2007 (PDF)
                            November 2007(PDF)
                            February 2008(PDF)
                            May 2008 (PDF)
                            August 2008 (PDF)
                            November 2008 (PDF)
                            February 2009 (PDF)
                            May 2009 (PDF)
                            August 2009 (PDF)
                            November 2009 (PDF)
                            February 2010 (PDF)
                            May 2010 (PDF)
                            August 2010 (PDF)
                            November 2010 (PDF)
                            February 2011 (PDF)
                            May 2011 (PDF)
                            August 2011 (PDF)
 
Developmentally Disabled Options
Requires the Division, in conjunction with the Strategies for the Future Stakeholder Workgroup, to present a three-phase, three biennium planning project to the Legislature on how to best meet the needs of people with developmental disabilities and their families under 71A RCW.

Authorization:
   RCW 71A.12.170
Type of Report: Multiple
Report Date:      December 2002 (PDF)
Division of Developmental Disabilities - DDD Residential Habilitation Centers
During the 2002 legislation session, the Legislature directed Joint Legislative Audit and Review Committee - JLARC to conduct a review of the five Residential Habilitation Centers - RHCs serving individuals with developmental disabilities, operated by the department. The purpose of the review was to investigate the possible alternative uses of the land and facilities currently used by RHCs.

Authorization:    Recommended by JLARC
Type of Report:
One Time
Report Date:      September 2003
Developing the Assessment Process for Developmental Disabilities
Recommendation 1 appropriately recognizes assessment as one of the major elements of a comprehensive case management information system. It recognizes that the business requirements of Recommendation 1 and 2 cannot be developed in isolation from each other. In addition, this response addresses issues that were raised by JLARC in this and other audits and concerns expressed in the Sterling Report commissioned by DSHS to review DDD practices and in the Centers for Medical and Medicaid Services Review of July 2002

Authorization:
   Recommended by JLARC
Type of Report:
One Time
Report Date:      October 2003
Developing a Case Management System for DDD (Recommendation #2)
This plan describes the schedule and costs of continuing development of the case management system needed for DDD.

Authorization:
   Recommended by JLARC
Type of Report:
One Time
Report Date:      December 2003 (PDF)
Expanded Community Services Proviso (Olmstead Placements)

Requires the department to report to the appropriate committees of the legislature, within 45 days following each fiscal year quarter, services to persons with disabilities who are residents of residential habilitation centers and are able to be cared for and choose to live in community settings, or are without residential services and at immediate risk of institutionalization, or are children aging out of other state services, or are community based waiver client assessed as having immediate need for increased services.

Authorization:
   Chapter 518, Laws of 2005, Section 205(1)(c) Uncodified
Type of Report: Quarterly (REPORTING REQUIREMENTS HAVE BEEN MET)
Report Date:      February 2006 (PDF)
                            May 2006 (PDF)
                            August 2006 (PDF)
                            November 2006 (PDF)
                            February 2007 (PDF)
                            May 2007(PDF)
                            August 2007 (PDF)
                            November 2007(PDF)
                            February 2008 (PDF)
                            May 2008 (PDF)
                            August 2008 (PDF)
                            November 2008 (PDF)
                            February 2009 (PDF)
                            May 2010 (PDF)
                            August 2010 (PDF)

Impact of the Creation of the Aging Disability Service Administration

This report addresses detailed reports on the impacts of the recent reorganization of DSHS bringing DDD into the Aging and Disability Services Administration. And how this reorganization will impact the provision of services to the developmentally disabled, renewal of federal "waivers," as well as detail new organization reporting
structures, including field operations.


Authorization:   Recommended by JLARC
Type of Report:
One time
Report Date:      September 2003 (PDF)

Impact of the Creation of the Aging Disability Service Administration -First Follow-up Report

The report's first section discusses how the reorganization reflects the new organizations structure. Much of this information was included in the September 2003 report so this follow-up provides more detail about the process of identifying necessary organization changes. The second and third sections discuss how the reorganization will impact the provision of services to persons with DD and the pending renewal of federal waivers. The fourth section discusses how the reorganization is reflected in the performance and outcome measured for which DDD will be responsible.

Authorization:    Recommended by JLARC
Type of Report:
One time
Report Date:      December 2003 (PDF)

Impact of the Creation of the Aging Disability Service Administration -Second Follow-up Report

This is the final follow-up report. The first two reports to the JLARC provided detail about specific topics requested by the JLARC recommendation. This report will not repeat that detail. The reorganization itself is largely complete. Work that took place to assess the organizational structure, ensure stakeholder involvement, and complete organizational consolidation has been discussed in earlier reports. This report will summarize the accomplishments of the new organization in its first 21 months -from September 2002 to June 2004 and discuss work that remains to be done to continue to move the new organization forward.

Authorization:    Recommended by JLARC
Type of Report:
One time
Report Date:      June 2004 (PDF)

State-Funded Family Support Program

Requires the department to report on a more equitable program structure, a proviso was issued by the legislature mandating that the Department of Social and Health Services - DSHS develop a service delivery model that combines all existing programs. This report is in response to that proviso.

Authorization:    Chapter 518, Laws of 2005, Section 205(i)(e)(iv)Uncodified
Type of Report:
One-Time
Report Date:      November 2006 (PDF)

Wage Increases for DDD Residential Programs
Requires the department, in consultation with the statewide associations for low-wage workers providing state-funded services to persons with developmental disabilities representing such agencies, to establish a mechanism for testing the extent to which funds have been used to increase compensation by an average of fifty cents per hour.

Authorization:
 Chapter 7, Laws of 2001, Second Extraordinary Session, Section 205(1)(g) Uncodified
Type of Report:
One-Time
Report Date:      February 2002
Waiver Request Summary
Requires the department, prior to submitting to the health care financing authority any additional home and community based waiver request for persons with developmental disabilities, to submit a summary of the waiver request to the appropriate committees of the legislature.

Authorization:
   Chapter 7, Laws of 2001, Section 205(1)(d)
Type of Report:
Annually
Report Date:      December 2002 - The Department did not submit a new or modified waiver request to CMS during 2002, thus no report was submitted.
 
Individual Employment Support Services for Persons with Developmental Disabilities
Requires the department to collect data from the counties related to employment services for persons with developmental disabilities to include, but not limited to the average length of time clients utilize job coaching services.

Authorization:
   Chapter 522, Laws of 2007, Section 205 SHB 1128
Type of Report:
One time
Report Date:      December 2007 (PDF)
Traumatic Brain Injury Comprehensive Statewide Plan - Preliminary Report
Requires the department to provide a preliminary report containing recommendations for a comprehensive statewide plan to address the needs of individuals with traumatic brain injuries, including the use of public-private partnerships and a public awareness campaign.

Authorization:
   Chapter 356, Laws of 2007 (2SHB 2055, Section 4)
Type of Report:
One time
Report Date:      December 2007 (PDF)
Traumatic Brain Injury Annual Report
Requires the department to report to the legislature annually a summary of action taken by the department to meet the needs of individuals with traumatic brain injuries and recommendations for improvements in services to address the needs of individuals with traumatic brain injuries. (The dept. is no longer required to submit an annual report - duties moved to the TBI Council as mandated by 1614 Sec 2(7))

Authorization:
   RCW 74.31.030(3)
Type of Report:
Annual
Report Date:      December 2007 (PDF)
                            December 2008 (PDF)
                            December 2009 (PDF)
                            December 2010 (PDF)
 
Traumatic Brain Injury Comprehensive Report - Final
Requires the department to provide a preliminary report to the legislature and the governor, and shall provide a final report containing recommendations for a comprehensive statewide plan to address the needs of individuals with traumatic brain injuries.

Authorization:
   RCW 74.31.030(3)
Type of Report:
One time
Report Date:      December 2008 (PDF)
Individual and Family Services Program
Requires the department to submit a status report to the appropriate policy and fiscal committees of the Legislature on the individual and family services program for people with developmental disabilities. The report shall include the number of applicants for funding, the total number of awards, the number and amount of both annual and one-time awards, broken down by household income levels and the purpose of the awards.

Authorization:
   Chapter 522, Laws of 2007 Section 205 (1)(c)
Type of Report:
One time
Report Date:      January 2008 (PDF)
                            November 2008 (PDF)
County Employment Program

Requires the department to report on the proposed policy for minimum direct service hours for clients, minimum hours of support, timeframes for seeking paid employment and services provided under pathway to employment while paid employment is sought.

Authorization:
  Chapter 522, Laws of 2007, Section 205(1)(f) RCW Uncodified
Type of Report:
One time
Report Date:      November 2008 (PDF)

Infant Toddler Early Intervention Program - ITEIP
Requires the department to review current infant-toddler early intervention services statewide and report on a recommended consistent funding approach per child for the 2009-11 biennium, recognizing the new level of funding anticipated by school district participation.

Authorization:
 Chapter 522, Laws of 2007, Section 205(1)(k) RCW Uncodified
Type of Report:
One time
Report Date:      November 2008 (PDF)
Employment & Day Services - Workgroup Recommendations
The Employment & Day Services workgroup was charged by the 2011 legislature to develop a proposal regarding a new approach to Employment & Day Services.

Authorization:     Chapter 50, Laws of 2011, Section 205(k)
Type of Report:  One time
Report Date:       December 2011 (PDF)

Back to top

Fiscal Impact of Re basing Future Payments at Different Intervals
Requires the department to report to the joint legislative task force on nursing homes and provide an evaluation of the fiscal impact of re basing future payments at different intervals, including the impact of averaging two-years' cost data as the basis for re basing.

Authorization:
   Chapt. 7, Laws of 2001, Special Session, Sect. 18(4) Uncodified
Type of Report:
One-Time
    Report Date:      July 2002 (PDF)

Medically Needy Waiver
Requires the department to track and report on the types of long-term care support a sample of waiver participants were receiving prior to their enrollment in the waiver, how those services were being paid for, and an assessment of their adequacy. Authorization:  Chapter 7, Laws of 2001, 2nd Extraordinary Session, Section 206(8)(d) Uncodified
Type of Report:
One-Time
    Report Date:      November 2002 (PDF)

Results of Dementia Care Pilot Program
Requires the department to report the results of the dementia care pilot program. The following details were requested and are included in the report: dementia care standards, the benefits of the dementia care program to residents, and the actual costs of providing dementia care and services to residents under the dementia care pilot program.

Authorization:  C231, L03, Sec 9
Type of Report:
Annual
Report Date:      December 2003
 
Self Directed Care
The study "Evaluation of Self-Directed Care in Washington State" to be done by the U of W School of Nursing in consultation with DSHS and the Governor's Committee on Disability Issues and Employment. Requested one-year extension of the study to November 1, 2002.

Authorization:
  Chapter 336, Laws of 1999, Section 9
Type of Report:
One-Time
Report Date:      November 2002 (PDF)
   
 Back to top  
Adequacy of the Case Mix in determining Nursing Home Payments
Requires the department to report (1) additional case mix groups and appropriate case mix weights to reflect the resource utilization or residents whose care needs are not adequately identified or reflected in the resource utilization group 111 grouper version 5.10; (2) adequacy of resource utilization group 111 grouper version 5.10 for capturing the care and resource utilization needs of residents with AIDS, residents with traumatic brain injury, and residents who are behaviorally challenged.

Authorization:
    Chapter 8, Laws of 2001, Extraordinary Session, Section 18(3) Uncodified
Type of Report:
One-Time
Report Date:      December 2002 (PDF)
Alternative Approaches for Using Client Acuity to establish Direct Care Rates
Requires the department to report to the joint legislative task force on nursing homes on alternative approaches for using client acuity to establish direct care rates, by December 1, 2001.

Authorization:
    Chapter 8, Laws of 2001, Extraordinary Session, Section 18(5) Uncodified
Type of Report:
One-Time
Report Date:      December 2001 (PDF)
Exceptional Care Payments
Requires the department to submit a report that addresses: (i) The number of individuals who on behalf of exceptional care payments have been made under this section, their diagnosis, and the amount of the payments; and (ii) An assessment as to whether the availability of exceptional care payments resulted in more expedient placement of residents into nursing homes and fewer and/or shorter hospitalizations.

Authorization:
    Chapter 181, Laws of 1999, Sections 2(1)(b) and 2(2)(b)
Type of Report:
One-Time
Report Date:      December 2002 (PDF)
Medicaid Nursing Facility Payment System
Requires the department, in collaboration with a consultant contractor, to incorporate the joint legislative task force's recommendations into the final evaluation plan.

Authorization:
  Chapter 8, Laws of 2001, First Extraordinary Session, Section 18(2) Uncodified
Type of Report:
Multiple
Report Date:      October 2002 (PDF)
                            July 2003 (PDF)
                            October 2003 (PDF)
Proposal and Rationale for a Simplified Medicaid Payment System for Nursing Homes in Washington State
Requires the department, to review the current Medicaid payment methodology for nursing facilities and make recommendations for revisions to, restructuring of, or replacement of the existing payment methodology.

Authorization:
    Chapter 522, Laws of 2007, Section 206(9)(b)
Type of Report:
One time
Report Date:      October 2007 (PDF)
The Use and Impact of the Bed Hold Policy
Requires the department, to report the implementation of the changes to the bed hold program and summarize related data analysis reflecting the direct and indirect benefits of the bed hold program.

Authorization:
    RCW 18.20.290
Type of Report:
Annually
Report Date:      December 2005 (PDF)
Wage Increases for Nursing Homes/Low-wage Direct Care Workers
Requires the department, in consultation with the statewide associations representing such agencies, to establish a mechanism for testing the extent to which funds have been used for prospective rate increases intended to increase compensation by an average of fifty cents per hour for low-wage workers in agencies which contract with the state to provide community residential services for persons with functional disabilities. Requires the department to report the results to the fiscal committees of the legislature by February 1, 2002.

Authorization:
  Chapter 7, Laws of 2001, 2nd Extraordinary Session, Sec. 206(13) Uncodified
Type of Report:
One-Time
Report Date:      February 2002
                             2nd Survey Report, May 2002 (PDF)

Nursing Facilities Workgroup Recommendations (Elimination of Licensed Nursing Facilities and Beds)

The department shall convene a workgroup of stakeholders to discuss and identify one or more mechanisms to incentivize nursing facilities to close or to eliminate licensed beds from active services. The department shall adopt rules to implement the recommendations of the workgroup and report to the governor and the legislature on the recommendations of the workgroup.

Authorization:     Chapter 366 Laws of 2011 Section 8 - ESSB 5708
Type of Report:  One-time
Report Date:       August 2011 (PDF)

HCA Role in Purchasing Mental Health, Chemical Dependency and Long Term Care Services for DSHS

The department, in collaboration with the Health Care Authority - HCA, was required to provide a final implementation plan with recommendations regarding the role of the HCA in the state's purchasing of mental health treatment, substance abuse treatment and long-term care services, including services for those with developmental disabilities.

Authorization:     Chapter 15 Laws of 2011 Section 116 - ESSB 1738
Type of Report:  One-time
Report Date:       December 2011 (PDF)


Statewide Purchasing of MH, Substance Abuse Treatment & LTC Services - HCA Role (Final Report)

In the March 2012 report to the legislature, the Department and the Health Care Authority (HCA) outlined preliminary rcommendations as required by HB 1738.  This report is in follow-up to provide the plan for implementation of those preliminary recommendations.  HB 1738 transferred oversight of the Medicaid program from the Department to HCA on July 1, 2011.  That included the responsibility to pruchase medical assistance for all Medicaid recipients.

Authorization:      2E2SHB 1738, Chapter 15, Laws of 2011, Section 116(1)
Type of Report:   One-time
Report Date:        December 2012 (PDF)

Report on Designing a System of Skilled Nursing Facility Quality Incentive Payments

The department and the Department of Health, in collaboration with the WA State Health Care Association and Aging Services of WA, were required to design a system of skilled nursing facility quality incentive payments.

Authorization:     
RCW 74.48.090
Type of Report:  One-time
Report Date:       December 2011 (PDF)

Frances Haddon Morgan Center - FHMC Fiscal Progress Report

The Frances Haddon Morgan Center was closed on December 21, 2011.  The department was required to use a person-centerd approach in developing the discharge plan to assess each resident's needs and identify services the residents required to successfully transition to the community or another residential habilitation center.  The department was authorized to use any savings from this effort for the purpose of developing community resources to address the needs of clients with developmental disabilities who are in crisis or in need of respite.  The department was also required to track the costs and savings of closing Frances Haddon Morgan Center and any investments into community placements and resources.  The department was required to provide a fiscal progress report to the legislature by December 5, 2011.

Authorization:     2ESHB 1087, Chapter 50, Laws of 2011, Section 205(4)
Type of Report:  One-time
Report Date:       December 2011 (PDF)

Nursing Home - Physician Employment

In April 2011, the legislature passed SHB 1315 concerning employment of physicians by nursing
homes.  The law required the department to submit a one-time report on consumer satisfaction
and medical cost implications of including physicians on staff in nursing facilities.

Authorization:       Chapter 228, Laws of 2011 Section 3 - SHB 1315
Type of Report:     One-time
Report Date:         January 2013 (PDF)


Frances Haddon Morgan Center (FHMC) Quality Assurance Report

The Department is required to submit a six-month follow-up report per the Governor's veto message.  This report summarizes the results of follow-up quality assurance data and information for clients who moved both to the community and residential habilitation centers.

Authorization:      2SSB 5459, Chapter 30, Laws of 2011, Section 1
Type of Report:   One-time
Reporte Date:      December 2013 (PDF)



Back to top