Assisted
Living Facilities
|
| |
|
Care
and Medicaid Payments for Licensed Boarding Homes
|
Requires the
department to report about the development of the 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 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) |
|
|
Developmentally
Disabled
|
| |
|
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 |
|
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)
|
| |
|
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) |
| |
|
DDD
Residential Habilitation Centers
|
|
During
the 2002 legislation session, the Legislature directed 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
|
| 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)
|
| |
|
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
a 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 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 556, Laws of 2007 (2SHB 2055, Section 4)
Type of Report: One time |
Report Date: |
December 2007 (PDF) |
| |
Individual and Family Services Program |
Requires the department to report to submit a status report the 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) |
| |
| |
|
|
Long-Term
Care
|
| |
|
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: Chapter
7, Laws of 2001, Extraordinary Session, Section 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) |
|
| Nursing
Homes / Nursing Facilities |
| |
|
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 on who behalf 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, Second Extraordinary Session, Section 206(13) Uncodified
Type of Report: One-Time
|
| Report
Date: |
February
2002
2nd
Survey Report, May 2002 (PDF)< |
