Developmental Disabilities and Long-Term Care
¶ Reduce community residential provider rates - $11.6 million
Cuts rates by approximately 6.5 percent for developmental disability community residential providers, who serve 3,800 clients each month. Support ranges from a few hours per month to around-the-clock, one-on-one assistance each day.
¶ Eliminate state-only employment and day services - $9.2 million
Terminates supported employment services, such as job coaching, for 488 clients with developmental disabilities who have not been placed in a Medicaid waiver program. This reduction will affect the ability of these individuals to obtain job training and placement services.
¶ Reduce home care agency reimbursement rates - $8.8 million *
Cuts reimbursement rates for home care agency providers from $19.72 to $18.72 per hour. Home care agencies assist more than 12,000 clients per month with activities such as bathing, dressing, eating, meal preparation and housework in the client’s home.
¶ Suspend Individual and Family Service program - $8.4 million *
Suspends services to nearly 1,000 families for respite care, therapies and other activities which help them keep loved ones with developmental disabilities in their homes.
¶ Reduce eligibility for services - $8.3 million *
Requires clients with developmental disabilities and long-term care clients receiving personal care services to meet the same level-of-care standard as nursing facility clients. This eligibility change will result in 1,300 of the least acute long-term care and developmental disability clients losing personal care services. In addition, eligibility for developmental disability institution and Medicaid waiver services is restricted, which will cause approximately 330 clients to lose services.
¶ Close one residential habilitation center
Closes the Rainier School residential habilitation center through the use of federal grants and one-time funding to transition approximately 350 clients to community-based settings or other residential habilitation centers.
¶ Eliminate Adult Day Health program - $4.1 million *
Eliminates services to nearly 1,000 individuals with developmental disabilities or in long-term care who now receive assistance through adult day health centers with medication management, cognitive and physical therapies, and group interactions.
¶ Reduce instructional and support hours by 2 percent - $2.3 million
Cuts community residential services to 3,800 individuals in supported living placements. Services are built around the person’s needs and may include assistance with maintaining the home, paying bills,preparing meals and personal tasks.
¶ Eliminate rate add-on for assisted living - $1.9 million
Stops the rate add-on given to assisted living providers to take more Medicaid clients. Assisted living facilities serve more than 4,500 individuals per month.
¶ Reduce Senior Citizens Services Act funding by 20 percent - $1.6 million *
Cuts funding to the Area Agencies on Aging, which provide case management services and other services, such as Meals on Wheels, to elderly individuals to help them remain in their homes.
Then he will say to those on his left, ‘Get away from me, you who are accursed, into the eternal fire that has been prepared for the devil and his angels! Here’s why: I was hungry, and you gave me nothing to eat. I was thirsty, and you gave me nothing to drink. I was a stranger, and you didn't welcome me. I was naked, and you didn't clothe me. I was sick and in prison, and you didn't visit me.’
Then they will reply, ‘Lord, when did we see you hungry or thirsty or as a stranger or naked or sick or in prison and didn't help you?’
Then he will say to them, ‘I tell you with certainty, since you didn’t do it for one of the least important of these, you didn’t do it for me.’
* Indicates cut the Governor proposes to prevent with new revenue (e.g., a sales tax increase).
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