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(12) Appropriations in this section are sufficient to fund 1 discharge case managers stationed at the state psychiatric hospitals. 2 Discharge case managers will transition clients ready for hospital 3 discharge into less restrictive alternative community placements. The 4 transition of clients ready for discharge will free up bed capacity 5 at the state psychiatric hospitals. 6 (13) Appropriations in this section are sufficient to fund 7 financial service specialists stationed at the state psychiatric 8 hospitals. Financial service specialists will help to transition 9 clients ready for hospital discharge into alternative community 10 placements. The transition of clients ready for discharge will free 11 up bed capacity at the state hospitals. 12 (14) The department shall continue to administer tailored support 13 for older adults and medicaid alternative care as described in 14 initiative 2 of the 1115 demonstration waiver. This initiative will 15 be funded by the health care authority through the medicaid quality 16 improvement program. The secretary in collaboration with the director 17 of the health care authority shall report to the office of financial 18 management all expenditures of this subsection and shall provide such 19 fiscal data in the time, manner, and form requested. The department 20 shall not increase general fund—state expenditures on this 21 initiative. 22 (15) $61,209,000 of the general fund—state appropriation for 23 fiscal year 2024, $70,352,000 of the general fund—state appropriation 24 for fiscal year 2025, and $161,960,000 of the general fund—federal 25 appropriation are provided solely for the implementation of an 26 agreement reached between the governor and the adult family home 27 council under the provisions of chapter 41.56 RCW for the 2023-2025 28 fiscal biennium, as provided in section 907 of this act. 29 (16) $1,761,000 of the general fund—state appropriation for 30 fiscal year 2024, $1,761,000 of the general fund—state appropriation 31 for fiscal year 2025, and $4,162,000 of the general fund—federal 32 appropriation are provided solely for case managers at the area 33 agencies on aging to coordinate care for medicaid clients with mental 34 illness who are living in their own homes. Work shall be accomplished 35 within existing standards for case management and no requirements 36 will be added or modified unless by mutual agreement between the 37 department of social and health services and area agencies on aging. 38 p. 184 ESSB 5187.SL