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December 09, 2019

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are scheduled through Washington State's coordinating entity, currently ULS and formerly CTS LanguageLink. The contract performance reports and fill rate by language and by county are posted on HCA’s website


July 2019                  $41.00

July 2018                  $39.76

July 2017                  $38.50

July 2016                  $38.00

July 2015                  $37.10

July 2014                  $32.50
July 2013                  $32.00
July 2012                  $31.50
July 2011                  $30.00

        2010                  $21.00


SFY2018                    406,007

SFY2017                    383,583

SFY2016                    359,750

SFY2015                     327,737

SFY2014                     282,636

SFY2013                     228,561

SFY2012                     201,576
SFY2011                     196,000


SFY2016                 15,836

SFY2015                 16,782

SFY2014                  15,943

SFY2013                  15,556

SFY2012                  10,234

SFY2011                  17,700

 HCA (Medicaid) BUDGET

Jul 2013/Jun 2015             $25.1M

Jul 2011/Jun 2013             $18.1M

Jul 2009/Jun 2011             $23.0M

A modified procurement model began on July 1, 2011

The coordinating entity procurement model began on September 24, 2012.

The new coordinating entity, ULS took over the contract on July 1, 2018.

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·   Title VI of the Civil Rights Act of 1964, 42 U.S.C. § 2000d et seq., prohibits discrimination on the basis of race, color, and national origin in programs and activities receiving federal financial assistance.

·   SCOTUS unanimous decision in Lau v. Nichols, 414 U.S. 563 (1974), established that language can be used as a proxy for discrimination based on national origin.

·   Executive Order 13166 (2000) "Improving Access to Services for Persons with Limited English proficiency" requires federal agencies to examine the services they provide, identify any need for services to those with limited English proficiency (LEP), and develop and implement a system to provide those services so LEP persons can have meaningful access to them.

·   USDOJ 2002 LEP Guidance "Enforcement of Title VI of the Civil Rights Act of 1964 - National Origin Discrimination Against Persons With Limited English Proficiency" sets forth the compliance standards that recipients of Federal financial assistance must follow to ensure that their programs and activities, normally provided in English, are accessible to LEP persons.

A series of lawsuits and civil rights complaints during the 1980s brought against the Washington State Department of Social and Health Services (DSHS) for not providing equal access to services for LEP clients culminated in the Reyes Consent Decree. DSHS agreed not only to provide (and pay for) interpreters and translations for its clients, but also to ensure the quality of those services it provided. Accordingly in 1991, DSHS created a competency based assessment program to certify its bilingual staff, interpreters, and translators working for DSHS throughout its many divisions and programs. In 2011, and because of the Affordable Care Act, the entire Medicaid program including its interpreting services was transferred out of DSHS into the Health Care Authority (HCA).

  • RCW 74.04.025 requires the department [DSHS], the authority [HCA], and the office of administrative hearings [OAH] to ensure that bilingual services are provided to non-English speaking applicants and recipients. The services shall be provided to the extent necessary to assure that non-English speaking persons are not denied, or unable to obtain or maintain, services or benefits because of their inability to speak English.

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