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State to centralize IDD licensing; Multnomah adds case managers while reporting large underfunding gap
Summary
Multnomah County's intellectual and developmental disabilities division told commissioners the state will centralize licensing (removing funding from the county), the county will add nine case management positions, but the division still reports an $6.7 million underfunding gap under the state workload model.
The county’s Division of Intellectual and Developmental Disabilities (IDD) told commissioners that statewide centralization of licensing will shift licensing oversight to the Oregon Office of Developmental Disabilities Services and remove related funding from county budgets, and that the division has both staffing losses and program growth to manage.
"Alexis Alberty, division director for intellectual and developmental disabilities," told the board the state is centralizing licensing and the county will lose five FTE in licensing funds as licensing moves to the state’s model. She said three adult care home licenser positions are vacant and two children’s certifier positions are filled; the removal of licensing funding from the county workload model prevents a local carve‑out. "The 3 adult care home program licenser positions are vacant," she said.
Alexis Alberty also described an increase of $4.1 million in case management funding that will create nine new county FTE (case manager 1 and 2 roles, assessors and administrative staff) to respond to steady growth in eligible individuals. Nevertheless, the division said it remains underfunded in multiple workload categories: roughly $400,000 underfunded in licensing and eligibility (about 3.7 positions), about $5.5 million underfunded in case management (roughly 45 positions), and about $700,000 underfunded in protective services — a roughly $6.7 million aggregate shortfall compared with the state workload model.
Alberty briefed the board on program scale: Multnomah County covers 166 licensed adult care home settings serving about 435 adults and 100 children’s residential settings for youth. She said county administrative rules exceed state minimum standards and that county leaders are working with the state to ensure providers continue to receive the supports currently offered by county licensing staff.
Commissioners pressed staff on the staffing and training implications, with some expressing concern about whether centralized state licensing will preserve the county’s higher oversight and provider supports. IDD leaders said they will continue to press the state and explore transfer options for the two filled licenser positions and to support providers during the transition.
The division asked the board to note that growth in eligible participants has outpaced the workload model forecasting: Alberty said the county is already at about 95 percent of the forecast for the biennium less than a full quarter into the cycle, signaling continued enrollment pressure.
Division staff said they will provide further follow‑up on transfer discussions, provider training continuity and the operational details of the new case management FTE.
