STATE OF WASHINGTON August 1, 2016 David Carlson Director of Legal Advocacy Disability Rights Washington 315 5th Avenue South, Suite 850 Seattle, WA 98104 Dear Mr. Carlson: Thank you for your correspondence of July 20, 2016, to the Department of Social and Health Services (DSHS) and the Health Care Authority (HCA) regarding residential habilitation support services. Representatives from DSHS and HCA appreciate the opportunity to meet with you to discuss matters identi?ed in your letter and any additional, related matters yOu identify prior to meeting. Your letter makes allegations about certain individuals Who receive services from DSHS and HCA, labels those people, examples,? and requests that we begin, ?settlement discussions.? We are concerned about your statements that the ?examples? you cite are ?representative? of services to our clients. We also ?nd the legal conclusions contained in your letter and your request for settlement discussions concerning and premature given we have not been engaged in a discussion about your concerns. We have a shared commitment to promoting our clients? wellbeing. We appreciate the opportunity to discuss the content of your letter and our common interests in serving our clients. We offer to meet with you for discussion purposes, but not to engage in settlement discussions. We are hopeful that you are willing to meet. Please contact Deborah Hoines by telephone at 360?725?3431 or via email at deborah.hoines@dshs.wa.gov, to make arrangements if you are willing to meet. Sincerely, Patricia K. Lashway Dorothy F. Teeter, MHA Acting Secretary Director Department of Social and Health Services Health Care Authority By email