An Act To Ensure Wraparound Services for Children in Need of Care
Maine Legislature, Session 122, LD 0863
Committee: Health and Human Services
Sponsors: CRAVEN, MA YO, BURNS, CAMPBELL, DUNN, GROSE, HUTION, MAKAS, PINGREE, SHIELDS
Amends: 34-B MRSA §6201, 34-B MRSA §6203

Legislative Document 
No. 863 
H.P.614 
House of Representatives, February 16,2005 
An Act To Ensure Wraparound Services for Children in Need of 
Care 
Reference to the Committee on Health and Human Services suggested and ordered printed. 
Presented by Representative CRAVEN of Lewiston. 
Cosponsored by Senator MA YO of Sagadahoc and 
'IJ1~1J?~ 
MILLICENT M. MacFARLAND 
Clerk 
Representatives: BURNS of Berwick, CAMPBELL of Newfield, DUNN of Bangor, GROSE 
of Woolwich, HUTION of Bowdoinham, MAKAS of Lewiston, PINGREE of North Haven, 
SHIELDS of Auburn. 
Printed on recycled paper 
• 
• 
Be it enacted by the People of the State of Maine as follows: 
Sec. 1. 34-B MRSA §6201, sub-§4 is enacted to read: 
4. 
Wra-paround 
mo~l. oL_~are. 
"Wraparound model of care" 
means 
a 
community-based 
system of 
services 
and 
supports 
for 
children that is funded by multiple state and federal sources 
that 
are 
pooled 
and 
redistributep. 
based 
on 
the 
supports 
identified in a family-centered treatment plan. 
Sec. 2. 34-B MRSA §6203, sub-§ 1, 1JK, as amended by PL 1993, c. 
624, §3, is further amended to read: 
K. 
Establish a procedure to obtain assistance and advice 
from 
consumers 
of 
mental 
health 
services 
regarding 
the 
selection of contractors when requests for proposals are 
issued for mental health services: ase 
Sec. 3. 34-B MRSA §6203, sub-§I, 1JL, as enacted by PL 1993, c. 
624, §4, is amended to read: 
L. 
Require that a contract under this subsection that is 
subject to renewal be awarded through a request-for-proposal 
procedure if the department determines that: 
(1) 
The provider has breached the existing contract: 
(2) 
The provider has failed to correct deficiencies 
cited by the department: 
(3) 
The provider is inefficient or ineffective in the 
delivery of services and is unable or unwilling to 
improve its performance within a reasonable time: or 
(4) 
The provider 
reconfiguration of 
departmentT: and 
can not 
service 
or will 
delivery 
not respond to a 
reque s ted by the 
Sec. 4. 34-B MRSA §6203, sub-§I, 1JM is enacted to read: 
M. 
Ensure that funding available for services to children 
is expended based on a wraparound model of care. 
Sec. 5. 34-B MRSA §6203, sub-§2, 1JH is enacted to read: 
H. 
The plan must separately indicate the amount of funding 
expended for services to children based on 
a 
wraparound 
model of care. 
The plan mu~Jso identify any state rule 
or federal regulation that prohibits funds from being pooled 
and redistributed based on the needs of the child L 
Sec. 
6. 
MaineCare 
demonstration 
waiver 
application. 
The 
Department 
of 
Health 
and 
Human 
Services 
shall 
submit 
a 
demonstration waiver application no later than October 1, 2005 to 
the 
United States 
Department 
of 
Health 
and 
Human 
Services, 
Centers for Medicare and Medicaid Services to develop a pilot 
program based on the wraparound model of care for children in 3 
demographically diverse areas of the State. 
The application must 
seek to waive any requirement that prohibits the establishment of 
a blended, pooled or flexible funding system. 
Rules to implement 
the waiver adopted pursuant to this section are routine technical 
rules as defined in the Maine Revised Statutes, Title 5, chapter 
375, subchapter 2-A. 
SUMMARY 
This bill 
requires 
the 
Department 
of 
Health 
and 
Human 
Services to deliver services to children based on a wraparound 
model of care and indicate the amount of funding expended for 
services to children based on the wraparound funding model. 
It 
also requires the department to submit a demonstration waiver 
application by October 1, 2005 to the United States Department of 
Health and Human Services, 
Centers for Medicare 
and Medicaid 
Services to establish a wraparound funding demonstration pilot in 
areas of the State.