An Act To Restore MaineCare Mental Health Services to Children, Adults and Senior Citizens
Maine Legislature, Session 122, LD 0154
Committee: Appropriations and Financial Affairs
Sponsors: NUTTING, CRAVEN, EDMONDS, MILLS, DUDLEY, PINGREE

Legislative Document 
No.lS4 
S.P.60 
In Senate, January 13, 2005 
An Act To Restore MaineCare Mental Health Services to Children, 
Adults and Senior Citizens 
Reference to the Committee on Appropriations and Financial Affairs suggested and ordered 
printed. 
Presented by Senator NUTTING of Androscoggin. 
Cosponsored by Representative CRAVEN of Lewiston and 
JOY J. O'BRIEN 
Secretary of the Senate 
Senators: President EDMONDS of Cumberland, MILLS of Somerset, Representatives: 
DUDLEY of Portland,. FAIRCLOTH of Bangor, PINGREE of North Haven. 
Printed on recycled paper 
Be it enacted by the People of the State of Maine as follows: 
Sec. 
1. 
Appropriations 
and 
allocations. 
appropriations and allocations are made. 
REALm AND HUMAN SERVICES, 
DEPARTMENT OF 
Mental Health Services -
Child Medicaid 
The 
following 
Initiative: 
Appropriates funds to reverse cuts in the fiscal 
year 2004-05 budget, to pay for consumer price index increases 
and 
projected 
increases 
in 
utilization, 
returning 
to 
the 
previously used medical necessity criteria. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Mental Health Services - Child Medicaid 
2005-06 
$5,486,301 
$5,486,301 
2006-01 
$5,486,301 
$5,486,301 
Initiative: 
Appropriates funds to reverse cuts in the fiscal 
year 2004-05 budget, reversing cuts attributable to centralizecl 
enrollment, standardized levels of care, prior authorization and 
utilization review in the plans of care. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Mental Health Services -
Child Medicaid 
2005-06 
$L125,000 
$L125,000 
2006-01 
$L125,OO() 
$1,125,000 
Initiative: 
Appropriates funds 
to reverse cuts in the fiscaJ 
year 2004-05 budget, reversing cuts attributable to setting rate 
caps for certain services to achieve payment equity among service 
providers. 
GENERAL FUND 
i\ll Other 
GENERAL FUND TOTAL 
Mental Health Services - Child Medicaid 
2005-06 
$250,000 
$250,000 
2006-07 
$250,000 
$250,000 
Initiative: 
Appropriates funds to reverse cuts in the fiscal 
year 2004-05 budget, 
reversinq cuts attributable to setting 
(-1 
rate cap at the median of current rates paid to outpatient 
service providers to achieve payment equity among providers. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Mental Health Services - Child Medicaid 
2005-06 
$215,000 
$215,000 
2006-07 
$215,000 
$215,000 
Initiative: 
Appropriates funds to reverse cuts in the fiscal 
year 
2004-05 budget, 
reversing cuts attributable to replacing 
child and family community support and in-home support services 
with a redesigned benefit based on clinical criteria. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
n 
DEPARTMENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
DEPARTMENT TOTAL -
ALL FUNDS 
2005-06 
$1, 000,000 
$1,000,000 
2005-06 
$8,076,301 
$8,076,301 
Sec. 
2. 
Appropriations 
and 
allocations. 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
Mental Health Services -
Community Medicaid 
The 
2006-07 
$1,000,000 
$1, 000,000 
2006-07 
$8,076,301 
$8,076,301 
following 
Initiative: 
Appropriates funds to reverse cuts in the fiscal 
year 2004-05 budget, to pay for consumer price index increases 
and 
projected 
increases 
in 
utilization, 
returning 
to 
the 
previously used medical necessity criteria. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2005-06 
$7,820,666 
$7,820,666 
Mental Health Services -
Community Medicaid 
Initiative: 
year 2004-05 
rate cap at 
Appropriates funds 
to 
budget, 
reversing cuts 
the median of current 
reverse cuts 
attributable 
rates paid 
2006-07 
$7,820,666 
$7,820,666 
in the fiscal 
to setting a 
to outpatient 
service 
providers 
to 
achieve 
payment 
equity 
among 
service 
providers. 
GENERAL FUND 
2005-06 
2006-07 
All Other 
$321, 560 
$321, 560 
GENERAL FUND TOTAL 
$321, 560 
$321, 560 
Mental Health Services - Connunity Medicaid 
Initiative: 
Appropriates funds 
to reverse cuts in the fiscal 
year 2004-05 budget, reversing cuts attributable to centralize(l 
enrollment, standardized levels of care, prior authorization and 
utilization review in the plans of care. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPAR'DIENT OF 
DEPARTMENT TOTALS 
GENERAL FUND 
DEPARTMENT TOTALS -
ALL FUNDS 
2005-06 
$1,125,000 
$1, 125,000 
2005-06 
$9,267,226 
$9,267,226 
Sec. 
3. 
Appropriations 
and 
allocations. 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
Mental Health Services - Child Medicaid 
The 
2006-07 
$1,125,000 
$1,125,000 
2006-07 
$9,267,22(, 
$9,267,22(, 
followinq 
Initiative: 
Allocates funds to reverse cuts in the fiscal year 
2004-05 budget, 
to pay for consumer price index increases anel 
projected increases in utilization, returning to the previously 
used medical necessity criteria. 
FEDERAL EXPENDITURES FUND 
All Other 
2005-06 
$10,972,602 
FEDERAL EXPENDITURES FUND TOTAL 
$10,972,602 
Mental Health Services - Child Medicaid 
Initiative: 
Allocates funds 
2004-05 
budget, 
reversing 
to reverse cuts in the 
cuts 
attributable 
to 
2006-07 
$10,972,602 
$10,972,602 
fiscal year 
centralized 
enrollment, standardized levels of care, prior authorization and 
utilization review in the plans of care. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Mental Health Services - Child Medicaid 
2005-06 
$2,250,000 
$2,250,000 
2006-07 
$2,250,000 
$2,250,000 
Initiative: 
Allocates funds to reverse cuts in the fiscal year 
2004-05 budget, reversing cuts attributable to setting a rate cap 
at 
the 
median 
of 
current 
rates 
paid 
to 
outpatient 
service 
providers to achieve payment equity among service providers. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Mental Health Services - Child Medicaid 
2005-06 
$500,000 
$500.000 
2006-07 
$500,000 
$500,000 
Initiative: 
Allocates funds to reverse cuts in the fiscal year 
2004-05 budget, reversing cuts attributable to setting a rate cap 
at 
the 
median 
of 
current 
rates 
paid 
to 
outpatient 
service 
2~ 
providers to achieve payment equity amonq service providers. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Mental Health Services - Child Medicaid 
2005-06 
$430,000 
$430,000 
2006-07 
$430,000 
$430,000 
Initiative: 
Allocates funds to reverse cuts in 
2004-05 budget, 
reversing cuts attributable to 
and family community support and in-home support 
redesigned benefit based on clillical criteria. 
the fiscal year 
replacing child 
services with a 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
2005-06 
$2,000,000 
$2,000,000 
2006-07 
$2,000,000 
$2,000,000 
DEPARTMENT OF 
DEPAR"l"MEN"l' TOTALS 
2005--06 
2006-07 
FEDERAL EXPENDITURES FUND 
$16,152,602 
$16,152,602 
DEP AR'l"MEHT TOTAL -
ALL FUNDS 
$16,152,602 
Sec. 
4. 
Appropriations 
and 
allocations. 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF 
Menta1 Hea1th Services -
Community Medicaid 
$16,152,602 
The 
followinq 
Ini tiati ve: 
Allocates funds to reverse cuts in the fiscal year 
2004-05 budget, 
to pay for consumer price index increases and 
pro;ected increases in utilization, returning to the previously 
used medical necessity criteria. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2005-06 
$15,641,332 
$15,641,332 
Mental Health Services - Communi tv Medicaid 
2006-01 
$15,641, 332 
$15,641,332 
Initiative: 
Allocates funds to reverse cuts in the fiscal year 
2004-05 budget, reversing cuts attributable to setting a rate cap 
at 
the 
median 
of 
current 
rates 
paid 
to 
outpatient 
service 
providers to achieve payment equity among service providers. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Mental Health Services -
Community Medicaid 
2005-06 
$643,120 
$643,120 
2006-07 
$64],120 
$643,12U 
Initiative: 
Allocates funds to reverse cuts in the fiscal year 
2004-05 
budqet, 
reversinq 
cuts 
attributable 
to 
centralized 
enrollment, standardized levels of care, prior authorization and 
utilization review in the plans of care. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEALTH AND HUMAN SERVICES, 
DEPAR'l"MEHT OF 
DEP AR"l'MEHT TOTALS 
4fl 
FEDERAL EXPENDITURES FUND 
2005-06 
$2,250,000 
$2,250,000 
2005-06 
$18,534,452 
2006-07 
$2,250,00U 
$2,250,000 
2006-07 
$18,534,452 
DEPARTMENT 'l'OTAL -
ALL FUNDS 
$18,534,452 
$18,534.452 
SUMMARY 
This bill restores funding 
for 
fiscal years 
2005-06 
and 
2006-07 for cuts made in the fiscal- year 2004-05 budget in tbe 
MaineCare account for children's mental health services and adu~t 
and elderly mental health services.