Resolve, Directing the Department of Health and Human Services To Amend Its Rules To Ensure Efficiencies in the Billing and Delivery of Outpatient Clinical Services
Maine Legislature, Session 122, LD 1995
Committee Amendment CA_A_H1033 (House)

COMMITTEE AMENDMENT '4" to H.P. 1397, L.D. 1995, "Resolve, Directing the 
Department of Health and Human Services To Amend Its Rules To Ensure Efficiencies 
in the Billing and Delivery of Outpatient Clinical Services" 
Amend the resolve in section 1 by inserting at the end the following: 
'The department shall amend the MaineCare rules for licensed clinical social 
workers, licensed marriage and family therapists, licensed pastoral counselors and 
licensed clinical professional counselors to provide additional standards for professional 
practice in order to coordinate and integrate with managed behavioral health care services 
provided through the MaineCare program. 
Implementation of the rule changes under this section and broadened reimbursement 
rules for licensed clinical social workers, licensed marriage and family therapists, 
licensed pastoral counselors and licensed clinical professional counselors practicing 
independently must take place in coordination with and at the same time as the 
department's initiative in managed behavioral health care services under the MaineCare 
program. 
Rules adopted pursuant to this section are routine technical rules as defined in the 
Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A; and be it further' 
Further amend the resolve by inserting after section 1 the following: 
'Sec. 2. Appropriations and allocations. Resolved: That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Medical Care - Payments to Providers 0147 
Initiative: Appropriates and allocates funds for the additional costs to the MaineCare 
program of allowing reimbursement to outpatient clinical services providers who practice 
independently. 
GENERAL FUND 
2005-06 
2006-07 
COMMITTEE AMENDMENT 
.. ~. 
COMMITTEE AMENDMENT A" to H.P. 1397, L.D. 1995 
~. 
All Other 
$0 
$599,989 
GENERAL FUND TOTAL 
$0 
$599,989 
FEDERAL EXPENDITURES FUND 
2005-06 
2006-07 
All Other 
$0 
$1,029,530 
FEDERAL EXPENDITURES FUND TOTAL 
$0 
$1,029,530 
SUMMARY 
The amendment requires the Department of Health and Human Services to amend the 
MaineCare rules for licensed clinical social workers, licensed marriage and family 
therapists, licensed pastoral counselors and licensed professional counselors to provide 
additional standards in order to coordinate and integrate with MaineCare-managed 
behavioral health care services. The amendment ties implementation of the rule changes 
to the beginning of managed behavioral health care services. The amendment designates 
the rules as routine technical rules. 
Implementation of the rule changes and broadened reimbursement rules for licensed 
clinical social workers, licensed marriage and family therapists, licensed pastoral 
counselors and licensed clinical professional counselors practicing independently must 
take place in coordination with and at the same time as the department's initiative in 
managed behavioral health care services under the MaineCare program. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04111/06 frac 
LD 1995 
LR 3080(02) 
Resolve, Directing the Department of Health and Human Services To Amend Its Rules To Ensure 
Efficiencies in the Billing and Delivery of Outpatient Clinical Services 
Fiscal Note for Bill as Amended by Committee Amendment 'ff" 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
2005-06 
$0 
$0 
$0 
$0 
2006-07 
$599,989 
$599,989 
$1,029,530 
$1,029,530 
Projections 
2007-08 
$646,404 
$646,404 
$1,113,476 
$1,113,476 
Projections 
2008-09 
$698,116 
$698,116 
$1,202,554 
$1,202,554 
Assumes there will be additional costs to the MaineCare program if its rules are amended to allow for reimbursement 
to outpatient clinical services providers who practice independently, including: licensed clinical social workers, 
licensed clinical professional counselors, licensed pastoral counselors, and licensed marriage and family therapists. 
LRJ080(2) - Fiscal Note - Page 1 of 1