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-HA_A_H1045 (House)

HOUSE AMENDMENT it, to COMMITTEE AMENDMENT "A" to H.P. l397, 
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 amendment by striking out the first, 2nd and 3rd paragraphs after the title 
(page 1, lines 12 to 23 in amendment) and inserting in their place the following: 
'Amend the resolve by striking out everything after the title and before the summary 
and inserting in its place the following: 
'Sec. 1. 
Reimbursement to outpatient behavioral health clinical care 
service providers. Resolved: That in implementing managed behavioral health care 
services as required by Public Law 2005, chapter 457, Part PP and Public Law 2005, 
chapter 519, Part ZZZ, and consistent with the budgetary savings in fiscal year 2007 of 
$10,431,749 required by Public Law 2005, chapter 457, Part PP, section 3, the 
Department of Health and Human Services shall amend its rules to allow for 
reimbursement under the MaineCare program to outpatient behavioral health care clinical 
service providers who practice independently and are participating providers in the 
managed care initiative implemented under Public Law 2005, chapters 457 and 519. For 
the purposes of this section, "outpatient behavioral health care clinical service providers" 
includes but is not limited to licensed clinical social workers, licensed marriage and 
family therapists, licensed pastoral counselors and licensed clinical professional 
counselors.' ' 
Further amend the amendment in the 4th paragraph after the title in the 2nd line (page 
1, line 25 in amendment) by striking out the following: "; and be it further" and inserting 
in its place the following: '.' 
Further amend the amendment by striking out everything after the 4th paragraph after 
the title (page 1, lines 26 to 35 and page 2, lines 1 to 9 in amendment) 
SUMMARY 
This amendment requires the Department of Health and Human Services, in 
implementing managed behavioral health care services and consistent with budgeted 
savings, to amend its rules to allow MaineCare reimbursement to outpatient behavioral 
HOUSE AMENDMENT 
HOUSE AMENDMENT'~ to COMMITTEE AMENDMENT "A" to H.P. 1397, L.D. 1995 
health care clinical service providers who practice independently and who participate in 
the department's managed care initiative. 
FISCAL NOTE REQUIRED 
" / 
(See ~ttached) 
SPONSORED BY: 
"I:t f2------~ 
(Representative PINGREE) 
TOWN: North Haven 
HOUSE AMENDMENT 
Approved: 04119/06 .:tvac:.. 
LD 1995 
LR 3080(04) 
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 House Amendment 'ft' to Committee Amendment 'ff' 
Net Cost (Savings) 
General Fund 
\ppropriations/ All ocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Sponsor: Rep. Pingree 
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) 
This amendment assures that only providers participating in the managed care initiative are eligible for direct 
reimbursement, eliminating the need for appropriations and allocations, leaving minor costs that can be absorbed by 
the Department of Health and Human Services within existing budgeted resources. 
LR3080(4) - Fiscal Note - Page 1 of 1