Resolve, Directing the Department of Health and Human Services To Provide Coverage under the MaineCare Program for Home Life Skills Services for Adults with Intellectual Disabilities or Autistic Disorder
Maine Legislature, Session 126, LD 0008
Committee Amendment CA_A_H68 (House)

COMMITTEE AMENDMENT "A' to H.P. 12, L.D. 8, "Resolve, Directing the 
Department of Health and Human Services To Provide Coverage under the MaineCare 
Program for Home Life Skills Services for Adults with Intellectual Disabilities or Autistic 
Disorder" 
Amend the resolve by striking out the title and substituting the following: 
'Resolve, Directing the Department of Health and Human Services To Provide 
Coverage under the MaineCare Program for Home Support Services for Adults 
with Intellectual Disabilities or Autistic Disorder' 
Amend the resolve by striking out everything after the title and before the summary 
and inserting the following: 
'Sec. 1. 
Coverage for home support under the MaineCare program. 
Resolved: That the Department of Health and Human Services shall request approval 
from the United States Department of Health and Human Services, Centers for Medicare 
and Medicaid Services to amend the Centers for Medicare and Medicaid Services waiver 
to allow the Department of Health and Human Services to amend the rules on the 
MaineCare program in Chapter 101, MaineCare Benefits Manual, Chapter II, Section 29 
and Chapter III, Section 29 to add home support as a covered service. For the purposes 
of the waiver application, home support is direct support provided to a member in the 
member's home by a direct support professional to improve and maintain the member's 
ability to live as independently as possible in the member's home and primarily consists 
of habilitative training and assistance with self-care, personal development and 
well-being; and be it further 
Sec. 2. Rulemaking. Resolved: Upon approval of a waiver amendment pursuant 
to section 1, the Department of Health and Human Services shall adopt rules to amend the 
rules on the MaineCare program in Chapter 101, MaineCare Benefits Manual, Chapter II, 
Section 29 and Chapter III, Section 29 to add home suppOli as a covered service. Rules 
adopted pursuant to this section must maintain the cap for services at an annual aggregate 
amount of $23,771 after the addition of home support as a covered service. 
Rules 
adopted pursuant to this section to amend Chapter II, Section 29 are routine technical 
COMMITTEE AMENDMENT 
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COMMITTEE AMENDMENT A" to H.P. 12, L.D. 8 
rules as defined in the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A. 
Rules adopted pursuant to this section to amend Chapter III, Section 29 are major 
substantive rules as defined in Title 5, chapter 375, subchapter 2-A.' 
SUMMARY 
This amendment replaces the resolve. It requires the Department of Health and 
Human Services to request approval from the United States Department of Health and 
Human Services, Centers for Medicare and Medicaid Services to amend the Section 29 
waiver of the MaineCare program in Chapter 101, MaineCare Benefits Manual, Chapters 
II and III to allow the Department of Health and Human Services to add home support as 
a covered service. Upon approval by the Centers for Medicare and Medicaid Services, 
the Department of Health and Human Services is required to adopt rules to amend the 
rules on the MaineCare program in Chapter 101, MaineCare Benefits Manual, Chapter II, 
Section 29 and Chapter III, Section 29 to add home support as a covered service. Rules 
to amend Chapter II, Section 29 are designated routine technical rules to amend Chapter 
III, Section 29 are designated major substantive rules as defined in Title 5, chapter 375, 
subchapter 2-A. Services under the Section 29 program remain capped at an aggregate 
amount of $23,771 per year after home support is added. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/03113 
fi"Yac.. 
LD8 
LR 355(02) 
Resolve, Directing the Department of Health and Human Services To Provide Coverage under the 
MaineCare Program for Home Life Skills Services for Adults with Intellectual Disabilities or Autistic 
Disorder 
Fiscal Note for Bill as Amended by Committee Amendment ;t!;' ( I-I-It£) 
Committee: Health and Human Services 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - General Fund 
Fiscal Detail and Notes 
The additional costs to the Department of Health and Human Services to adopt rules to add home support as a covered 
service under Section 29 of the MaineCare Benefits Manual, Support Benefits for Adults with Intellectual Disabilities 
or Autistic Disorder, can be absorbed utilizing existing budgeted resources. 
LR0355(02) - Fiscal Note - Page 1 of 1