Resolve, To Increase the Reimbursement Rate for Direct-care Workers Serving Adults with Long-term Care Needs
Maine Legislature, Session 127, LD 1350
Committee Amendment CA_A_H371 (House)

COMMITTEE AMENDMENT ,A " 
to H.P. 920, L.D. 1350, "Resolve, To Increase 
the Reimbursement Rate for Direct-care Workers Serving Adults with Long-term Care 
Needs" 
Amend the resolve by striking out everything after the title and before the summary 
and inserting the following: 
'Sec. 1. Reimbursement. Resolved: That the Department of Health and Human 
Services shall amend its rules to increase reimbursement rates for home-based and 
community-based services in accordance with this section. The department shall raise the 
hourly reimbursement rate by 66% for the following services: 
1. Attendant Care Services provided under the provisions of Chapter 101: MaineCare 
Benefits Manual, Chapter III, Section 12, Consumer Directed Attendant Services; 
2. Attendant Care Services; Personal Care Services; Respite Care in the home by 
Certified Nurses Aide, Home Health Aide, attendant or personal support specialist; 
Certified Nurses Aide - Home Health Services; and Home Health Aide - Home Health 
Services provided under the provisions of Chapter 101: MaineCare Benefits Manual, 
Chapter III, Section 19, Home and Community Benefits for the Elderly and for Adults 
with Disabilities; 
3. 
Home Health Aides/Certified Nurses Assistant Services and Personal Support 
Services provided under the provisions of Chapter 101: MaineCare Benefits Manual, 
Chapter III, Section 96, Private Duty Nursing and Personal Care Services; 
4. Personal Assistance Services provided under the provisions of Chapter 14-197, 
Office of Aging and Disability Services, Chapter 11, Consumer Directed Personal 
Assistance Services; and 
5. Personal Care Services; Home Health Services; and Respite provided under the 
provisions of Chapter 10.-149, Office of Elder Services Policy Manual, Chapter 5, Section 
63, In-Home and Community Support Services for Elderly and Other Adults; and be it 
further 
COMMITTEE AMENDMENT 
Il~( OF S 
~. '. 
. . 
COMMTTTEE AMENDMENT "A" to H.P. 920, L.D. 1350 
Sec. 2. 
Appropriations and allocations. 
Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Consumer-directed Services Z043 
Initiative: Provides funding to increase reimbursement rates 66% for providers of in-
home and community support direct-care services. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Developmental Services Waiver - MaineCare 0987 
2015-16 
$624,191 
$624,191 
2016-17 
$832,254 
$832,254 
Initiative: Provides funding to increase reimbursement rates 66% for providers of in-
home and community support direct-care services, 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Developmental Services Waiver - Supports Z006 
2015-16 
$1,696,422 
$1,696,422 
2016-17 
$2,261,896 
$2,261,896 
Initiative: Provides funding to increase reimbursement rates 66% for providers of in-
home and conununity support direct-care services. 
. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2015-16 
$2,260,785 
$2,260,785 
Long Term Care - Office of Aging and Disability Services 0420 
2016-17 
$3,014,378 
$3,014,378 
Initiative: Provides funding to increase reimbursement rates 66% for providers of in-
home and conununity support direct-care services. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Medical Care - Payments to Providers 0147 
2015-16 
$3,199,145 
$3,199,145 
COMMITTEE AMENDMENT 
2016-17 
$4,265,526 
$4,265,526 
COMMITTEE AMENDMENT "A "to H.P. 920, L.D. 1350 
Initiative: Provides funding to increase reimbursement rates 66% for providers of in-
home and community support direct-care services. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
HEAL TH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL - ALL FUNDS 
SUMMARY 
2015-16 
$5,018,226 
$5,018,226 
2015-16 
$15,068,052 
$15,068,052 
2015-16 
$12,798,769 
$15,068,052 
$27,866,821 
2016-17 
$6,690,969 
$6,690,969 
2016-17 
$20,090,734 
$20,090,734 
$17,065,023 
$20,090,734 
$37,155,757 
This amendment replaces the resolve. 
It requires a 66% increase in the 
reimbursement rate for certain services, which is roughly equivalent to the increased 
reimbursement rate of $25 in the resolve, and specifies the services for which the 
increased reimbursement would apply. 
The amendment adds an appropriations and 
allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 06/08/15 
/Wac 
LD 1350 
LR 156(02) 
Resolve, To Increase the Reimbursement Rate for Direct-care Workers Serving Adults with Long-
term Care Needs 
Fiscal Note for Bill as Amended by Committee Amendment '~{j-l-(37) \ 
Committee: Health and Human Services 
"/ 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2015-16 
$12,798,769 
$12,798,769 
$15,068,052 
$15,068,052 
FY 2016-17 
$17,065,023 
$17,065,023 
$20,090,734 
$20,090,734 
Projections 
FY 2017-18 
$17,065,023 
$17,065,023 
$20,090,734 
$20,090,734 
Projections 
FY 2018-19 
$17,065,023 
$17,065,023 
$20,090,734 
$20,090,734 
The bill includes General Fund appropriations to the Department of Health and Human Services of $12,798,769 in 
fiscal year 2015-16 and $17,065,023 in fiscal year 2016-17 to increase reimbursement rates 66% for providers of in-
home and community support direct-care services. Federal Expenditures Fund allocations will also be required for the 
FMAP match on MaineCare medical claims. 
LR0156(02) - Fiscal Note - Page 1 of 1