Resolve, Directing the Department of Health and Human Services To Increase Reimbursement Rates for Home-based and Community-based Services
Maine Legislature, Session 127, LD 0886
Committee Amendment CA_A_H645 (House)

COMMITTEE AMENDMENT" A" to H.P. 605, L.D. 886, "Resolve, Directing the 
Department of Health and Human Services To Increase Reimbursement Rates for Home-
based and Community-based Services" 
Amend the resolve by striking out everything after the title and before the summary 
and inserting the following: 
'Sec. 1. Reimbursement for personal care and related services. Resolved: 
That the Department of Health and Human Services shall amend its rules for 
reimbursement rates for personal care and related services provided under Chapter 1 O 1 : 
MaineCare Benefits Manual, Sections 12, 19 and 96 and Chapter 5, Office of Elder 
Services Policy Manual, Section 63 to reflect the final rates modeled in the February 1, 
2016 report "Rate Review for Personal Care and Related Services: Final Rate Models" 
prepared for the department by Burns & Associates, Inc. Rules adopted pursuant to this 
section are routine technical rules pursuant to the Maine Revised Statutes, Title 5, chapter 
375, subchapter 2-A; and be it further 
Sec. 2. Reimbursement for home health services. Resolved: 
That the 
Department of Health and Human Services shall amend its rules to increase the 
reimbursement rates for home health services provided under the provisions of Chapter 
101: MaineCare Benefits Manual, Chapter III, Section 40 by 33%. 
Rules adopted 
pursuant to this section are major substantive rules pursuant to the Maine Revised 
Statutes, Title 5, chapter 375, subchapter 2-A; and be it further 
Sec. 3. Unstaffed hours and waiting lists. Resolved: That the Department of 
Health and Human Services shall estimate the number of hours, and the cost of those 
hours, of unmet need under Chapter 101: MaineCare Benefits Manual, Sections 12, 19, 
and 96 and Chapter 5, Office of Elder Services Policy Manual, Section 63. The 
estimate must include individuals eligible for services but on a waiting list and 
individuals who are entitled to services that are eligible for reimbursement but are unable 
to locate individuals or agencies to provide those services; and be it further 
Sec. 4. Appropriations and allocations. Resolved: 
That the following 
appropriations and allocations are made. 
COMMITTEE AMENDMENT 
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llJ or- .. 
COMMITTEE AMENDMENT"~· to H.P. 605, L.D. 886 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides funds for a rate increase for personal care and related services. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOT AL 
Office of Aging and Disability Services Central Office 0140 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
2016-17 
$5,629,934 
$5,629,934 
2016-17 
$9,988,164 
$9,988,164 
Initiative: Provides funds for a rate increase for personal care and related services. 
GENERAL FUND 
2015-16 
2016-17 
All Other 
$0 
$2,460,436 
GENERAL FUND TOTAL 
$0 
$2,460,436 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
2015-16 
2016-17 
GENERAL FUND 
$0 
$8,090,370 
FEDERAL EXPENDITURES FUND 
$0 
$9,9881164 
DEPARTMENT TOTAL-ALL FUNDS 
$0 
$18,078,534 
; and be it further 
Sec. 5. Appropriations and allocations. Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care - Payments to Providers 0147 
Initiative: Provides funds for a 33% rate increase for home health services provided under 
Chapter 101: MaineCare Benefits Manual, Chapter II, Section 40. 
COMMITTEE AMENDMENT 
,, 
~_or'S 
COMMITIEE AMENDMENT "If" to H.P. 605, L.D. 886 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
SUMl\fARY 
2015-16 
$0 
$0 
2015-16 
$0 
$0 
2016-17 
$501,459 
$501,459 
2016-17 
$889,646 
$889,646 
This amendment replaces the resolve. The amendment directs the Department of 
Health and Human Services to amend its rules to increase the reimbursement rates for 
personal care and related services to reflect the final rates modeled in the February 1, 
2016 report "Rate Review for Personal Care and Related Services: Final Rate Models." 
The amendment also directs the Department of Health and Human Services to amend 
· its rules to increase the reimbursement rates by 33% for home health services provided 
under the provisions of Chapter 101: MaineCare Benefits Manual, Chapter ill, Section 
40. 
The amendment requires the Department of Health and Human Services to estimate 
the number of hours, and cost of those hQurs, of unmet need. The estimate must include 
individuals eligible for services but who are on waiting lists and individuals who are 
unable to find staffing in order to receive those services. 
The amendment also adds appropriations and allocations sections. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
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Approved: 04/01/16 Mae 
LD886 
LR204(02) 
Resolve, Directing the Department of Health and Human Services To Increase Reimbursement Rates 
for Home-based and Community-based Services 
Fiscal Note for Bill ~s Amended by Committee Amendment'~' ( H-LtJlJ'S \ 
Committee: Health and Human Services 
· 
-:} 
Fiscal Note Required: Yes 
Fiscal Note 
Projections 
Projections 
FY2015-16 
FY2016-17 
FY2017-18 
FY2018-19 
Net Cost (Savings) 
General Fund 
$0 
$8,591,829 
$8,519,115 
$8,519,115 
Appropriations/ Allocations 
General Fund 
$0 
$8,591,829 
$8,519,115 
$8,519,115 
Federal Expenditures Fund 
$0 
$10,877,810 
$10,950,524 
$10,950,524 
Revenue 
Federal Expenditures Fund 
$0 
$10,877,810 
$10,950,524 
$10,950,524 
Fiscal Detail and Notes 
The bill includes a General Fund appropriati<;>n of$8,591,829 in fiscal year 2016-17 to the Department of Heal~ and 
Human Services for rate increases for personal support and related services, as identified in the February 1, 2016 
report "Rate Rveiew for Personal Care and Related Services: Final Rate Models" prepared for the depar1ment by 
Bums & Associates Inc. and for a 33% rate increase for home health services provided under Chapter 101: MaineCare 
Benefits Manual, Chapter II, Section 40. Federal Expenditures Fund allocations will also be required for the FMAP 
match. 
Section 3 of the bill requires the department to estimate the number of hours and the cost of those hours, for unmet 
need under the Chapter 101: MaineCare Benefits Manual, Sections 12, 19, 40 and 96 and the Office of Aging and 
Disablitity Services, Chapter 5 Office ofElder Services Policy Manual, Section 63. The estimate ofhours and cost has 
not yet been determined. 
LR0204(02) - Fiscal Note - Page I of I