Resolve, To Increase Certain Chiropractic Reimbursement Rates under the MaineCare Program
Maine Legislature, Session 128, LD 0267
Committee Amendment CA_A_H21 (House)

COMMITTEE AMENDMENT"#,' to H.P. 200, L.D. 267, "Resolve, To Increase 
Certain Chiropractic Reimbursement Rates under the MaineCare Program" 
Amend the resolve by striking out everything after the title and before the summary 
and inserting the following: 
'Sec. 1. 
Department of Health and Human Services to increase 
MaineCare rates. Resolved: That, no later than January 1, 2018, the Department of 
Health and Human Services shall amend its rules in Chapter 101: MaineCare Benefits 
Manual, Chapter III, Section 15 to increase reimbursement rates for chiropractic services 
for manipulative treatments under procedure codes 98940, 98941 and 98942 to no less 
than 70% of the federal Medicare reimbursement rate for these services as long as the rate 
is no lower than the rate reimbursed as of January 1, 2017; and be it further 
Sec. 2. 
Rate study. 
Resolved: 
That, notwithstanding section 1, if the 
Department of Health and Human Services conducts a rate study of chiropractic services 
for manipulative treatments, the department may adopt new rates for manipulative 
treatments that are recommended by the rate study by amending its rules in Chapter 101: 
MaineCare Benefits Manual, Chapter III, Section 15; and be it further 
Sec. 3. Routine technical rules. Resolved: That rules adopted pursuant to 
section 1 or 2 are routine technical rules as defined in the Maine Revised Statutes, Title 5, 
chapter 375, subchapter 2-A; and be it further 
Sec. 4. 
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 the Department of Health and Human Services to amend its 
rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 15 to increase 
reimbursement rates for chiropractic services for manipulative treatments under 
procedure codes 98940, 98941 and 98942 to no less than 70% of the federal Medicare 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT·#" to H.P. 200, L.D. 267 
reimbursement rate for these services as long as the rate is no lower than the rate 
reimbursed as of January 1, 2017. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOT AL 
SUMMARY 
2017-18 
$25,955 
$25,955 
2017-18 
$46,829 
$46,829 
2018-19 
$51,909 
$51,909 
2018-19 
$93,658 
$93,658 
This amendment replaces the resolve. It requires the Department of Health and 
Human Services, by January 1, 2018, to amend its rules in Chapter 101: MaineCare 
Benefits Manual, Chapter III, Section 15 to increase reimbursement rates for chiropractic 
services for manipulative treatments under procedure codes 98940, 98941 and 98942 to 
no less than 70% of the federal Medicare reimbursement rate for these services as long as 
the rate is no lower than the rate reimbursed as of January 1, 2017. If the department 
conducts a rate study of chiropractic services for manipulative treatments, the department 
may adopt new rates. The rules adopted are routine technical rules. The amendment 
adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/20/17 feac 
LD 267 
LR990(02) 
Resolve, To Increase Certain Chiropractic Reimbursement Rates under the MaineCare Program 
Fiscal Note for Bill as Amended by Committee Amendment (/n(ff-;J.1 / 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Flmd 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2017-18 
$25,955 
$25,955 
$46,829 
$46,829 
FY 2018-19 
$51,909 
$51,909 
$93,658 
$93,658 
Projections 
FY2019-20 
$51,909 
$51,909 
$93,658 
$93,658 
Projections 
FY 2020-21 
$51,909 
$51,909 
$93,658 
$93,658 
The bill includes General Fund appropriations to the Department of Health and Human Services of $25,955 in fiscal 
year 2017-18 and $51,909 in fiscal year 2018-19 for the Department of Health and Human Services to amend its rnles 
in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 15 to increase reimbursement rates for chiropractic 
services for manipulative treatments under procedure codes 98940, 98941 and 98942 to no less than 70% of the 
federal Medicare reimbursement rate for these services as long as the rate is no lower than the rate reimbursed as of 
January 1, 2017. Federal Expenditures Fund allocations are also included for the FMAP match. 
LR0990(02) - Fiscal Note - Page 1 of 1