An Act To Ensure Access to Community Services for Persons with Intellectual Disabilities or Autism
Maine Legislature, Session 128, LD 0967
Committee Amendment CA_A_H342 (House)

COMMITTEE AMENDMENT "A" to H.P. 680, L.D. 967, Bill, "An Act To 
Ensure Access to Community Services for Persons with Intellectual Disabilities or 
Autism" 
Amend the bill in section 1 in §3195 in subsection 2 in paragraph B in the 4th line 
(page 2, line 2 in L.D.) by inserting after the following: ''program;" the following: 'and' 
Amend the bill in section 1 in §3195 in subsection 2 by striking out all of paragraphs 
C and D (page 2, lines 3 to 11 in L.D.). 
Amend the bill in section 1 in §3195 in subsection 2 by relettering the paragraphs to 
read alphabetically. 
Amend the bill by inserting after section 1 the following: 
'Sec. 2. Immediate rate increases. 
The Department of Health and Human 
Services shall increase reimbursement rates in accordance with this section. 
1. Section 21 rules. No later than October 1, 2017, the Department of Health and 
Human Services shall amend its rules to increase reimbursement rates by 1 0% over the 
reimbursement levels implemented in 2007 pursuant to Public Law 2005, chapter 12, Part 
CCCC, section 1 for the following procedure codes provided in Chapter 101: MaineCare 
Benefits Manual, Chapter III, Section 21: 
A. T2017 home support; 
B. T2017 SC home support with medical add-on; 
C. T2017 GT home support - remote supp01t; 
D. T2016 agency home support; 
E. T2016 agency home support over 168 hours; 
F. T2016 SC agency home support with medical add-on; 
G. S5140 shared living foster care, adult, one member; 
COMMITTEE AMENDMENT 
R.CH-· S 
COMMITIEE AMENDMENT" A" to H.P. 680, L.D. 967 
H. 
S5140 TG shared living foster care, adult, one member, increased level of 
supp01t; 
I. S5140 UN shared living foster care, adult, 2 members; 
J. 
S5140 UN TG shared living foster care, adult, 2 members, increased level of 
support; 
K. T2021 community support; 
L. T2021 SC community support with medical add-on; 
M. T2015 career planning; 
N. T2019 employment specialist services; 
0. T2019 SC employment specialist services with medical add-on; 
P. H2023 work support, individual; 
Q. H2023 SC work support with medical add-on; 
R. H2023 UN work support, group, 2 members; 
S. H2023 UP work support, group, 3 members; 
T. H2023 UQ work supp01t, group, 4 members; 
U. H2023 UR work support, group, 5 members; 
V. H2023 US work suppott, group, 6 members; and 
W. T2034 crisis intervention services. 
2. Section 29 rules. No later than October 1, 2017, the Department of Health and 
Human Services shall amend its rules to increase reimbursement rates by 10% over the 
reimbursement levels implemented in 2007 pursuant to Public Law 2005, chapter 12, Part 
CCCC, section 1 for the following procedure codes provided in Chapter 101: MaineCare 
Benefits Manual, Chapter III, Section 29: 
A. T2017 home support, 1/4 hour; 
B. T2017 GT home support, remote support; 
C. T2021 community supp01t; 
D. T2021 SC community support with medical add-on; 
E. T2019 employment specialist services; 
F. T2019 SC employment specialist services with medical add-on; 
G. H2023 work support, individual; 
H. H2023 SC work suppott - supported employment with medical add-on; 
I. H2023 UN work support, group, 2 members; 
J. H2023 UP work supp01t, group, 3 members; 
K. H2023 UQ work support, group, 4 members; 
L. H2023 UR work support, group, 5 members; 
M. H2023 US work support, group, 6 members; 
COMMITTEE AMENDMENT 
R OPS 
COMMITIEE AMENDMENT "A "to H.P. 680, L.D. 967 
N. T2015 career planning; 
0. S5150 respite, 1/4 hour; and 
P. S5151 respite, per diem. 
3. 
Major substantive rules. Rules adopted pursuant to this section are major 
substantive rules as defined in the Maine Revised Statutes, Title 5, chapter 375, 
subchapter 2-A. 
Sec. 3. Savings efforts. The Department of Health and Human Services and 
representatives of organizations of providers of community support services for 
individuals with intellectual disabilities and autism shall examine current reimbursement 
rates, costs of providing services, labor costs and administrative overhead costs to 
determine opportunities for efficiencies and savings. The department and providers shall 
present a report to the Joint Standing Committee on Health and Human Services with 
findings no later than January 1, 2018. 
Sec. 4. Appropriations and allocations. 
The following appropriations and 
allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS) 
Developmental Services Waiver -MaineCare 0987 
Initiative: Provides appropriations due to a change in the rates provided for home-based 
and community-based care for individuals with intellectual disabilities or autism. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Developmental Services Waiver - Supports Z006 
2017-18 
$23,363,478 
$23,363,478 
2018-19 
$23 ,3 71,3 5 8 
$23,371,358 
Initiative: Provides appropriations due to a change in the rates provided for home-based 
and community-based care for individuals with intellectual disabilities or autism. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
Medicaid Services - Developmental Services 0705 
2017-18 
$3,159,904 
$3,159,904 
2018-19 
$3,160,970 
$3,160,970 
Initiative: Provides allocations due to a change in the rates provided for home-based and 
community-based care for individuals with intellectual disabilities or autism. 
COMMITTEE AMENDMENT 
ROFS 
COMMITTEE AMENDMENT" A" to H.P. 680, L.D. 967 
OTHER SPECIAL REVENUE FUNDS 
All Other 
OTHER SPECIAL REVENUE FUNDS TOT AL 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY BDS) 
DEPARTMENT TOTALS 
GENERAL FUND 
OTHER SPECIAL REVENUE FUNDS 
DEPARTMENT TOTAL-ALL FUNDS 
2017-18 
$5,367,295 
$5,367,295 
2017-18 
$26,523,382 
$5,367,295 
$31,890,677 
2018-19 
$5,367,295 
$5,367,295 
2018-19 
$26,532,328 
$5,367,295 
$31,899,623 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Medical Care- Payments to Providers 0147 
Initiative: Provides allocations due to a change in the rates provided for home-based and 
community-based care for individuals with intellectual disabilities or autism. 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
Office of MaineCare Services 0129 
2017-18 
$57,564,238 
$57,564,238 
2018-19 
$57,555,293 
$57,555,293 
Initiative: Provides appropriations and allocations for the Department of Administrative 
and Financial Services, Office of Information Technology to update and test changes to 
the Enterprise Information System. 
GENERAL FUND 
All Other 
GENERAL FUND TOT AL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2017-18 
$38,160 
$38,160 
2017-18 
$38,160 
$38,160 
COMMITTEE AMENDMENT 
2018-19 
$0 
$0 
2018-19 
$0 
$0 
COMMITIEE AMENDMENT «A" to H.P. 680, L.D. 967 
HEALTH AND HUMAN SERVICES, 
DEPARTMENT OF (FORMERLY DHS) 
DEPARTMENT TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
DEPARTMENT TOTAL-ALL FUNDS 
SECTION TOTALS 
GENERAL FUND 
FEDERAL EXPENDITURES FUND 
OTHER SPECIAL REVENUE FUNDS 
SECTION TOTAL - ALL FUNDS 
SUMMARY 
2017-18 
$38,160 
$57,602,398 
$57,640,558 
2017-18 
$26,561,542 
$57 ,602,398 
$5,367,295 
$89,531,235 
2018-19 
$0 
$57,555,293 
$57,555,293 
2018-19 
$26,532,328 
$57,555,293 
$5,367,295 
$89,454,916 
This amendment directs the Depruiment of Health and Human Services to increase 
reimbursement rates by 10% over the reimbursement levels implemented in 2007 
pursuant to Public Law 2005, chapter 12, Part CCCC, section 1 for services provided 
under Chapter 101: MaineCare Benefits Manual, Chapter III, Sections 21 and 29 no later 
than October 1, 2017. The amendment narrows the services that are reimbursed to codes 
that provide direct support services to the MaineCare members receiving services under 
the waiver programs. It also directs the department and representatives of organizations 
of providers of community support services for individuals with intellectual disabilities 
and autism to examine reimbursement rates, costs of providing services and other costs to 
determine opportunities for efficiencies and savings. The department and the providers 
are required to report findings to the Joint Standing Committee on Health and Human 
Services no later than January 1, 2018. This amendment also adds an appropriations and 
allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Revised: 05/24/17 feae 
LD967 
LR 1785(03) 
An Act To Ensure Access to Community Services for Persons with Intellectual Disabilities or Autism 
Fiscal Note for Bill as Amended by Committee Amendment ,A,( ,-1 .. 1vi) 
Committee: Health and Human Services 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Other Special Revenue Funds 
Revenue 
Federal Expenditures Fund 
Other Special Revenue Funds 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2017-18 
$26,561,542 
$26,561,542 
$57,602,398 
$5,367,295 
$57,602,398 
$5,367,295 
FY 2018-19 
$26,532,328 
$26,532,328 
$57,555,293 
$5,367,295 
$57,555,293 
$5,367,295 
Projections 
FY2019-20 
$26,532,328 
$26,532,328 
$57,555,293 
$5,367,295 
$57,555,293 
$5,367,295 
Projections 
FY 2020-21 
$26,532,328 
$26,532,32f 
$57,555,293 
$5,367,295 
$57,555,293 
$5,367,295 
The bill includes General Fund appropriations to the Department of Health and Human Services of $26,561,542 in 
fiscal year 2017-18 and $26,532,328 in fiscal year 2018-19 due to a change in the rates provided for home-based and 
community-based care for individuals with intellectual disabilities or autism and to update and test changes to the 
Enterprise Information System. Federal Expenditures Fund allocations are also included for the FMAP match and 
Other Special Revenue Funds allocations for the service provider tax. 
LRl 785(03) - Fiscal Note - Page 1 of 1