Resolve, Directing the Department of Health and Human Services To Increase Reimbursement Rates for Home-based and Community-based Services
Maine Legislature, Session 128, LD 0643
Committee: Health and Human Services
Sponsors: ESPLING, BRADSTREET, COREY, FARNSWORTH, HEAD, ORDWAY, SAMPSON, STETKIS

Legislative Document
No. 643
H.P. 457
House of Representatives, February 28, 2017
Resolve, Directing the Department of Health and Human Services 
To Increase Reimbursement Rates for Home-based and 
Community-based Services
Reference to the Committee on Health and Human Services suggested and ordered printed.
ROBERT B. HUNT
Clerk
Presented by Representative ESPLING of New Gloucester.
Cosponsored by Representatives: BRADSTREET of Vassalboro, COREY of Windham, 
FARNSWORTH of Portland, HEAD of Bethel, ORDWAY of Standish, SAMPSON of Alfred, 
STETKIS of Canaan.
Sec. 1.  Department of Health and Human Services to increase 
reimbursement rates for home-based and community-based services. 
Resolved:  That the Department of Health and Human Services shall increase the 
reimbursement rates for home-based and community-based services in accordance with 
this section. The department shall raise the hourly reimbursement rate: 
1. By 11% for personal support and self-directed services provided under the 
provisions of Chapter 101: MaineCare Benefits Manual, Chapter II, Section 96 and under 
the waiver services provisions of Section 19 and Chapter 5, Office of Elder Services 
Policy Manual, Section 63, In-Home and Community Support Services for Elderly and 
Other Adults or as otherwise set forth in the report "Rate Review for Personal Care and 
Related Services: Final Rate Models" prepared by Burns & Associates, Inc. and dated 
February 1, 2016; 
2. By 14% for home health aide, registered nurse and licensed practical nurse services 
provided under the waiver services provisions of Chapter 101: MaineCare Benefits 
Manual, Chapter II, Section 19 or as otherwise set forth in the report "Rate Review for 
Personal Care and Related Services: Final Rate Models" prepared by Burns & Associates, 
Inc. and dated February 1, 2016; 
3. By 14% for home health aide, registered nurse, licensed practical nurse and 
independent registered nurse services under the provisions of Chapter 101: MaineCare 
Benefits Manual, Chapter II, Section 96 or as otherwise set forth in the report "Rate 
Review for Personal Care and Related Services: Final Rate Models" prepared by Burns & 
Associates, Inc. and dated February 1, 2016; and 
4. By 14% for registered nurse and independent registered nurse services under the 
provisions of Chapter 5, Office of Elder Services Policy Manual, Section 63 or as 
otherwise set forth in the report "Rate Review for Personal Care and Related Services: 
Final Rate Models" prepared by Burns & Associates, Inc. and dated February 1, 2016; 
and be it further 
Sec. 2.  Deadline for increase established. Resolved:  That the Department of 
Health and Human Services shall increase the reimbursement rates in accordance with 
section 1 by July 1, 2018. 
SUMMARY 
This resolve directs the Department of Health and Human Services to increase 
reimbursement rates for home-based care services consistent with the recommendations 
made by Burns & Associates, Inc. in its report "Rate Review for Personal Care and 
Related Services: Final Rate Models" dated February 1, 2016.  The first half of this 
increase was ratified by the 127th Legislature through Public Law 2015, chapter 267.