Resolve, To Require · the Department of Health and Human Services To Recalculate the MaineCare · Reimbursement Rates for Services for Persons with Disabilities
Maine Legislature, Session 128, LD 0766
Committee Amendment CA_A_H247 (House)

. 
COMMITTEE AMENDMENT "f1,, to H.P. 546, L.D. 766, "Resolve, To Require 
· the Department of Health and Human Services To Recalculate the MaineCare 
· Reimbursement Rates for Services for Persons with Disabilities" 
Amend the resolve by inserting after section 1 the following: 
'Sec. 2. 
Appropriations and allocations. 
Resolved: 
That the following 
appropriations and allocations are made. 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) 
Developmental Services Waiver - MaineCare 0987 
Initiative: Provides funding to increase reimbursement rates in Chapter 101: MaineCare 
Benefits Manual, Chapter III, Sections 13, 17, 21, 28, 29, 65 and 97 to reflect the increase 
in minimum wage pursuant to Initiated Bill 2015, chapter 2. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2016-17 
$1,471,163 
$1,471,163 
Developmental Services Waiver - Supports Z006 
2017-18 
$17,671,956 
$17,671,956 
2018-19 
$18,555,554 
$18,555,554 
Initiative: Provides funding to increase reimbursement rates in Chapter 101: MaineCare 
Benefits Manual, Chapter ill, Sections 13, 17, 21, 28, 29, 65 and 97 to reflect the increase 
in minimum wage pursuant to Initiated Bill 2015, chapter 2. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2016-17 
$195,613 
$195,613 
2017-18 
$2,349,613 
$2,349,613 
COMMITTEE AMENDMENT 
2018-19 
$2,467,094 
$2,467,094 
COMMIITEE AMENDMENT "ti" to H.P. 546, L.D. 766 
Medicaid Services - Developmental Services 0705 
Initiative: Provides an allocation to increase reimbursement rates in Chapter 101: 
MaineCare Benefits Manual, Chapter III, Sections 13, 17, 21, 28, 29, 65 and 97 to reflect 
the increase in minimum wage pursuant to Initiated Bill 2015, chapter 2. 
OTHER SPECIAL REVENUE 
FUNDS 
All Other 
OTHER SPECIAL REVENUE 
FUNDS TOTAL 
Medical Care - Payments to Providers 0147 
2016-17 
$337,632 
$337,632 
2017-18 
$4,051,582 
$4,051,582 
2018-19 
$4,254, 161 
$4,254,161 
Initiative: Provides appropriations and allocations to increase reimbursement rates in 
Chapter 101: MaineCare Benefits Manual, Chapter III, Sections 13, 17, 21, 28, 29, 65 and 
to reflect the increase in minimum wage pursuant to Initiated Bill 2015, chapter 2. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES 
FUND 
All Other 
FEDERAL EXPENDITURES FUND 
TOTAL 
OTHER SPECIAL REVENUE 
FUNDS 
All Other 
OTHER SPECIAL REVENUE 
FUNDS TOTAL 
PNMI Room and Board Z009 
2016-17 
$2,518,717 
$2,518,717 
2016-17 
$8,381,156 
$8,381,156 
2016-17 
$113,981 
$113,981 
2017-18 
$43,238,837 
$43,238,837 
2017-18 
$129,053,314 
$129,053,314 
2017-18 
$4,183,748 
$4,183,748 
2018-19 
$45,400,780 
$45,400,780 
2018-19 
$135,505,980 
$135,505,980 
2018-19 
$4,392,935 
$4,392,935 
Initiative: Provides funding to increase reimbursement rates in Chapter 101: MaineCare 
Benefits Manual, Chapter III, Sections 13, 17, 21, 28, 29, 65 and 97 to reflect the increase 
in minimum wage pursuant to Initiated Bill 2015, chapter 2. 
COMMITTEE AMENDMENT 
COlv1MITIEE AMENDMENT "A "to H.P. 546, L.D. 766 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2016-17 
$3,531 
$3,531 
State-funded Foster Care/Adoption Assistance 0139 
2017-18 
$2,645,442 
$2,645,442 
2018-19 
$2,777,714 
$2,777,714 
Initiative: Provides funding to increase reimbursement rates in Chapter 101: MaineCare 
Benefits Manual, Chapter III, Sections 13, 17, 21, 28, 29, 65 and 97 to reflect the increase 
in minimum wage pursuant to Initiated Bill 2015, chapter 2. 
GENERAL FUND 
All Other 
GENERAL FUND TOT AL 
HEALTH AND HUMAN 
SERVICES, DEPARTMENT OF 
(FORMERLY DRS) 
DEPARTMENT TOTALS 
2016-17 
$28,072 
$28,072 
2016-17 
2017-18 
$336,869 
$336,869 
2017-18 
2018-19 
$353,713 
$353,713 
2018-19 
GENERAL FUND 
FEDERAL EXPENDITURES 
FUND 
$4,217,096 
$66,242,717 
$69,554,855 
$8,381,156 $129,053,314 $135,505,980 
OTHER SPECIAL REVENUE 
FUNDS 
$451,613 
$8,235,330 
$8,647,096 
DEPARTMENT TOTAL-ALL 
FUNDS 
$13,049,865 $203,531,361 $213,707,931 
SUMMARY 
This amendment, which is the majority report of the committee, adds an 
appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 05/17/17 fe.ac 
LD766 
LR 1465(02) 
Resolve, To Require the Department of Health and Human Services To Recalculate the MaineCare 
Reimbursement Rates for Services for Persons with Disabilities 
CH ,:)Lf~ 
Fiscal Note for Bill as Amended by Committee Amendment ff 
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 2016-17 
$4,217,096 
$4,217,096 
$8,381,156 
$451,613 
$8,381,156 
$451,613 
FY 2017-18 
$66,242,717 
$66,242,717 
$129,053,314 
$8,235,330 
$129,053,314 
$8,235,330 
FY 2018-19 
$69,554,855 
$69,554,855 
$135,505,980 
$8,647,096 
$135,505,980 
$8,647,096 
Projections 
FY 2019-20 
$73,032,598 
$73,032,598 
$142,281,279 
$9,079,451 
$142,281,279 
$9,079,451 
Projections 
FY 2020-21 
$76,684,228 
$76,684,228 
$149,395,343 
$9,533,424 
$149,395,343 
$9,533,424 
The bill includes General Fund appropriations to the Department of Health and Human Services (DHHS) of 
$4,217,096 in fiscal year 2016-17, $66,242,717 in fiscal year 2017-18 and $69,554,855 in fiscal year 2018-19 to 
increase reimbursement rates in Chapter 101: MaineCare Benefits Manual, Chapter III, Sections 13, 17, 21, 28, 29, 65 
and 97 to reflect the increase in minimum wage. Federal Expenditures Fund allocations are also included for the 
FMAP match and Other Special Revenue Funds allocations for the service provider tax. 
This fiscal note assumes the required rnlemaking is accomplished by the bill's required deadline of June 1, 2017. If the 
DHHS does not meet this deadline the increase to reimbursement rates will be delayed and the fiscal impact will need 
to be adjusted. 
LR1465(02) - Fiscal Note - Page 1 of 1