An Act To Improve the Child Welfare System
Maine Legislature, Session 128, LD 1923
Committee Amendment CA_A-HA_A_H811 (House)

HOUSE AMENDMENT "A" to COMMITTEE AMENDMENT "A" to S.P. 758, 
L.D. 1923, Bill, "An Act To Improve the Child Welfare System" 
Amend the amendment by inserting after section 4 the following: 
1Sec. 5. Department of Health and Human Services to conduct a rate 
study to develop a new rate for MaineCare reimbursement for trauma-
focused cognitive behavioral therapy. The Department of Health and Human 
Services shall contract for a 3rd-patty independent rate study to develop a separate 
reimbursement rate for trauma-focused cognitive behavioral therapy to be available to be 
billed under rnle Chapter 101: MaineCare Benefits Manual, Section 65. In establishing 
the rate, the rate study must take into consideration the following: 
1. The costs to the provider of delivering the service, including additional training 
for certification and continuing education; 
2. Quality assurance and continuous quality improvement; 
3. The need to attract enough providers to clear waiting lists for services; 
4. The need to attract providers to all areas of the State, including underserved rnral 
areas; and 
5. The costs of ensuring fidelity to the trauma-focused cognitive behavioral therapy 
model. 
The department shall ensure that the rate study is completed no later than April 1, 
2019. 
The department shall submit a report to the joint standing committee of the 
Legislature having jurisdiction over health and human services matters regarding the 
findings of the rate study no later than May 1, 2019. The department shall amend its 
rules to establish a separate 1'eimbursement rate for tmuma-focused cognitive behavioral 
therapy. Rules adopted pursuant to this resolve are routine technical mles as defined in 
the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A.' 
Amend the amendment by inserting after section 5 the following: 
'Sec. 6. Appropriations and allocations. The following appropriations and 
allocations are made. 
HOUSE AMENDMENT 
HOUSE AMENDMENT •:A-
to COMMITIEE AMENDMENT "A" to S.P, 758, L.D. 1923 
HEALTH AND HUMAN SERVICES,DEPARTMENT OF 
Office of MaineCare Se1·vices 0129 
Initiative: Provides funding to contract with a 3rd party to conduct a rate study to develop 
ce1tain rates under mle Chapter 101: MaineCare Benefits Manual, Chapters II and III, 
Section 65 to be completed no later than May 1, 2019. 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
FEDERAL EXPENDITURES FUND 
All Other 
FEDERAL EXPENDITURES FUND TOTAL 
2017-18 
$0 
$0 
2017-18 
$0 
$0 
2018-19 
$50,000 
$50,000 
2018-19 
$50,000 
$50,000 
Amend the amendment by relettering or renumbering any nonconsecutive Part letter 
or section number to read consecutively. 
SUMMARY 
This amendment requires the Department of Health and Human Services to contract 
for a 3rd-party independent rate study to develop a separate rate for MaineCare 
reimbursement for trauma-focused cognitive behavioral therapy to be billed under rule 
Chapter 101: MaineCare Benefits Manual, Section 65. 
Currently, this therapy is 
available as outpatient therapy and home-based and community-based treatment under 
Section 65. 
The rate study must take into consideration the costs to providers of 
delivering the service, including certification and continuing education, quality assurance 
and continuous quality improvement, the need to attract enough providers to clear waiting 
lists and serve all areas of the State and the costs to ensure fidelity to the therapy model. 
The rate study must be completed no later than April 1, 2019, and the department must 
report to the joint standing committee of the Legislature having jurisdiction over health 
and human services matters by May 1, 2019. The depa1tment must amend its rules to 
establish the new rate. The amendment also adds an appropriations and allocations 
section. 
FISCAL NOTE REQUIRED 
. 
~:--) r) r-(~e~jt,tachedQ () 
SPONSORED BY':'---5-~V ~ yt ~ 
~·~ 
(Representative MALABY) 
'··. c----. ----"·· . 
TOWN: Hancock 
·· 
· .. , .. ··-·~ .. ~. 
HOUSE AMENDMENT 
Approved: 08/30/18 feac: 
LD 1923 
LR 3088(05) 
An Act To Improve the Child Welfare System 
Fiscal Note for House Amendment~;{" to Committee Amendment "A" 
Sponsor: Rep. Malaby of Hancock 
Net Cost (Savings) 
General Fund 
Appropriations/ Allocations 
General Fund 
Federal Expenditures Fund 
Revenue 
Federal Expenditures Fund 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2017-18 
$0 
$0 
$0 
$0 
FY 2018-19 
$50,000 
$50,000 
$50,000 
$50,000 
Projections 
FY 2019-20 
$0 
$0 
$0 
$0 
Projections 
FY 2020~21 
$0 
$0 
$0 
$0 
This amendment adds a General Fund appropriation to the Department of Health and Human Services of $50,000 in 
fiscal year 2018-19 to contract with a third party to conduct a rate study to develop certain rates under rule Chapter 
101, MaineCare Benefits Manual, Chapters II and III, Section 65 to be completed no later than April 1st, 2019. 
Federal Expenditures Fund allocations are also included for the FMAP match. 
LR3088(05) - Fiscal Note - Page I of 1