Resolve, To Increas~ Access to Evidence-based Psychosocial Treatment for Children in the MaineCare Program
Maine Legislature, Session 128, LD 0902
Committee Amendment CA_A_H726 (House)

COMMITTEE AMENDMENT "H" to H.P. 630, L.D. 902, "Resolve, To Increas~ 
Access to Evidence-based Psychosocial Treatment for Children in the MaineCare 
Program" 
Amend the resolve by striking out the title and substituting the following: 
'Resolve, To Develop MaineCare Reimbursement Rates for Trauma-focused 
Cognitive Behavioral Therapy' 
Amend the resolve by striking out everything after the title and before the summary 
and inserting the following: 
'Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and 
Whereas, trauma-focused cognitive behavioral therapy is currently available under 
the MaineCare program but needs its own reimbursement code to ensure that costs to 
providers are met; and 
Whereas, to prevent the loss of providers of services, rates must be developed as 
soon as possible; and 
Whereas, in the judgment of the Legislature, these facts create an emergency within 
the meaning of the Constitution of Maine and require the following legislation as 
immediately necessary for the preservation of the public peace, health and safety; now, 
therefore, be it 
Sec. 1. 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. Resolved: That the Department of Health 
and Human Services shall contract for a 3rd-party independent rate study to develop a 
separate reimbursement rate for trauma-focused cognitive behavioral therapy to be 
available to be billed under rule Chapter 101: MaineCare Benefits Manual, Section 65. In 
establishing the rate, the rate study must take into consideration the following: 
COMMITTEE AMENDMENT 
(),: 
COMMITTEE AMENDMENT "A" to H.P. 630, L.D. 902 
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 rural 
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 January 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 January 30, 2019. The department shall amend its 
rules to establish a separate reimbursement rate for trauma-focused cognitive behavioral 
therapy. Rules adopted pursuant to this resolve are routine technical rules as defined in 
the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A; and be it further 
Sec. 2. 
Appropriations and allocations. Resolved: 
That the following 
appropriations and allocations are made. 
HEAL TH AND HUMAN SERVICES, DEPARTMENT OF 
Office of MaineCare Services 0129 
Initiative: Provides funding to contract with a 3rd 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 January 1, 2019. 
GENERAL FUND 
All Other 
GENERALFUNDTOTAL 
FEDERAL EXPENDITURES FOND 
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 
Emergency clause. 
In view of the emergency cited in the preamble, this 
legislation takes effect when approved.' 
SUMMARY 
This amendment replaces the resolve and changes the title. 
It 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 
COMMITTEE AMENDMENT 
~<> 
COMMITTEE AMENDMENT «A" to H.P. 630, L.D. 902 
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 January 1, 2019, and the department must report to the joint standing committee 
of the Legislature having jurisdiction over health and human services matters by January 
30, 2019. 
The department must amend its rules to establish the new rate. 
The 
amendment adds an emergency preamble and emergency clause. The amendment also 
adds an appropriations and allocations section. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 04/01/18 feac. 
LD902 
LR 1199(02) 
Resolve, To Increase Access to Evidence-based Psychosocial Treatment for Children in the MaineCare 
Program 
\ 
Fiscal Note for Bill as Amended by Committee Amendment '~' ( H · 1 d l_/;) 
Committee: Health and Human Services 
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 
The bill includes 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 pmiy 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 January 1st, 2019. Federal 
Expenditures Fund allocations are also included for the FMAP match. 
LR1199(02) - Fiscal Note - Page 1 of 1