Resolve, To Increase Certain Chiropractic Reimbursement Rates under the MaineCare Program
Maine Legislature, Session 129, LD 0234
Committee: Health and Human Services
Sponsors: MARTIN, LIBBY, CAMPBELL, JORGENSEN, MADIGAN, CHIPMAN, CYRWAY, JACKSON, LAWRENCE, WOODSOME

Legislative Document
No. 234
H.P. 197
House of Representatives, January 22, 2019
Resolve, To Increase Certain Chiropractic Reimbursement Rates 
under the MaineCare Program
Reference to the Committee on Health and Human Services suggested and ordered printed.
ROBERT B. HUNT
Clerk
Presented by Representative MARTIN of Eagle Lake.
Cosponsored by Senator LIBBY of Androscoggin and
Representatives: CAMPBELL of Orrington, JORGENSEN of Portland, MADIGAN of 
Waterville, Senators: CHIPMAN of Cumberland, CYRWAY of Kennebec, President 
JACKSON of Aroostook, LAWRENCE of York, WOODSOME of York.
Sec. 1.  Department of Health and Human Services to increase 
MaineCare rates.  Resolved:  That, no later than January 1, 2020, the Department of 
Health and Human Services shall amend its rules in Chapter 101:  MaineCare Benefits 
Manual, Chapter III, Section 15 to increase reimbursement rates for chiropractic services 
for manipulative treatments under procedure codes 98940, 98941 and 98942 to no less 
than 70% of the federal Medicare reimbursement rate for these services as long as the rate 
is no lower than the rate reimbursed as of January 1, 2019.
Sec. 2.  Rate study.  Resolved:  That, notwithstanding section 1, if the 
Department of Health and Human Services conducts a rate study of chiropractic services 
for manipulative treatments, the department may adopt new rates for manipulative 
treatments that are recommended by the rate study by amending its rules in Chapter 101:  
MaineCare Benefits Manual, Chapter III, Section 15.
Sec. 3.  Routine technical rules.  Resolved:  That rules adopted pursuant to 
section 1 or 2 are routine technical rules as defined in the Maine Revised Statutes, Title 5, 
chapter 375, subchapter 2-A.
Sec. 4.  Appropriations and allocations.  Resolved:  That the following 
appropriations and allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Medical Care - Payments to Providers 0147
Initiative: Provides funds for the Department of Health and Human Services to amend its 
rules in Chapter 101:  MaineCare Benefits Manual, Chapter III, Section 15 to increase 
reimbursement rates for chiropractic services for manipulative treatments under 
procedure codes 98940, 98941 and 98942 to no less than 70% of the federal Medicare 
reimbursement rate for these services as long as the rate is no lower than the rate 
reimbursed as of January 1, 2019.
SUMMARY
This bill requires the Department of Health and Human Services, by January 1, 2020, 
to amend its rules in Chapter 101:  MaineCare Benefits Manual, Chapter III, Section 15 
GENERAL FUND
2019-20
2020-21
All Other
$25,955
$51,909
GENERAL FUND TOTAL
$25,955
$51,909
FEDERAL EXPENDITURES FUND
2019-20
2020-21
All Other
$46,829
$93,658
FEDERAL EXPENDITURES FUND TOTAL
$46,829
$93,658
to increase reimbursement rates for chiropractic services for manipulative treatments 
under procedure codes 98940, 98941 and 98942 to no less than 70% of the federal 
Medicare reimbursement rate for these services as long as the rate is no lower than the 
rate reimbursed as of January 1, 2019.  If the department conducts a rate study of 
chiropractic services for manipulative treatments, the department may adopt new rates.  
The rules adopted are routine technical rules.