Resolve, Requiring the Department of Health and Human Services To Examine Options for Upper Payment Limit Adjustments for MaineCare Services
Maine Legislature, Session 129, LD 1838

Legislative Document
No. 1838
H.P. 1309
House of Representatives, June 7, 2019
Resolve, Requiring the Department of Health and Human Services 
To Examine Options for Upper Payment Limit Adjustments for 
MaineCare Services
Reported by Representative HYMANSON of York for the Joint Standing Committee on 
Health and Human Services pursuant to Joint Order 2019, H.P. 1266.
ROBERT B. HUNT
Clerk
Sec. 1.  Department of Health and Human Services to examine upper 
payment limit options.  Resolved:  That the Department of Health and Human 
Services shall examine options and methodologies to increase the federally approved 
upper payment limits for services provided under MaineCare.  The department may 
contract with any consultant or 3rd-party organization that the department determines 
appropriate for this purpose.  The department may consult with any stakeholders that the 
department determines appropriate for this purpose.  The department shall report its 
findings, actions taken, adjustments to upper payment limits, negotiations with the United 
States Department of Health and Human Services, Centers for Medicare and Medicaid 
Services and any necessary legislation to the Joint Standing Committee on Health and 
Human Services no later than January 15, 2020.
Sec. 2.  Appropriations and allocations.  Resolved:  That the following 
appropriations and allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF 
Office of MaineCare Services 0129
Initiative: Provides funding to contract with a 3rd party to examine upper payment limit 
options to increase federally approved limits for services provided under MaineCare.
SUMMARY
This resolve requires the Department of Health and Human Services to examine 
upper payment limit options to increase the federally approved limits for services 
provided under MaineCare.  The department may contract with any consultant or 3rd-
party organization that the department determines appropriate for this purpose.  The 
department may also consult with any stakeholders that the department determines 
appropriate.  The department shall report its findings, actions taken, adjustments to upper 
GENERAL FUND
2019-20
2020-21
All Other
$26,000
$0
GENERAL FUND TOTAL
$26,000
$0
FEDERAL EXPENDITURES FUND
2019-20
2020-21
All Other
$26,000
$0
FEDERAL EXPENDITURES FUND TOTAL
$26,000
$0
payment limits, negotiations with United States Department of Health and Human 
Services, Centers for Medicare and Medicaid Services and any necessary legislation to 
the Joint Standing Committee on Health and Human Services no later than January 15, 
2020.
FISCAL NOTE REQUIRED
(See attached)
Approved: 06/04/19
LD 1838     
LR 2550(01)
FY 2019-20
FY 2020-21
Projections 
FY 2021-22
Projections 
FY 2022-23
Net Cost (Savings)
General Fund
$26,000
$0
$0
$0
Appropriations/Allocations
General Fund
$26,000
$0
$0
$0
Federal Expenditures Fund
$26,000
$0
$0
$0
Revenue
Federal Expenditures Fund
$26,000
$0
$0
$0
Fiscal Detail and Notes
Fiscal Note
The bill includes General Fund appropriations to the Department of Health and Human Services of $26,000 in fiscal 
year 2019-20 for the department to contract with a third party to examine upper payment limit options to increase 
federally approved limits for services provided under MaineCare. Federal Expenditures Fund allocations are also 
included for the FMAP match.
Resolve, Requiring the Department of Health and Human Services To Examine Options for Upper 
Payment Limit Adjustments for MaineCare Services
Fiscal Note for Original Bill
Committee: Health and Human Services
Fiscal Note Required: Yes
LR2550(01) - Fiscal Note - Page 1 of 1