Resolve, Directing the Department of Health and Human Services To Increase MaineCare Reimbursement Rates for Targeted Case Management Services To Reflect Inflation
Maine Legislature, Session 129, LD 1940
Committee: Health and Human Services
Sponsors: MEYER, SANBORN, FAY, GATTINE, STOVER, TEPLER

Legislative Document
No. 1940
H.P. 1384
House of Representatives, January 8, 2020
Resolve, Directing the Department of Health and Human Services 
To Increase MaineCare Reimbursement Rates for Targeted Case 
Management Services To Reflect Inflation
(EMERGENCY)
Approved for introduction by a majority of the Legislative Council pursuant to Joint Rule 
203.
Reference to the Committee on Health and Human Services suggested and ordered printed.
ROBERT B. HUNT
Clerk
Presented by Representative MEYER of Eliot.
Cosponsored by Senator SANBORN, L. of Cumberland and
Representatives: FAY of Raymond, GATTINE of Westbrook, McCREIGHT of Harpswell, 
STOVER of Boothbay, TEPLER of Topsham.
Emergency preamble. Whereas, acts and resolves of the Legislature do not 
become effective until 90 days after adjournment unless enacted as emergencies; and
Whereas, due to extensive waiting lists for both children's services and adult 
services, targeted case management services are necessary to meet the essential health 
needs of people with disabilities; and
Whereas, for more than 250 families on the waiting list for Section 29 services, 
targeted case management services are the only connection to essential support; and
Whereas, the reimbursement rate for targeted case management services has not 
been adjusted since 2009 despite rising costs of wages, health insurance, technology and 
travel and other costs; and
Whereas, case managers' duties and mandates have increased over the past decade 
including required activities that are unreimbursed; and
Whereas, the State discontinued its own case management services in 2017 and 
increased the case load for targeted case management services delivered by community 
providers by more than 1,200 adults with intellectual and developmental disabilities; and
Whereas, without an immediate increase in reimbursement to offset a decade of 
inflation, providers will be unable to maintain the capacity needed to ensure individuals 
with intellectual and developmental disabilities have access to targeted case management 
services; and
Whereas, it is therefore essential that the Department of Health and Human Services 
amend its reimbursement rules to increase rates for targeted case management services no 
later than April 1, 2020; 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 amend rules. 
Resolved:  That, notwithstanding any provision of law to the contrary, no later than 
April 1, 2020, the Department of Health and Human Services shall amend its rules in 
Chapter 101: MaineCare Benefits Manual, Chapter III, Section 13, Targeted Case 
Management Services to increase reimbursement rates for targeted case management 
services by a percentage equivalent to the cumulative increase in costs measured by the 
United States Department of Labor, Bureau of Labor Statistics Consumer Price Index 
medical care services index in each year from 2010 to 2019.
Emergency clause.  In view of the emergency cited in the preamble, this 
legislation takes effect when approved.
SUMMARY
This resolve requires the Department of Health and Human Services to amend its 
rules governing MaineCare reimbursement for targeted case management services to 
provide an increase reflecting cost increases from 2010 to 2019.