Resolve, to Direct the Department of Health and Human Services to Perform Rate Studies and Rate Determinations for Providers of Certain Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder
Maine Legislature, Session 131, LD 0744
Committee: Health and Human Services
Sponsors: BALDACCI, BENNETT

Legislative Document
No. 744
S.P. 302
In Senate, February 16, 2023
Resolve, to Direct the Department of Health and Human Services to 
Perform Rate Studies and Rate Determinations for Providers of 
Certain Services for Adults with Intellectual Disabilities or Autism 
Spectrum Disorder
Reference to the Committee on Health and Human Services suggested and ordered printed.
DAREK M. GRANT
Secretary of the Senate
Presented by Senator BALDACCI of Penobscot.
Cosponsored by Senator: BENNETT of Oxford.
Sec. 1. Rate studies and rate determinations required for services for adults 
with intellectual disabilities or autism spectrum disorder. Resolved:  That, 
beginning no later than March 15, 2024, the Department of Health and Human Services 
shall conduct rate studies and rate determinations, as defined in the Maine Revised Statutes, 
Title 22, section 3173-J, subsection 1, paragraphs D and C, respectively, for rule Chapter 
101: MaineCare Benefits Manual, Chapter II, Sections 21 and 29 and Chapter III, Sections 
and 29. The department shall complete the rate studies and rate determinations no later 
than December 31, 2024.
Sec. 2. Working group established. Resolved:  That the Department of Health 
and Human Services, Office of Aging and Disability Services shall convene a working 
group to advise the department on the development of a daily rate payment system for 
Agency Home Support Service Providers described in rule Chapter 101: MaineCare 
Benefits Manual, Chapter II, Section 21 and Chapter III, Section 21. The working group 
consists of officials from the Office of Aging and Disability Services and the department's 
Office of MaineCare Services and at least 3 providers of agency home support services, 
including one provider that supports individuals with extensive behavioral and medical 
needs. The Office of Aging and Disability Services shall appoint a chair. The chair of the 
working group shall provide written notice of meetings and copies of any minutes of 
meetings of the working group to the Commissioner of Health and Human Services or the 
commissioner's designee and to members of the Joint Standing Committee on Health and 
Human Services and the Office of Policy and Legal Analysis. No later than October 1, 
2024, the working group shall submit a report that includes its findings and 
recommendations to the Commissioner of Health and Human Services or the 
commissioner's designee. The department shall incorporate the daily rate payment system 
into the rate determinations required by section 1.
Sec. 3. Rate and payment system implementation. Resolved:  That, no later 
than January 31, 2025, the Department of Health and Human Services shall implement the 
rates required to be determined under section 1 and the rate payment system developed 
under section 2.
SUMMARY
This resolve directs the Department of Health and Human Services to conduct rate 
studies and rate determinations for home and community benefits and support services for 
members of the MaineCare program with intellectual disabilities or autism spectrum 
disorder. The Office of Aging and Disability Services within the department is directed to 
convene a working group to advise the department on the development of a daily rate 
payment system for agency home support service providers to be incorporated into the rate 
determinations. The department is required to implement the rates determined no later than 
January 31, 2025.