Resolve, Directing the Department of Health and Human Services to Amend MaineCare Rules Governing Certain Types of Behavioral and Mental Health Services and to Form a Stakeholder Group to Study Methods for Improving Those Services
Maine Legislature, Session 131, LD 2243
Committee Amendment CA_A_S631 (Senate)

COMMITTEE AMENDMENT " /j " to S.P. 965, L.D. 2243, "Resolve, Directing the
Department of Health and Human Services to Amend MaineCare Rules Governing Certain
Types of Behavioral and Mental Health Services and to Form a Stakeholder Group to Study
Methods for Improving Those Services"
Amend the resolve by striking out the title and substituting the following:
'Resolve, to Expedite and Improve Reimbursement to Certain Private Nonmedical
Institutions'
Amend the resolve by striking out everything after the title and inserting the following:
'See. 1. Department of Health and Human Sendces to amend rules
concerning JVIaineCare reimbursement for certain private nonmedical
institutions; timing. Resolved: That the Department of Health and Human Services
shall amend its rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 97,
Appendices E and F and amend, as necessary, any language within Chapter II, Section 97
and Chapter HI, Section 97 that applies to those appendices to require the department to
reimburse at least 75% of a private nonmedical institution's as-filed settlement pursuant to
the facility's cost reports within 90 days of receipt by the department of the cost reports.
Sec. 2. Department of Health and Human Services to increase awareness
of rate adjustment opportunities. Resolved: That the Department of Health and
Human Services shall increase awareness of the rate adjustment application process for
eligible private nonmedical institutions that receive reimbursement under the department's
rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 97 and Chapter III,
0 Section 97, Appendices E and F.
Sec. 3. Appropriations and allocations. Resolved: That the following
appropriations and allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Medical Care - Payments to Providers 0147
COMMITTEE AMENDMENT
^
^
COMMITTEE AMENDMENT " l£^" to S.P. 965, L.D.2243
Initiative: Provides one-time funding to support rate adjustments to eligible private
nonmedical institutions.
GENERAL FUND 2023-24 2024-25
All Other $0 $741,849
GENERAL FUND TOTAL $0 $741,849
FEDERAL EXPENDITURES FUND 2023-24 2024-25
AHOther $0 $1,258,151
FEDERAL EXPENDITURES FUND TOTAL $0 $1,258,151
Amend the resolve by relettering or renumbering any nonconsecutive Part letter or
section number to read consecutively.
SUMMARY
This amendment changes the title of and removes from the resolve the provisions that
direct the Department of Health and Human Services to amend reimbursement rates for
private nonmedical institutions that receive reimbursement under the MaineCare Benefits
Manual in Chapter III, Section 97, Appendices E and F and Chapters II and III, Section 65.
It also removes the portion of the resolve that establishes a stakeholder group. It retains
the provision that requires timely reimbursement to those private nonmedical institutions
by the department. The amendment requires the department to increase awareness of the
rate adjustment application process that exists for those private nonmedical institutions and
provides $2,000,000 for increased rate adjustments.
FISCAL NOTE REQUIRED
(See attached)
Page2-131LR2981(02)
COMMITTEE AMENDMENT
Approved: 03/21/24 .^K"^
LD 2243 LR 2981(02)
Resolve, Directing the Department of Health and Human Services to Amend MaineCare Rules
Governing Certain Types of Behavioral and IVIental Health Services and to Form a Stakeholder Group
to Study Methods for Improving Those Services
Fiscal Note for Bill as Amended by Committee Amendment "^
Committee: Health and Human Services
Fiscal Note Required: Yes
Fiscal Note
i,'l'•,:..' • •'• -1' •
Projections Projections
FY 2023-24 FY 2024-25 FY 2025-26 FY 2026-27
Net Cost (Savings)
General Fund $0 $741,849 $0 $0
.<ppropriations/Allocations
General Fund $0 $741,849 $0 $0
Federal Expenditures Fund $0 $1,258,151 $0 $0
Revenue
Federal Expenditures Fund $0 $1,258,151 $0 $0
Fiscal Detail and Notes
This bill includes a one-time General Fund appropriation to the Department of Health and Human Services of
$741,849 in fiscal year 2024-25 to support rate adjustments to eligible private nonmedical institutions that receive
reimbursement under Chapter 101, MaineCare Benefits Manual, Section 97, Appendix E and Appendix F. A one-time
Federal Expenditures Fund allocation is also included for the FMAP match.
LR2981(02) - Fiscal Note - Page 1 of 1