An Act to Ensure Coordination of Care for MaineCare Members
Maine Legislature, Session 131, LD 0619
Committee: Health and Human Services
Sponsors: MADIGAN, HICKMAN, MEYER, SHAGOURY
Amends: 22 MRSA §3174-K, 22 MRSA §3174-L, 22 MRSA §3174-M

Legislative Document
No. 619
H.P. 396
House of Representatives, February 14, 2023
An Act to Ensure Coordination of Care for MaineCare Members
Reference to the Committee on Health and Human Services suggested and ordered printed.
ROBERT B. HUNT
Clerk
Presented by Representative MADIGAN of Waterville.
Cosponsored by Senator HICKMAN of Kennebec and
Representatives: MEYER of Eliot, SHAGOURY of Hallowell.
Be it enacted by the People of the State of Maine as follows:
Sec. 1.  22 MRSA §3174-KKK is enacted to read:
§3174-KKK.  Transportation to services
The department shall provide or reimburse the cost of nonemergency transportation to 
and from MaineCare billable services for MaineCare members regardless of whether the 
member resides in a rural or nonrural area. The department may adopt rules to implement 
this section. Rules adopted pursuant to this section are routine technical rules as defined in 
Title 5, chapter 375, subchapter 2-A.
Sec. 2.  22 MRSA §3174-LLL is enacted to read:
§3174-LLL.  Coordination of care
The department shall provide reimbursement to providers of behavioral health services 
and providers of physical health services for time spent engaged in coordination of care for 
MaineCare members, including for critical collateral care coordination for hospitalized 
MaineCare members. "Critical collateral care coordination" includes case management 
services, including services providing coordination of care with a member's hospitalization 
for behavioral or physical health issues. The department shall submit any waivers or state 
plan amendments required for approval for federal match for these services to the United 
States Department of Health and Human Services, Centers for Medicare and Medicaid 
Services. The department may adopt rules to implement this section. Rules adopted 
pursuant to this section are routine technical rules as defined in Title 5, chapter 375, 
subchapter 2-A.
Sec. 3.  22 MRSA §3174-MMM is enacted to read:
§3174-MMM.  Representative payee services
The department shall provide reimbursement for representative payee services for 
MaineCare members eligible for targeted case management and community support 
services.  The department shall submit any waivers or state plan amendments required for 
approval for federal match for these services to the United States Department of Health and 
Human Services, Centers for Medicare and Medicaid Services.  The department may adopt 
rules to implement this section.  Rules adopted pursuant to this section are routine technical 
rules as defined in Title 5, chapter 375, subchapter 2-A.
Sec. 4.  Transportation to psychosocial clubhouse services.  The Department 
of Health and Human Services shall provide reimbursement for transportation of 
MaineCare members to and from mental health psychosocial clubhouse services.  The 
department shall submit any waivers or state plan amendments required for approval for 
federal match for these services to the United States Department of Health and Human 
Services, Centers for Medicare and Medicaid Services.  The department may adopt rules 
to implement this section.  Rules adopted pursuant to this section are routine technical rules 
as defined in the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A.
Sec. 5.  Certified recovery coaches and certified intentional peer support 
specialist services.  The Department of Health and Human Services shall provide 
reimbursement for services provided by certified recovery coaches and by certified 
intentional peer support specialists to MaineCare members eligible for targeted case 
management and community support services.  The department shall submit any waivers 
or state plan amendments required for approval for federal match for these services to the 
United States Department of Health and Human Services, Centers for Medicare and 
Medicaid Services.  The department may adopt rules to implement this section.  Rules 
adopted pursuant to this section are routine technical rules as defined in the Maine Revised 
Statutes, Title 5, chapter 375, subchapter 2-A.
SUMMARY
This bill requires the Department of Health and Human Services to provide 
nonemergency transportation services to MaineCare members regardless of whether a 
member resides in a rural or nonrural setting. It also requires the department to reimburse 
providers of behavioral health services and providers of physical health services for time 
spent engaged in coordination of care for MaineCare members, including for critical 
collateral care coordination for hospitalized members. It requires the department to provide 
reimbursement for representative payee services to members eligible for targeted case 
management and community support services.  It requires the department to provide 
reimbursement for transportation to and from psychosocial clubhouse services.  It requires 
the department to provide certified recovery coach and certified intentional peer support 
specialist services to MaineCare members eligible for targeted case management or 
community support services. It requires the department to submit any waivers or state plan 
amendments required for approval for federal match for services to the United States 
Department of Health and Human Services, Centers for Medicare and Medicaid Services.  
It allows the department to adopt routine technical rules.