129th MAINE LEGISLATURE
		LD 692		LR 999(02)
	Resolve, To Address Reimbursement Rates for Licensed Clinical Social Workers under MaineCare
	Fiscal Note for Bill as Amended by Committee Amendment " "
	Committee: Health and Human Services
	Fiscal Note Required: Yes
Fiscal Note
			FY 2019-20	FY 2020-21	Projections  FY 2021-22	Projections  FY 2022-23
Net Cost (Savings)
	General Fund		$284,870	$569,740	$569,740	$569,740
Appropriations/Allocations
	General Fund		$284,870	$569,740	$569,740	$569,740
Fiscal Detail and Notes
	The bill includes General Fund appropriations to the Department of Health and Human Services of  $284,870 in fiscal year 2019-20 and $569,740 in fiscal year 2020-21 for an increase to rates in rule Chapter 101: MaineCare Benefits Manual, Section 65 Behavioral Health Services, Chapter III to increase reimbursement rates for counseling services provided by independent licensed clinical social workers. PL 2017 c. 460 increased rates for services in Sections 17, 23 and 65 which are included in the Clinic Upper Payment Limit calculations.  The impact of those increases put the department at or slightly above the amount allowed to be paid by the Centers for Medicare and Medicaid Services.  As a result, the rate increase in this bill would have to be paid with state general fund money only.