LD 1867
pg. 2
Page 1 of 2 RESOLVE Chapter 135 LD 1867 Title Page
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LR 2803
Item 1

 
1. The principles of reimbursement in Section 97 must be
changed to eliminate reduced reimbursement for private nonmedical
institutions that use a calculation of bed-hold days for medical
and remedial private nonmedical institution residents. In place
of bed-hold days and in order to produce the same amount of
savings for the MaineCare program, the principles of
reimbursement for room and board in Section 115 must provide for
a general rate reduction of 25 cents per resident per day in the
facility-specific routine component of the room-and-board portion
of payment.

 
2. The principles of reimbursement must be changed in the
wording used to refer to reimbursement related to foreign
exchange fellows of professional exchange programs for social
workers in private nonmedical institution settings: the word
"stipend" in the rule and appendices must be changed to "contract
fee."

 
In order to accomplish the rule changes required by this
resolve, the Department of Human Services shall adopt emergency
rules to implement this resolve; and be it further

 
Sec. 2. Appropriations and allocations. Resolved: That the following
appropriations and allocations are made.

 
HUMAN SERVICES, DEPARTMENT OF

 
Medical Care - Payments to Providers 0147

 
Initiative: Allocates funds to restore a Federal Expenditures
Fund deallocation as a result of replacing a Public Law 2003,
chapter 20, Part B, MaineCare private nonmedical institution
(PNMI) payment reduction with a state-only room-and-board payment
reduction.

 
Federal Expenditures Fund2003-042004-05

 
All Other$97,319$388,408

 
____________________

 
Federal Expenditures Fund Total$97,319$388,408

 
Emergency clause. In view of the emergency cited in the preamble,
this resolve takes effect when approved.


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