‘Sec. 1. Department of Health and Human Services to increase MaineCare reimbursement for outpatient psychosocial treatments for children. Resolved: That the Department of Health and Human Services shall increase reimbursement rates under rule Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 65 for multisystemic therapy, multisystemic therapy for problem sexualized behavior and functional family therapy by 15% for the period from the effective date of this resolve to June 30, 2019; and be it further
Sec. 2. Rate study. Resolved: That the Department of Health and Human Services shall contract with a 3rd party to conduct a rate study of reimbursement rates under rule Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 65 for multisystemic therapy, multisystemic therapy for problem sexualized behavior and functional family therapy. The rate study must develop a rate that is set on a per case per week basis. The rate study must also take into account the costs to providers of delivering the services, including additional training, and maintenance of fidelity to the treatment models. The rate study must be completed no later than December 1, 2018; and be it further
Sec. 3. Report. Resolved: That the Department of Health and Human Services shall submit a report to the joint standing committee of the Legislature having jurisdiction over health and human services matters with the findings of the rate study conducted pursuant to section 2 no later than January 30, 2019; and be it further
Sec. 4. Rulemaking. Resolved: That the Department of Health and Human Services is authorized to adopt rules to implement new rates developed pursuant to the rate study in section 2 as long as those rates are no lower than the rates of reimbursement that exist on April 1, 2018 and the federal Department of Health and Human Services, Centers for Medicare and Medicaid Services approves the reimbursement rates. Rules adopted pursuant to this section are routine technical rules as defined in the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A; and be it further
Sec. 5. Appropriations and allocations. Resolved: That the following appropriations and allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Medical Care - Payments to Providers 0147
Initiative: Provides funding for a one-time increase to certain rates under rule Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 65 by 15% until June 30, 2019.
GENERAL FUND | 2017-18 | 2018-19 |
All Other
|
$0 | $159,229 |
GENERAL FUND TOTAL | $0 | $159,229 |
FEDERAL EXPENDITURES FUND | 2017-18 | 2018-19 |
All Other
|
$0 | $288,989 |
FEDERAL EXPENDITURES FUND TOTAL | $0 | $288,989 |
Office of MaineCare Services 0129
Initiative: Provides funding to contract with a 3rd party to conduct a rate study of certain rates under rule Chapter 101: MaineCare Benefits Manual, Chapters II and III, Section 65 to be completed no later than December 1, 2018.
GENERAL FUND | 2017-18 | 2018-19 |
All Other
|
$0 | $50,000 |
GENERAL FUND TOTAL | $0 | $50,000 |
FEDERAL EXPENDITURES FUND | 2017-18 | 2018-19 |
All Other
|
$0 | $50,000 |
FEDERAL EXPENDITURES FUND TOTAL | $0 | $50,000 |
HEALTH AND HUMAN SERVICES, DEPARTMENT OF | ||
DEPARTMENT TOTALS | 2017-18 | 2018-19 |
GENERAL FUND
|
$0 | $209,229 |
FEDERAL EXPENDITURES FUND
|
$0 | $338,989 |
DEPARTMENT TOTAL - ALL FUNDS | $0 | $548,218 |