130th MAINE LEGISLATURE
		LD 1469		LR 887(05)
	Resolve, To Provide Add-on Payments for Ambulance Services Reimbursed by the MaineCare Program and To Increase Reimbursement Rates for Physical Therapy under the MaineCare Program
	Fiscal Note for Bill as Engrossed with: C "A" (H-662) S "A" (S-392) to C "A" (H-662)
	Committee: Health and Human Services
Fiscal Note
			FY 2021-22	FY 2022-23	Projections  FY 2023-24	Projections  FY 2024-25
Net Cost (Savings)
	General Fund		$644,779	$866,870	$866,870	$866,870
Appropriations/Allocations
	General Fund		$644,779	$866,870	$866,870	$866,870
	Federal Expenditures Fund		$1,190,658	$1,580,380	$1,580,380	$1,580,380
Revenue
	Federal Expenditures Fund		$1,190,658	$1,580,380	$1,580,380	$1,580,380
Fiscal Detail and Notes
	The bill provides General Fund appropriations to the Department of Health and Human Services of $644,779 in fiscal year 2021-22 and $866,870 in fiscal year 2022-23 to amend the rules under Chapter 101: MaineCare Benefits Manual, Chapter III, Section 5, Ambulance Services, to provide additional add-on supplements that are equivalent to payments required under Medicare ambulance services under 42 United States Code, section 1395m (I) and to set the reimbursement rates for physical therapy services under the Department of Health and Human Services rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 85 at 57% of the federal Medicare reimbursement rate as long as the rate is no lower than the rate in effect on January 1, 2021. Federal Expenditures Fund allocations are also provided in the bill for the Federal Medical Assistance Percentage (FMAP) match.