LD 1839
pg. 5
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LR 2533
Item 1

 
home health care providers.__Patient records must be maintained in
a manner consistent with standards required of licensed home health
care providers;

 
Sec. 9. 22 MRSA §2149, sub-§3 is enacted to read:

 
3.__Rules to reduce funds prohibited.__The department is
prohibited from adopting rules to reduce the amount of funds
allocated from the Medicaid program to home health care services.

 
Sec. 10. 22 MRSA §3174-I, sub-§1, ķE-1 is enacted to read:

 
E-1.__If the department, in implementing periodic
reassessments of residents under this section, imposes on
nursing facilities the obligation to request reassessment of
a resident on a due date set by the department, penalties
for failure or delay in meeting that obligation must be
limited in accordance with this paragraph.__The department
may not impose penalties for failure or delay in requesting
reassessments that exceed 10% of the reimbursement that
would otherwise be paid for the services rendered to the
resident for whom a reassessment is overdue during the
period between the due date set by the department and the
date on which the reassessment request is made.__If, upon
reassessment, the resident is determined no longer medically
eligible under the standards duly adopted in the
department's rules, then the reimbursement otherwise payable
by the department for the services provided after the
reassessment due date may be reduced to the rate provided in
the department's rules for days awaiting placement to a
residential care facility.__When a resident is determined
medically eligible upon reassessment, the resident is
presumed to have been medically eligible during the period
between the due date for the reassessment and the date on
which the reassessment was actually conducted, unless the
department establishes by clear and convincing evidence that
the nursing facility intentionally deferred its request for
reassessment of the resident for the purpose of avoiding a
determination of medical ineligibility.

 
Sec. 11. 22 MRSA §7902-A, sub-§4, as enacted by PL 1995, c. 670, Pt.
A, §8 and affected by Pt. D, §5, is amended to read:

 
4. Residential care rules. The commissioner shall adopt
rules for the various levels of residential care facilities. In
addition to the subject matter of the rules listed in subsection
2, the rules must include criteria for placement of residents who
are 17 years of age or older and under 18 years of age and must
provide for the calculation of the maximum amount of reimbursable
routine costs based on data from the year 1997. In establishing


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