LD 1268
pg. 2
Page 1 of 2 An Act to Improve Services to Persons with Mental Retardation LD 1268 Title Page
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LR 1145
Item 1

 
1.__Pilot program.__The department shall establish by rule a
3-year pilot program to explore alternative methods of developing
individual client service programs.__The pilot program shall
utilize a voucher system of payment to empower the client to
purchase residential, vocation and habilitation services directly
from providers of services.__The pilot program shall establish a
method of assessing the programmatic needs of the client,
determining the funding that would be required to meet that
client's needs and make available to the client through a voucher
or series of vouchers an equal amount of funding.

 
2.__Methodology.__The methodology utilized to determine the
funding required to meet the client's needs must be developed by
a task force composed of 6 individuals with significant knowledge
regarding service options and costs.__Two members of the task
force must be representatives of the department, appointed by the
commissioner; 2 members must be providers of services, appointed
by an association representing community service providers; and 2
members must represent consumers, one appointed by the Maine
Developmental Disabilities Council and one appointed by a
statewide self-advocacy program representing people with
retardation and mental disabilities.

 
3.__Rules.__The rules established to carry out this pilot
program must be designed to permit maximum self-determination for
the client while ensuring that necessary services are provided.__
Rules adopted pursuant to this section are routine technical
rules as defined in Title 5, chapter 375, subchapter II-A.

 
4.__Assessment tool.__The rules must include an assessment to
evaluate the efficacy of expanding the pilot program on an
ongoing basis.__The assessment must evaluate client satisfaction
and the effectiveness of the pilot program.__A methodology must
be established to measure the value of services received through
the pilot program.__The assessment must be sent to the joint
standing committee of the Legislature having jurisdiction over
human services matters and the joint standing committee of the
Legislature having jurisdiction over appropriations and financial
affairs annually.

 
Sec. 2. 34-B MRSA §5481, sub-§2 is enacted to read:

 
2.__Rates; contracts.__Beginning July 1, 2001, all rates and
contracts for fee-for-service or grant-in-aid programs paid by
the department to private agencies providing services to persons
with mental retardation must be adjusted annually by the amount
necessary to cover projected increases in costs based on the
United States Consumer Price Index established by the United
States Department of Labor, Bureau of Labor Statistics.

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

 
SUMMARY

 
This bill requires the Department of Mental Health, Mental
Retardation and Substance Abuse Services to annually adjust all
rates and contracts for fee-for-service or grant-in-aid programs
paid to private agencies providing services to persons with
mental retardation. The bill also requires the Department of
Mental Health, Mental Retardation and Substance Abuse Services to
establish a pilot program to explore alternative methods of
developing individual client service programs for persons with
mental retardation.


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