| | 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. |
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| | 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. |
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| | 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. |
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| | 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. |
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| | Sec. 2. 34-B MRSA §5481, sub-§2 is enacted to read: |
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| | 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. |
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| | Emergency clause. In view of the emergency cited in the preamble, | this Act takes effect when approved. |
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| | 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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