LD 1919
pg. 88
Page 87 of 225 An Act To Make Supplemental Appropriations and Allocations for the Expenditures... Page 89 of 225
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LR 2833
Item 1

 
of Behavioral and Developmental Services as a result of savings to
be achieved by setting rate caps at the median rate for all
services with current rates above the median to achieve payment
equity among service providers.

 
Federal Expenditures Fund2003-042004-05

 
All Other0 (841,990)

 
____________________

 
Federal Expenditures Fund Total0 (841,990)

 
Medical Care - Payments to Providers 0147

 
Initiative: Provides for the deallocation of funds for the
federal seed of a General Fund deappropriation in the Department
of Behavioral and Developmental Services as a result of savings
to be achieved by: reducing rates for outpatient services to
120% of the MaineCare rates for private practitioners to achieve
payment equity among service providers; and establishing limits
on duration of outpatient services with prior authorization to
exceed the limits for seriously mentally ill adults.

 
Federal Expenditures Fund2003-042004-05

 
All Other0 (3,444,673)

 
____________________

 
Federal Expenditures Fund Total0 (3,444,673)

 
Medical Care - Payments to Providers 0147

 
Initiative: Provides for the deallocation of funds for the
federal seed of a General Fund deappropriation in the Department
of Behavioral and Developmental Services as a result of savings
to be achieved by implementing a single point of access for
services, independent assessment of medical necessity and level
of care and prior authorization and utilization review of
services in the plans of care.

 
Federal Expenditures Fund2003-042004-05

 
All Other0 (4,209,948)

 
____________________

 
Federal Expenditures Fund Total0 (4,209,948)

 
Medical Care - Payments to Providers 0147

 
Initiative: Provides for the deallocation of funds for the
federal seed of a General Fund deappropriation in the Department
of Behavioral and Developmental Services as a result of savings
to be achieved by setting rate caps at the median rate for all
services with current rates above the median to achieve payment
equity among service providers.


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