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| Sec. SSS-1. 34-B MRSA §1208, sub-§1, ¶H is enacted to read: |
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| | | H.__"Service provider" means a community agency providing | | services for children with mental health needs, mental | | retardation and autism. |
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| | | Sec. SSS-2. 34-B MRSA §1208, sub-§8 is enacted to read: |
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| | | 8.__Fees.__By July 1, 2004, the department shall adopt rules | | to require that contracts and service agreements with service | | providers require service providers to charge fees for certain | | services for children and families funded through grant funds | | from the department.__Respite, outpatient, case management and | | home-based family services are subject to fees under this | | subsection.__Rules adopted pursuant to this subsection are | | routine technical rules as defined in Title 5, chapter 375, | | subchapter 2-A.__The following provisions apply to the rules and | | to the imposition of fees under the rules. |
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| | | A.__A fee scale must be established by the department on a | | sliding scale on the basis of household income, determined | | after consultation with the Department of Human Services, | | Bureau of Family Independence with reference to the federal | | nonfarm income official poverty line, and take into account | | the number of children with special needs within a household | | who are receiving services from the department and whether | | the family pays very high health care expenses. |
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| | | B.__The fee scale under paragraph A must be developed after | | consultation with service providers, consumers and advocates | | for service providers and consumers.__As appropriate to the | | child, family and service, the fee scale must apply to all | | service providers and supersedes previous service provider | | fee schedules. |
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| | | C.__The fee scale under paragraph A may not require fees | | from families below 250% of the federal nonfarm income | | official poverty line and must require families above 450% | | of the federal nonfarm income official poverty line to pay | | 100% of the cost of services provided by service providers.__ | | The fee scale must include fees of 25%, 50%, 75% and 100% of | | the cost of services. |
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| | | D.__Service providers must be allowed to require payment of fees | | at the time that services are provided, to suspend services for | | nonpayment of fees and to retain all fees collected.__Service | | providers must be required to provide an accounting to the | | department of fees charged and |
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