‘Sec. 1. 22 MRSA §3174-UU is enacted to read:
§ 3174-UU. Methadone reimbursement limitations
Effective January 1, 2013, reimbursement under the MaineCare program for methadone for the treatment of addiction to opiates as defined in Title 17-A, section 1101, subsection 7 is limited to a lifetime maximum of 24 months, except that reimbursement may be provided for longer than 24 months if prior authorization is received from the department.
The department shall adopt rules to implement this section. Rules adopted pursuant to this section are major substantive rules as defined in Title 5, chapter 375, subchapter 2-A. Prior to adopting rules under this section, the department shall seek input from stakeholders and experts in the field of substance abuse addiction and recovery, including, but not limited to, representatives of the Office of Substance Abuse and individuals with expertise in medication-assisted treatment.
Sec. 2. Appropriations and allocations. The following appropriations and allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS)
Developmental Services Waiver - MaineCare 0987
Initiative: Provides funds for services under Chapter II, Section 21 of the MaineCare Benefits Manual, Home and Community Benefits for Members with Intellectual Disabilities or Autistic Disorder.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $697,527 |
 |
|
|
| GENERAL FUND TOTAL | $0 | $697,527 |
Developmental Services Waiver - Supports Z006
Initiative: Provides funds for services under Chapter II, Section 29 of the MaineCare Benefits Manual, Support Benefits for Adults with Intellectual Disabilities or Autistic Disorder.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $232,509 |
|
|
|
| GENERAL FUND TOTAL | $0 | $232,509 |
Mental Health Services - Community Medicaid 0732
Initiative: Reduces funding from savings from limiting MaineCare reimbursement for methadone for the treatment of addiction to opioids to a lifetime maximum of 24 months with prior authorization beyond 24 months.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($573,308) |
|
|
|
| GENERAL FUND TOTAL | $0 | ($573,308) |
Office of Substance Abuse - Medicaid Seed 0844
Initiative: Reduces funding from savings from limiting MaineCare reimbursement for methadone for the treatment of addiction to opioids to a lifetime maximum of 24 months with prior authorization beyond 24 months.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($165,355) |
|
|
|
| GENERAL FUND TOTAL | $0 | ($165,355) |
| HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY BDS) | ||
| DEPARTMENT TOTALS | 2011-12 | 2012-13 |
|
GENERAL FUND
|
$0 | $191,373 |
|
|
|
| DEPARTMENT TOTAL - ALL FUNDS | $0 | $191,373 |
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
Medical Care - Payments to Providers 0147
Initiative: Reduces funding from savings from limiting MaineCare reimbursement for methadone for the treatment of addiction to opioids to a lifetime maximum of 24 months with prior authorization beyond 24 months.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($753,765) |
|
|
|
| GENERAL FUND TOTAL | $0 | ($753,765) |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | ($2,514,090) |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $0 | ($2,514,090) |
Medical Care - Payments to Providers 0147
Initiative: Provides funds to offset a reduction made in Public Law 2011, c. 477, Part M that reduced MaineCare reimbursement for methadone for the treatment of addiction to opioids from $70 per week to $60 per week in order to maintain reimbursement at $70 per week, retroactive to April 1, 2012.
| GENERAL FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $562,392 |
|
|
|
| GENERAL FUND TOTAL | $0 | $562,392 |
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $968,760 |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $0 | $968,760 |
Medical Care - Payments to Providers 0147
Initiative: Provides funds for services under Chapter II, Section 29 of the MaineCare Benefits Manual, Support Benefits for Adults with Intellectual Disabilities or Autistic Disorder.
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $386,333 |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $0 | $386,333 |
Medical Care - Payments to Providers 0147
Initiative: Provides funds for services under Chapter II, Section 21 of the MaineCare Benefits Manual, Home and Community Benefits for Members with Intellectual Disabilities or Autistic Disorder.
| FEDERAL EXPENDITURES FUND | 2011-12 | 2012-13 |
|
All Other
|
$0 | $1,158,997 |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $0 | $1,158,997 |
| HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) | ||
| DEPARTMENT TOTALS | 2011-12 | 2012-13 |
|
GENERAL FUND
|
$0 | ($191,373) |
|
FEDERAL EXPENDITURES FUND
|
$0 | $0 |
|
|
|
| DEPARTMENT TOTAL - ALL FUNDS | $0 | ($191,373) |
| SECTION TOTALS | 2011-12 | 2012-13 |
|
GENERAL FUND
|
$0 | $0 |
|
FEDERAL EXPENDITURES FUND
|
$0 | $0 |
|
|
|
| SECTION TOTAL - ALL FUNDS | $0 | $0 |