‘Sec. 1. Reimbursement for personal care and related services. Resolved: That the Department of Health and Human Services shall amend its rules for reimbursement rates for personal care and related services provided under Chapter 101: MaineCare Benefits Manual, Sections 12, 19 and 96 and Chapter 5, Office of Elder Services Policy Manual, Section 63 to reflect the final rates modeled in the February 1, 2016 report "Rate Review for Personal Care and Related Services: Final Rate Models" prepared for the department by Burns & Associates, Inc. Rules adopted pursuant to this section are routine technical rules pursuant to the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A; and be it further’
Amend the resolve by striking out all of section 1 and inserting the following:
Amend the resolve in section 2 in the last line (page 1, line 30 in L.D.) by striking out the following: "2018." and inserting the following: '2018; and be it further'
Amend the resolve by adding after section 2 the following:
‘Sec. 3. Adjustment of monetary caps. Resolved: That the Department of Health and Human Services shall ensure that caps and limitations on home-based and community-based services are increased to reflect increases in reimbursement rates that result from this resolve. A recipient of services may not experience a reduction in hours solely as a result of increased reimbursement; and be it further
Sec. 4. Appropriations and allocations. Resolved: That the following appropriations and allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
Long Term Care - Office of Aging and Disability Services 0420
Initiative: Provides funding to increase rates for certain services effective July 1, 2018.
| GENERAL FUND | 2017-18 | 2018-19 |
|
All Other
|
$0 | $884,176 |
 |
|
|
| GENERAL FUND TOTAL | $0 | $884,176 |
Medical Care - Payments to Providers 0147
Initiative: Provides funding to increase rates for certain services effective July 1, 2018.
| GENERAL FUND | 2017-18 | 2018-19 |
|
All Other
|
$0 | $2,775,557 |
|
|
|
| GENERAL FUND TOTAL | $0 | $2,775,557 |
| FEDERAL EXPENDITURES FUND | 2017-18 | 2018-19 |
|
All Other
|
$0 | $5,007,833 |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $0 | $5,007,833 |
| HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS) | ||
| DEPARTMENT TOTALS | 2017-18 | 2018-19 |
|
GENERAL FUND
|
$0 | $3,659,733 |
|
FEDERAL EXPENDITURES FUND
|
$0 | $5,007,833 |
|
|
|
| DEPARTMENT TOTAL - ALL FUNDS | $0 | $8,667,566 |
SUMMARY
This amendment clarifies that all home-based and community-based services that were included in the Burns & Associates, Inc. rate review are included in the resolve and that the reimbursement rates are to be increased to the levels recommended in the rate study. The amendment ensures that a recipient of services may not experience a reduction in hours solely as a result of increased reimbursement. The amendment also adds an appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)