Resolve, To Increase Certain Chiropractic Reimbursement Rates under the MaineCare Program

Sec. 1. Department of Health and Human Services to increase MaineCare rates. Resolved: That, no later than January 1, 2020, the Department of Health and Human Services shall amend its rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 15 to increase reimbursement rates for chiropractic services for manipulative treatments under procedure codes 98940, 98941 and 98942 to no less than 70% of the federal Medicare reimbursement rate for these services as long as the rate is no lower than the rate reimbursed as of January 1, 2019.

Sec. 2. Rate study. Resolved: That, notwithstanding section 1, if the Department of Health and Human Services conducts a rate study of chiropractic services for manipulative treatments, the department may adopt new rates for manipulative treatments that are recommended by the rate study by amending its rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 15.

Sec. 3. Routine technical rules. Resolved: That rules adopted pursuant to section 1 or 2 are routine technical rules as defined in the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A.

Sec. 4. Appropriations and allocations. Resolved: That the following appropriations and allocations are made.

HEALTH AND HUMAN SERVICES, DEPARTMENT OF

Medical Care - Payments to Providers 0147

Initiative: Provides funds for the Department of Health and Human Services to amend its rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 15 to increase reimbursement rates for chiropractic services for manipulative treatments under procedure codes 98940, 98941 and 98942 to no less than 70% of the federal Medicare reimbursement rate for these services as long as the rate is no lower than the rate reimbursed as of January 1, 2019.

GENERAL FUND	2019-20	2020-21
All Other	$25,955	$51,909
GENERAL FUND TOTAL	$25,955	$51,909

FEDERAL EXPENDITURES FUND	2019-20	2020-21
All Other	$46,829	$93,658
FEDERAL EXPENDITURES FUND TOTAL	$46,829	$93,658

SUMMARY

This bill requires the Department of Health and Human Services, by January 1, 2020, to amend its rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 15 to increase reimbursement rates for chiropractic services for manipulative treatments under procedure codes 98940, 98941 and 98942 to no less than 70% of the federal Medicare reimbursement rate for these services as long as the rate is no lower than the rate reimbursed as of January 1, 2019. If the department conducts a rate study of chiropractic services for manipulative treatments, the department may adopt new rates. The rules adopted are routine technical rules.