Resolve, Requiring the Department of Health and Human Services To Examine Options for Upper Payment Limit Adjustments for MaineCare Services

Sec. 1. Department of Health and Human Services to examine upper payment limit options. Resolved: That the Department of Health and Human Services shall examine options and methodologies to increase the federally approved upper payment limits for services provided under MaineCare. The department may contract with any consultant or 3rd-party organization that the department determines appropriate for this purpose. The department may consult with any stakeholders that the department determines appropriate for this purpose. The department shall report its findings, actions taken, adjustments to upper payment limits, negotiations with the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services and any necessary legislation to the Joint Standing Committee on Health and Human Services no later than January 15, 2020.

Sec. 2. Appropriations and allocations. Resolved: That the following appropriations and allocations are made.

HEALTH AND HUMAN SERVICES, DEPARTMENT OF

Office of MaineCare Services 0129

Initiative: Provides funding to contract with a 3rd party to examine upper payment limit options to increase federally approved limits for services provided under MaineCare.

GENERAL FUND	2019-20	2020-21
All Other	$26,000	$0
GENERAL FUND TOTAL	$26,000	$0

FEDERAL EXPENDITURES FUND	2019-20	2020-21
All Other	$26,000	$0
FEDERAL EXPENDITURES FUND TOTAL	$26,000	$0

SUMMARY

This resolve requires the Department of Health and Human Services to examine upper payment limit options to increase the federally approved limits for services provided under MaineCare. The department may contract with any consultant or 3rd-party organization that the department determines appropriate for this purpose. The department may also consult with any stakeholders that the department determines appropriate. The department shall report its findings, actions taken, adjustments to upper payment limits, negotiations with United States Department of Health and Human Services, Centers for Medicare and Medicaid Services and any necessary legislation to the Joint Standing Committee on Health and Human Services no later than January 15, 2020.