‘Sec. 3. Reimbursement for acute care critical access hospitals. The Department of Health and Human Services shall amend its rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 45 regarding acute care critical access hospital physician services to require MaineCare reimbursement of 100% for all hospital-based physician costs.
Sec. 4. Reimbursement for rural health clinics. The Department of Health and Human Services shall amend its rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 103 regarding the department's reimbursement methodology to provide an alternative payment methodology option that, effective January 1, 2020, is the same as the existing methodology except that rural health clinics may be reimbursed on the basis of 100% of the average of the reasonable costs of providing MaineCare-covered services during calendar years 2016 and 2017 as long as reimbursement is no less than reimbursement received under the prospective payment system described in Section 1902(bb) of the United States Social Security Act. Each rural health clinic must be given the option to be reimbursed under the methodology required by this section or under the existing prospective payment system methodology.
Sec. 5. State plan amendments; rulemaking. The Department of Health and Human Services shall submit any necessary state plan amendments to implement the requirements of this Act to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services no later than January 1, 2020. Upon approval, the department shall amend its rules within 180 days of approval. Rules adopted pursuant to this section are routine technical rules as defined in the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A.
Sec. 6. Appropriations and allocations. The following appropriations and allocations are made.
ADMINISTRATIVE AND FINANCIAL SERVICES, DEPARTMENT OF
Revenue Services, Bureau of 0002
Initiative: Provides one-time funding for computer programming to update the individual income tax return.
| GENERAL FUND | 2019-20 | 2020-21 |
|
All Other
|
$0 | $11,000 |
 |
|
|
| GENERAL FUND TOTAL | $0 | $11,000 |
| ADMINISTRATIVE AND FINANCIAL SERVICES, DEPARTMENT OF | ||
| DEPARTMENT TOTALS | 2019-20 | 2020-21 |
|
GENERAL FUND
|
$0 | $11,000 |
|
|
|
| DEPARTMENT TOTAL - ALL FUNDS | $0 | $11,000 |
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Medical Care - Payments to Providers 0147
Initiative: Provides appropriations and allocations to allow for MaineCare reimbursement of 100% for all hospital-based physician costs.
| GENERAL FUND | 2019-20 | 2020-21 |
|
All Other
|
$371,768 | $753,736 |
|
|
|
| GENERAL FUND TOTAL | $371,768 | $753,736 |
| FEDERAL EXPENDITURES FUND | 2019-20 | 2020-21 |
|
All Other
|
$793,942 | $1,577,684 |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $793,942 | $1,577,684 |
Medical Care - Payments to Providers 0147
Initiative: Provides appropriations and allocations to allow for MaineCare reimbursement for rural hospitals at 100% of inpatient hospital-based physician costs, outpatient emergency room hospital-based physician costs, outpatient nonemergency room hospital-based physician costs and graduate medical education costs and to allow for MaineCare reimbursement for nonrural hospitals at 93.3% of inpatient hospital-based physician costs, 93.4% of outpatient emergency room hospital-based physician costs and 83.8% of outpatient nonemergency room hospital-based physician costs.
| GENERAL FUND | 2019-20 | 2020-21 |
|
All Other
|
$263,428 | $534,084 |
|
|
|
| GENERAL FUND TOTAL | $263,428 | $534,084 |
| FEDERAL EXPENDITURES FUND | 2019-20 | 2020-21 |
|
All Other
|
$562,573 | $1,117,918 |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $562,573 | $1,117,918 |
Medical Care - Payments to Providers 0147
Initiative: Provides appropriations and allocations to allow for an alternative payment methodology option that, effective January 1, 2019, is the same as the existing methodology except that rural health clinics may be reimbursed on the basis of 100% of the average of the reasonable costs of providing MaineCare-covered services during calendar years 2016 and 2017 as long as reimbursement is no less than reimbursement received under the prospective payment system.
| GENERAL FUND | 2019-20 | 2020-21 |
|
All Other
|
$739,449 | $1,499,185 |
|
|
|
| GENERAL FUND TOTAL | $739,449 | $1,499,185 |
| FEDERAL EXPENDITURES FUND | 2019-20 | 2020-21 |
|
All Other
|
$1,579,154 | $3,138,020 |
|
|
|
| FEDERAL EXPENDITURES FUND TOTAL | $1,579,154 | $3,138,020 |
| HEALTH AND HUMAN SERVICES, DEPARTMENT OF | ||
| DEPARTMENT TOTALS | 2019-20 | 2020-21 |
|
GENERAL FUND
|
$1,374,645 | $2,787,005 |
|
FEDERAL EXPENDITURES FUND
|
$2,935,669 | $5,833,622 |
|
|
|
| DEPARTMENT TOTAL - ALL FUNDS | $4,310,314 | $8,620,627 |
| SECTION TOTALS | 2019-20 | 2020-21 |
|
GENERAL FUND
|
$1,374,645 | $2,798,005 |
|
FEDERAL EXPENDITURES FUND
|
$2,935,669 | $5,833,622 |
|
|
|
| SECTION TOTAL - ALL FUNDS | $4,310,314 | $8,631,627 |