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The bill includes
General Fund appropriations to the Department of Health and Human Services of
$5,228,227 in fiscal year 2019-20 and $5,489,638 in fiscal year 2020-21 for
an 8% increase to rates for Chapter 101: MaineCare Benefits Manual, Chapter
III, Section 65, Behavioral Health Services. Federal Expenditures Fund
allocations are also included for the FMAP match.
A more current estimate would increase the FY 2019-20 General Fund
appropriation by $12,498,269 to $17,726,496 and the FY 2020-21 General Fund
appropriation by $12,236,858 to $17,726,496. This change was precipitated by
PL 2017 c. 460 which increased rates for services in Sections 17, 23 and 65
which are included in the Clinic Upper Payment Limit calculations. The impact of those increases put the
department at or slightly above the amount allowed to be paid by the Centers
for Medicare and Medicaid Services. As
a result, the rate increase in this bill would have to be paid with state
general fund money only. Additionally, the original estimate did not include
any of the medicaid expansion members. This new estimate assumes the impact
of this new population. |