129th MAINE LEGISLATURE
LD 692 LR 999(01)
Resolve, To Address Reimbursement Rates for Licensed Clinical Social Workers under MaineCare
Preliminary Fiscal Impact Statement for Original Bill
Sponsor: Rep. Gramlich of Old Orchard Beach
Committee: Health and Human Services
Fiscal Note Required: Yes
             
Preliminary Fiscal Impact Statement
FY 2019-20 FY 2020-21 Projections  FY 2021-22 Projections  FY 2022-23
Net Cost (Savings)
General Fund $4,020,633 $8,041,266 $8,041,266 $8,041,266
Appropriations/Allocations
General Fund $4,020,633 $8,041,266 $8,041,266 $8,041,266
Fiscal Detail and Notes
The Department of Health and Human Services will require General Fund appropriations of $4,020,633 in fiscal year 2019-20 and $8,041,266 in fiscal year 2020-21 for an increase to rates in rule Chapter 101: MaineCare Benefits Manual, Section 65 Behavioral Health Services, Chapter III to increase reimbursement rates for counseling services provided by licensed clinical social workers.

PL 2017 c. 460 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.