129th MAINE LEGISLATURE
		LD 763		LR 753(01)
	An Act To Ensure the Availability of Community Integration Services
	Preliminary Fiscal Impact Statement for Original Bill
	Sponsor: Rep. Talbot Ross of Portland
	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		$2,167,025	$2,167,025	$2,167,025	$2,167,025
Appropriations/Allocations
	General Fund		$2,167,025	$2,167,025	$2,167,025	$2,167,025
	Federal Expenditures Fund		$3,932,975	$3,932,975	$3,932,975	$3,932,975
Fiscal Detail and Notes
	This bill includes General Fund appropriations to the Department of Health and Human Services of $2,167,025 beginning in fiscal year 2019-20 to increase existing reimbursement rates in the Department of Health and Human Services rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 17 for community integration services. Federal Expenditures Fund allocations are also included for the FMAP match. A more current estimate would increase the General Fund appropriations beginning in FY 2019-20 by $514,079 to $2,681,104. 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 account for the rate increase in PL 2017 c. 460 for this rate and did not include any of the medicaid expansion members. This new estimate assumes the impact of these changes as well.