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The bill includes
General Fund appropriations to the Department of Health and Human Services of
$6,578,135 in fiscal year 2019-20 and $8,770,847 in fiscal year 2020-21 to
increase rates in Chapter 101: MaineCare Benefits Manual, Chapter III,
Section 65, Behavioral Health Services, Children's Home and Community Based
Treatment by 30% and in Chapter 101: MaineCare Benefits Manual, Chapter III,
Section 97, Appendix D, Principles of Reimbursement for Child Care
Facilities, by 30%.
A more current estimate would increase the FY 2019-20 General Fund
appropriation by $24,933,966 to $31,512,101 and the FY 2020-21 General Fund
appropriation by $33,175,289 to $41,946,136. 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 related to Section 65 would have to be paid
with state general fund money only. Additionally, the original estimate did
not account for the rate increases in PL 2017 c. 460 and thus were low and
need to be adjusted. This new estimate assumes the impact of these increases
before the additional increase of 30% required by the bill. |