‘Resolve, To Continue the Redesign of Shared Living Services for Adults with Intellectual Disabilities or Autism’

‘Sec. 1. Redesign. Resolved: That the Department of Health and Human Services shall continue the redesign of its shared living program that began July 1, 2010 with the stakeholder group that was established by the Commissioner of Health and Human Services. The redesign work must include the following:

1. Analysis of the efficacy and appropriateness of host families becoming providers of record under rules of the MaineCare program and clarification of host families being defined as employees or independent contractors;

2. Review of planned allocation of responsibilities that took effect October 1, 2010 and proper implementation of assigned tasks and responsibilities among host home providers, oversight agencies and case managers for the department;

3. Development of acuity-based reimbursement systems for host home providers and oversight agencies that are within the limits of existing resources and that reflect the intensity of supports required by individuals and host home providers based on an objective needs assessment process;

4. Amendment of the rules regarding the MaineCare program home and community waiver to include a clear definition of shared living services and assigned tasks and responsibilities; and

5. A report to the Joint Standing Committee on Health and Human Services on progress with the shared living program redesign by January 15, 2014.’