SP0467, LD 1333, item 2, Document Text

Amend the resolve in section 1 in the last line (page 1, line 6 in L.D.) by striking out the following: "2-A." and inserting the following: '2-A; and be it further'

Amend the resolve by inserting after section 1 the following:

‘Sec. 2. Adjustment of reimbursement under the MaineCare program for inpatient substance abuse services. Resolved: That, notwithstanding any other provision of law, the Department of Health and Human Services shall amend the rules for reimbursement under the MaineCare program as necessary for inpatient substance abuse services in distinct inpatient units. Inpatient substance abuse services must be reimbursed based on a case mix index multiplied by the psychiatric discharge rate, resulting in a rate of $4,898 per discharge. Rules adopted pursuant to this section are routine technical rules as defined by the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A; and be it further

Sec. 3. Appropriations and allocations. Resolved: That the following appropriations and allocations are made.

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)

Medical Care - Payments to Providers 0147

Initiative: Provides funding to increase the MaineCare rate for inpatient substance abuse services based on a case-mix index multiplied by the psychiatric discharge rate.

GENERAL FUND 2013-14 2014-15

All Other
$611,120 $615,200

inline graphic sline.gif

GENERAL FUND TOTAL $611,120 $615,200

FEDERAL EXPENDITURES FUND 2013-14 2014-15

All Other
$988,880 $984,800

inline graphic sline.gif

FEDERAL EXPENDITURES FUND TOTAL $988,880 $984,800

Medical Care - Payments to Providers 0147

Initiative: Provides funding to increase the MaineCare rate to $9,128.31 per psychiatric discharge for patients under 18 years of age from hospitals in the Lewiston-Auburn area.

GENERAL FUND 2013-14 2014-15

All Other
$259,911 $259,741

inline graphic sline.gif

GENERAL FUND TOTAL $259,911 $259,741

FEDERAL EXPENDITURES FUND 2013-14 2014-15

All Other
$418,866 $418,036

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FEDERAL EXPENDITURES FUND TOTAL $418,866 $418,036

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)

DEPARTMENT TOTALS 2013-14 2014-15

GENERAL FUND
$871,031 $874,941

FEDERAL EXPENDITURES FUND
$1,407,746 $1,402,836

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DEPARTMENT TOTAL - ALL FUNDS $2,278,777 $2,277,777

’

summary

This amendment amends the resolve by adding a new section directing the Department of Health and Human Services to amend the rules for reimbursement under the MaineCare program as necessary for inpatient substance abuse services in distinct inpatient units. It requires that inpatient substance abuse services be reimbursed based on a case mix index multiplied by the psychiatric discharge rate, resulting in a rate of $4,898 per discharge.

This amendment also adds an appropriations and allocations section.

FISCAL NOTE REQUIRED

(See attached)

SP0467 LD 1333	Session - 126th Maine Legislature C "A", Filing Number S-206, Sponsored by		LR 2069 Item 2
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GENERAL FUND	2013-14	2014-15
All Other	$611,120	$615,200

GENERAL FUND TOTAL	$611,120	$615,200

FEDERAL EXPENDITURES FUND	2013-14	2014-15
All Other	$988,880	$984,800

FEDERAL EXPENDITURES FUND TOTAL	$988,880	$984,800

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
DEPARTMENT TOTALS	2013-14	2014-15

GENERAL FUND	$871,031	$874,941
FEDERAL EXPENDITURES FUND	$1,407,746	$1,402,836

DEPARTMENT TOTAL - ALL FUNDS	$2,278,777	$2,277,777