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
Projections Projections FY 2019-20 FY 2020-21 FY 2021-22 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.
LR0753(01) - Fiscal Note - Page 1 of 1