Approved: 04/08/19

129th MAINE LEGISLATURE LD 692 LR 999(01)

Resolve, To Address Reimbursement Rates for Licensed Clinical Social Workers under MaineCare

Preliminary Fiscal Impact Statement for Original Bill Sponsor: Rep. Gramlich of Old Orchard Beach 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 $4,020,633 $8,041,266 $8,041,266 $8,041,266

Appropriations/Allocations General Fund $4,020,633 $8,041,266 $8,041,266 $8,041,266

Fiscal Detail and Notes The Department of Health and Human Services will require General Fund appropriations of $4,020,633 in fiscal year 2019-20 and $8,041,266 in fiscal year 2020-21 for an increase to rates in rule Chapter 101: MaineCare Benefits Manual, Section 65 Behavioral Health Services, Chapter III to increase reimbursement rates for counseling services provided by licensed clinical social workers.

PL 2017 c. 460 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.

LR0999(01) - Fiscal Note - Page 1 of 1