130th MAINE LEGISLATURE
FIRST REGULAR SESSION-2021
Legislative Document No. 415
H.P. 299 House of Representatives, February 10, 2021
Resolve, Directing the Department of Health and Human Services
To Increase MaineCare Reimbursement Rates for Targeted Case
Management Services To Reflect Inflation
(EMERGENCY)
Received by the Clerk of the House on February 8, 2021. Referred to the Committee on
Health and Human Services pursuant to Joint Rule 308.2 and ordered printed pursuant to Joint
Rule 401.
ROBERT B. HUNT
Clerk
Presented by Representative STEARNS of Guilford.
Cosponsored by Representative: MEYER of Eliot.
Printed on recycled paper
 1 Emergency preamble. Whereas, acts and resolves of the Legislature do not
2 become effective until 90 days after adjournment unless enacted as emergencies; and
3 Whereas, due to extensive waiting lists for both children's services and adult services,
4 targeted case management services are necessary to meet the essential health needs of
5 people with disabilities; and
6 Whereas, for more than 250 families on the waiting list for Section 29 services,
7 targeted case management services are the only connection to essential support; and
8 Whereas, the reimbursement rate for targeted case management services has not been
9 adjusted since 2009 despite rising costs of wages, health insurance, technology and travel
10 and other costs; and
11 Whereas, case managers' duties and mandates have increased over the past decade
12 including required activities that are unreimbursed; and
13 Whereas, the State discontinued its own case management services in 2017 and
14 increased the case load for targeted case management services delivered by community
15 providers by more than 1,200 adults with intellectual and developmental disabilities; and
16 Whereas, without an immediate increase in reimbursement to offset a decade of
17 inflation, providers will be unable to maintain the capacity needed to ensure individuals
18 with intellectual and developmental disabilities have access to targeted case management
19 services; and
20 Whereas, it is therefore essential that the Department of Health and Human Services
21 amend its reimbursement rules to increase rates for targeted case management services no
22 later than April 1, 2021; and
23 Whereas, in the judgment of the Legislature, these facts create an emergency within
24 the meaning of the Constitution of Maine and require the following legislation as
25 immediately necessary for the preservation of the public peace, health and safety; now,
26 therefore, be it
27 Sec. 1. Department of Health and Human Services to amend rules.
28 Resolved: That, notwithstanding any provision of law to the contrary, no later than April
29 1, 2021, the Department of Health and Human Services shall amend its rules in Chapter
30 101: MaineCare Benefits Manual, Chapter III, Section 13, Targeted Case Management
31 Services to increase reimbursement rates for targeted case management services by a
32 percentage equivalent to the cumulative increase in costs measured by the United States
33 Department of Labor, Bureau of Labor Statistics Consumer Price Index medical care
34 services index in each year from 2010 to 2020.
35 Emergency clause. In view of the emergency cited in the preamble, this legislation
36 takes effect when approved.
37 SUMMARY
38 This resolve requires the Department of Health and Human Services to amend its rules
39 governing MaineCare reimbursement for targeted case management services to provide an
40 increase reflecting cost increases from 2010 to 2020.
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