LAW WITHOUT
GOVERNOR'S CHAPTER
SIGNATURE
119
JULY 15, 2021 RESOLVES
STATE OF MAINE
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IN THE YEAR OF OUR LORD
TWO THOUSAND TWENTY-ONE
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H.P. 1086 - L.D. 1470
Resolve, Regarding Reimbursement for Providing Inpatient Care to
Individuals with Acute Mental Health Care Needs
Sec. 1. Department of Health and Human Services to increase MaineCare
rates. Resolved: That the Department of Health and Human Services shall amend its
rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 45.03 to provide
reimbursement for patients discharged from Southern Maine Health Care's psychiatric
inpatient unit in the amount of $10,166 per distinct discharge. The department shall amend
its rule pursuant to this section in time to be submitted to the United States Department of
Health and Human Services, Centers for Medicare and Medicaid Services with an effective
date of the reimbursement required by this section of October 1, 2021. Rules adopted
pursuant to this section are routine technical rules as defined in the Maine Revised Statutes,
Title 5, chapter 375, subchapter 2-A.
Sec. 2. Department of Health and Human Services to seek available funds
for uninsured patients. Resolved: That the Department of Health and Human Services
shall seek and apply for available federal funds or funds from any other sources to pay the
costs of providing inpatient psychiatric care to uninsured patients who are discharged from
acute care hospitals.
Sec. 3. Report. Resolved: That, no later than December 1, 2021, the Department
of Health and Human Services shall submit a report to the Joint Standing Committee on
Health and Human Services regarding the progress the department has made in developing
a reimbursement rate to provide inpatient psychiatric care under its rule Chapter 101:
MaineCare Benefits Manual, Chapter III, Section 45.03. The joint standing committee is
authorized to report out legislation related to the report to the Second Regular Session of
the 130th Legislature.
Sec. 4. Appropriations and allocations. Resolved: That the following
appropriations and allocations are made.
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Medical Care - Payments to Providers 0147
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Initiative: Provides appropriation and allocation to the Department of Health and Human
Services to amend its rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section
45.03 to provide reimbursement for patients discharged from Southern Maine Health Care's
psychiatric inpatient unit in the amount of $10,166 per distinct discharge.
GENERAL FUND 2021-22 2022-23
All Other $96,177 $136,805
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GENERAL FUND TOTAL $96,177 $136,805
FEDERAL EXPENDITURES FUND 2021-22 2022-23
All Other $409,802 $537,833
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FEDERAL EXPENDITURES FUND TOTAL $409,802 $537,833
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