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131st MAINE LEGISLATURE
FIRST REGULAR SESSION-2023
Legislative Document No. 619H.P. 396House of Representatives, February 14, 2023
An Act to Ensure Coordination of Care for MaineCare Members
Reference to the Committee on Health and Human Services suggested and ordered printed.
ROBERT B. HUNT
Clerk
Presented by Representative MADIGAN of Waterville.
Cosponsored by Senator HICKMAN of Kennebec and
Representatives: MEYER of Eliot, SHAGOURY of Hallowell. Page 1 - 131LR0959(01)
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2 is enacted to read:
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4 The department shall provide or reimburse the cost of nonemergency transportation to
5 and from MaineCare billable services for MaineCare members regardless of whether the
6 member resides in a rural or nonrural area. The department may adopt rules to implement
7 this section. Rules adopted pursuant to this section are routine technical rules as defined in
8 Title 5, chapter 375, subchapter 2-A.
9 is enacted to read:
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11 The department shall provide reimbursement to providers of behavioral health services
12 and providers of physical health services for time spent engaged in coordination of care for
13 MaineCare members, including for critical collateral care coordination for hospitalized
14 MaineCare members. "Critical collateral care coordination" includes case management
15 services, including services providing coordination of care with a member's hospitalization
16 for behavioral or physical health issues. The department shall submit any waivers or state
17 plan amendments required for approval for federal match for these services to the United
18 States Department of Health and Human Services, Centers for Medicare and Medicaid
19 Services. The department may adopt rules to implement this section. Rules adopted
20 pursuant to this section are routine technical rules as defined in Title 5, chapter 375,
21 subchapter 2-A.
22 is enacted to read:
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24 The department shall provide reimbursement for representative payee services for
25 MaineCare members eligible for targeted case management and community support
26 services. The department shall submit any waivers or state plan amendments required for
27 approval for federal match for these services to the United States Department of Health and
28 Human Services, Centers for Medicare and Medicaid Services. The department may adopt
29 rules to implement this section. Rules adopted pursuant to this section are routine technical
30 rules as defined in Title 5, chapter 375, subchapter 2-A.
31 The Department
32 of Health and Human Services shall provide reimbursement for transportation of
33 MaineCare members to and from mental health psychosocial clubhouse services. The
34 department shall submit any waivers or state plan amendments required for approval for
35 federal match for these services to the United States Department of Health and Human
36 Services, Centers for Medicare and Medicaid Services. The department may adopt rules
37 to implement this section. Rules adopted pursuant to this section are routine technical rules
38 as defined in the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A.
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40 The Department of Health and Human Services shall provide
41 reimbursement for services provided by certified recovery coaches and by certified
42 intentional peer support specialists to MaineCare members eligible for targeted case Page 2 - 131LR0959(01)
43 management and community support services. The department shall submit any waivers
44 or state plan amendments required for approval for federal match for these services to the
45 United States Department of Health and Human Services, Centers for Medicare and
46 Medicaid Services. The department may adopt rules to implement this section. Rules
47 adopted pursuant to this section are routine technical rules as defined in the Maine Revised
48 Statutes, Title 5, chapter 375, subchapter 2-A.
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8 This bill requires the Department of Health and Human Services to provide
9 nonemergency transportation services to MaineCare members regardless of whether a
10 member resides in a rural or nonrural setting. It also requires the department to reimburse
11 providers of behavioral health services and providers of physical health services for time
12 spent engaged in coordination of care for MaineCare members, including for critical
13 collateral care coordination for hospitalized members. It requires the department to provide
14 reimbursement for representative payee services to members eligible for targeted case
15 management and community support services. It requires the department to provide
16 reimbursement for transportation to and from psychosocial clubhouse services. It requires
17 the department to provide certified recovery coach and certified intentional peer support
18 specialist services to MaineCare members eligible for targeted case management or
19 community support services. It requires the department to submit any waivers or state plan
20 amendments required for approval for federal match for services to the United States
21 Department of Health and Human Services, Centers for Medicare and Medicaid Services.
22 It allows the department to adopt routine technical rules.
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