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Amend the resolve by striking out everything after the title and before the summary and inserting the following:
‘Sec. 1 Reimbursement. Resolved: That the Department of Health and Human Services shall amend its rules to increase reimbursement rates for home-based and community-based services in accordance with this section. The department shall raise the hourly reimbursement rate by 66% for the following services:
1. Attendant Care Services provided under the provisions of Chapter 101: MaineCare Benefits Manual, Chapter III, Section 12, Consumer Directed Attendant Services;
2. Attendant Care Services; Personal Care Services; Respite Care in the home by Certified Nurses Aide, Home Health Aide, attendant or personal support specialist; Certified Nurses Aide - Home Health Services; and Home Health Aide - Home Health Services provided under the provisions of Chapter 101: MaineCare Benefits Manual, Chapter III, Section 19, Home and Community Benefits for the Elderly and for Adults with Disabilities;
3. Home Health Aides/Certified Nurses Assistant Services and Personal Support Services provided under the provisions of Chapter 101: MaineCare Benefits Manual, Chapter III, Section 96, Private Duty Nursing and Personal Care Services;
4. Personal Assistance Services provided under the provisions of Chapter 14-197, Office of Aging and Disability Services, Chapter 11, Consumer Directed Personal Assistance Services; and
5. Personal Care Services; Home Health Services; and Respite provided under the provisions of Chapter 10-149, Office of Elder Services Policy Manual, Chapter 5, Section 63, In-Home and Community Support Services for Elderly and Other Adults; and be it further
Sec. 2 Appropriations and allocations. Resolved: That the following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
 
Consumer-directed Services Z043
 
Initiative: Provides funding to increase reimbursement rates 66% for providers of in-home and community support direct-care services.

GENERAL FUND	2015-16	2016-17	
All Other	$624,191	$832,254	
			
GENERAL FUND TOTAL	$624,191	$832,254	

Developmental Services Waiver - MaineCare 0987
 
Initiative: Provides funding to increase reimbursement rates 66% for providers of in-home and community support direct-care services.

GENERAL FUND	2015-16	2016-17	
All Other	$1,696,422	$2,261,896	
			
GENERAL FUND TOTAL	$1,696,422	$2,261,896	

Developmental Services Waiver - Supports Z006
 
Initiative: Provides funding to increase reimbursement rates 66% for providers of in-home and community support direct-care services.

GENERAL FUND	2015-16	2016-17	
All Other	$2,260,785	$3,014,378	
			
GENERAL FUND TOTAL	$2,260,785	$3,014,378	

Long Term Care - Office of Aging and Disability Services 0420
 
Initiative: Provides funding to increase reimbursement rates 66% for providers of in-home and community support direct-care services.

GENERAL FUND	2015-16	2016-17	
All Other	$3,199,145	$4,265,526	
			
GENERAL FUND TOTAL	$3,199,145	$4,265,526	

Medical Care - Payments to Providers 0147
 
Initiative: Provides funding to increase reimbursement rates 66% for providers of in-home and community support direct-care services.

GENERAL FUND	2015-16	2016-17	
All Other	$5,018,226	$6,690,969	
			
GENERAL FUND TOTAL	$5,018,226	$6,690,969	

FEDERAL EXPENDITURES FUND	2015-16	2016-17	
All Other	$15,068,052	$20,090,734	
			
FEDERAL EXPENDITURES FUND TOTAL	$15,068,052	$20,090,734	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)			
DEPARTMENT TOTALS	2015-16	2016-17	
			
GENERAL FUND	$12,798,769	$17,065,023	
FEDERAL EXPENDITURES FUND	$15,068,052	$20,090,734	
			
DEPARTMENT TOTAL - ALL FUNDS	$27,866,821	$37,155,757	
 
’
 
SUMMARY
This amendment replaces the resolve. It requires a 66% increase in the reimbursement rate for certain services, which is roughly equivalent to the increased reimbursement rate of $25 in the resolve, and specifies the services for which the increased reimbursement would apply. The amendment adds an appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)