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Amend the resolve by striking out everything after the title and before the summary and inserting the following:
‘Sec. 1 Department of Health and Human Services; reimbursement for days awaiting placement; reimbursement for hospitals other than critical access hospitals. Resolved: That the Department of Health and Human Services shall amend the rules under Chapter 101: MaineCare Benefits Manual, Chapter III, Section 45, Hospital Services to provide reimbursement to hospitals other than critical access hospitals for each day after the 10th day that a MaineCare-eligible individual is in the care of a hospital while awaiting placement in a nursing facility. The Department of Health and Human Services shall reimburse hospitals prospectively at the statewide average rate per member day for nursing facility services. The Department of Health and Human Services shall compute the statewide average rate per member day based on the simple average of the nursing facility rate per member day for the applicable state fiscal year or years and prorated for the hospital's fiscal year. Reimbursement for days awaiting placement pursuant to this section is limited to a period of 5 years and to a maximum of $500,000 of combined General Fund funds and federal funds for each year of the 5-year period. Rules adopted pursuant to this section are routine technical rules as defined in the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A; 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)
 
Medical Care - Payments to Providers 0147
 
Initiative: Provides funding to hospitals other than critical access hospitals for MaineCare-eligible individuals in the care of hospitals while awaiting placement in nursing facilities.

GENERAL FUND	2015-16	2016-17	
All Other	$0	$23,772	
			
GENERAL FUND TOTAL	$0	$23,772	

FEDERAL EXPENDITURES FUND	2015-16	2016-17	
All Other	$0	$42,169	
			
FEDERAL EXPENDITURES FUND TOTAL	$0	$42,169	
 
’
 
SUMMARY
This amendment specifies that the reimbursement in the resolve for days awaiting placement does not begin until the 11th day that a MaineCare-eligible individual is in the care of a hospital while awaiting placement in a nursing facility. It also changes the maximum amount of funding to $500,000 in combined funding for each year; the resolve sets the maximum amount at $500,000 in combined funding over a 5-year period. It also adds an appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)