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Amend the resolve in section 3 in the last line (page 1, line 22 in L.D.) by inserting after the following: "personnel." the following: 'The department shall report any findings relating to this section in the annual telehealth report due January 1, 2021, submitted to the joint standing committee of the Legislature having jurisdiction over health and human services matters pursuant to the Maine Revised Statutes, Title 22, section 3173-H, subsection 3.'
Amend the resolve by adding after section 3 the following:
‘Sec. 4 Department of Health and Human Services to submit waiver amendment. Resolved: That the Department of Health and Human Services shall submit a request to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services no later than November 1, 2019 to request approval to amend the brain injury waiver under department rule Chapter 101: MaineCare Benefits Manual, Chapter III, Section 18 to increase MaineCare reimbursement rates pursuant to section 1.
Sec. 5 Appropriations and allocations. Resolved: That the following appropriations and allocations are made.
 
HEALTH AND HUMAN SERVICES, DEPARTMENT OF
 
Medicaid Waiver for Brain Injury Residential /Community Serv Z218
 
Initiative: Provides appropriations and allocations to amend rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 18, Allowances for Home and Community-Based Services for Adults with Brain Injury to increase rates and unit caps for certain services.

GENERAL FUND	2019-20	2020-21	
All Other	$60,587	$122,182	
			
GENERAL FUND TOTAL	$60,587	$122,182	

Medical Care - Payments to Providers 0147
 
Initiative: Provides appropriations and allocations to amend rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 18, Allowances for Home and Community-Based Services for Adults with Brain Injury to increase rates and unit caps for certain services.

FEDERAL EXPENDITURES FUND	2019-20	2020-21	
All Other	$129,124	$257,240	
			
FEDERAL EXPENDITURES FUND TOTAL	$129,124	$257,240	

OTHER SPECIAL REVENUE FUNDS	2019-20	2020-21	
All Other	$12,109	$24,218	
			
OTHER SPECIAL REVENUE FUNDS TOTAL	$12,109	$24,218	

Office of MaineCare Services 0129
 
Initiative: Provides one-time appropriations and allocations for required technology changes.

GENERAL FUND	2019-20	2020-21	
All Other	$1,482	$0	
			
GENERAL FUND TOTAL	$1,482	$0	

FEDERAL EXPENDITURES FUND	2019-20	2020-21	
All Other	$4,446	$0	
			
FEDERAL EXPENDITURES FUND TOTAL	$4,446	$0	

HEALTH AND HUMAN SERVICES, DEPARTMENT OF			
DEPARTMENT TOTALS	2019-20	2020-21	
			
GENERAL FUND	$62,069	$122,182	
FEDERAL EXPENDITURES FUND	$133,570	$257,240	
OTHER SPECIAL REVENUE FUNDS	$12,109	$24,218	
			
DEPARTMENT TOTAL - ALL FUNDS	$207,748	$403,640	
 
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Amend the resolve by relettering or renumbering any nonconsecutive Part letter or section number to read consecutively.
 
SUMMARY
This amendment clarifies that the Department of Health and Human Services must seek approval from the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services to amend the brain injury waiver to increase rates for Home Support (Residential Habilitation) Level I to no less than $8.63 per quarter hour. It also requires the department to include any findings from exploring telehealth opportunities for brain injury services to be submitted to the joint standing committee of the Legislature having jurisdiction over health and human services matters as part of the annual telehealth report. The amendment also adds an appropriations and allocations section.
FISCAL NOTE REQUIRED
(See attached)