Bill > LD182

This bill requires the Maine Department of Health and Human Services to establish a new reimbursement system for Maine Veterans' Homes under the MaineCare program (Maine's Medicaid program). Specifically, the bill mandates that veterans' facilities will be reimbursed on a per-resident daily rate basis, with different rates potentially established for nursing homes, residential care facilities, and multilevel health care facilities. The reimbursement rates must cover the portion of total MaineCare-allowable operating costs attributable to residents receiving MaineCare benefits. The bill requires annual rate adjustments to account for inflation and allows the department to use data from other states' veterans' home programs and price indices when calculating rates, with the caveat that such data cannot reduce reimbursement below the calculated allowable cost. Additionally, the department is authorized to contract with a third-party vendor to help derive or review these rates. The bill defines key terms like "veterans' facility" and ensures that the reimbursement approach applies to all state funds, including federal funds, used for resident care at these facilities.

Health and Social Services

https://legislature.maine.gov/legis/bills/display_ps.asp?LD=182&snum=132