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ME LD331

Resolve, Directing the Department of Health and Human Services to Ensure Timely Reimbursement Under MaineCare Regarding Hospital Cost Reports


summary

Introduced
01/30/2025
In Committee
01/30/2025
Crossed Over
Passed
Dead

Introduced Session

132nd Legislature

Bill Summary

This bill requires the Department of Health and Human Services to amend its rules in Chapter 101: MaineCare Benefits Manual, Chapter III, Section 45, Hospital Services, to require the department to reimburse at least 75% of the as-filed settlement pursuant to a hospital's cost reports within 90 days of receipt. It requires the department to accomplish this within existing resources.

AI Summary

This bill directs the Maine Department of Health and Human Services (DHHS) to modify its MaineCare (Maine's Medicaid program) rules to improve hospital reimbursement timelines. Specifically, the bill requires DHHS to amend its Chapter 101 MaineCare Benefits Manual to ensure that hospitals receive at least 75% of their as-filed cost report settlements within 90 days of submitting those reports. The bill mandates that these changes must be implemented using existing departmental resources, meaning no additional funding is required. The goal appears to be to expedite the reimbursement process for hospitals, which can help ensure their financial stability and timely compensation for services provided under the MaineCare program.

Committee Categories

Health and Social Services

Sponsors (10)

Last Action

Unfinished Business (on 05/28/2025)

bill text


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