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Federal Medicaid Regulation Changes: Impact on Maine Service Delivery and Reimbursement

The federal Centers for Medicaid and Medicare Services plans to adopt five rule changes that eliminate federal dollars that have supported healthcare services for the elderly, persons with developmental disabilities, school-aged children and persons with mental illness.

These are programs that were approved and supported by federal Medicaid funds in the past. Some of the programs, such as services to special education students from birth to age 20, are services that another federal law requires to be provided.

The two state agencies hit hardest in Maine, the Department of Health and Human Services and the Department of Education, are taking a two-pronged approach to the rules changes. They are simultaneously working with Governor Baldacci, the Congressional delegation and other states to oppose the federal changes, and working with providers and school systems to seek ideas for restructuring programs to keep delivering what are essential services to those who receive them.

NEW: Questions and Answers
Answers to many of the questions posed during the January 31 broadcast and subsequently through the online survey.

Press release and fact sheet

Informational letter regarding the Jan. 31 ATM broadcast

January 31 Broadcast by Commissioners Harvey and Gendron

Commissioner of Education Susan A. Gendron and Commissioner of Health and Human Services Brenda Harvey made an informational presentation January 31, 2008, over the ATM distance learning network to explain the proposed new federal policies and the implications.

View video of the January 31 ATM broadcast by Commissioner Harvey and Commissioner Gendron

Transcript of ATM broadcast Thursday, January 31, 2008 in RTF

PowerPoint presentation from the broadcast

Feedback/suggested solutions

The Department of Health and Human Services and the Department of Education are seeking suggestions on ways to restructure services to respond to the federal cuts in a way that maintains the maximum possible delivery of services to those who need them. 

You can help by completing an online survey to offer your suggestions. Your assistance is greatly appreciated. 

Complete the online survey