Date posted:
Attachment(s):
Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 67, Nursing Facility Services
NATURE OF PROPOSED CHANGES: The Department eliminates the requirement to rebase nursing facility costs by July 1, 2024. Facilities will receive an inflationary adjustment to reimbursement rates as well as the issuance of one-time payments, mandated by P.L. 2023, ch. 643, Part UU. Both the inflationary adjustment and one-time supplemental are already authorized by CMS. This elimination of the rebasing and issuance of a supplemental payment is occurring to aid in the transition to a new reimbursement system for Nursing Facilities being planned for January 2025, and to provide support for the continued challenges relating to the workforce shortage borne out of the extraordinary circumstances of the pandemic.
REASON FOR PROPOSED CHANGES: Changes are pursuant to MRS Title 22 § 3173-J and Maine P.L. 2023, ch. 643, Part UU.
ESTIMATE OF ANY EXPECTED INCREASE OR DECREASE IN ANNUAL AGGREGATE EXPENDITURES: The Department anticipates that this change will be cost neutral in federal fiscal year 2024.
ACCESS TO PROPOSED CHANGES AND COMMENTS TO PROPOSED CHANGES: The public may review the proposed methodology changes and written comments at any Maine DHHS office in every Maine county. To find out where the Maine DHHS offices are located, call 1-800-452-1926. The Department will hold a hearing for the proposed rulemaking and will be publishing a notice which includes information on the hearing date and location.
CONTACT INFORMATION
FOR RECEIPT OF COMMENTS: Kristin Merrill
Office of MaineCare Services
ADDRESS: 109 Capitol Street, 11 State House Station
Augusta, Maine 04333-0011
TELEPHONE:(207) 624-4006 FAX: (207) 287-6106
TTY: 711 Maine Relay (Deaf or Hard of Hearing)
See http://www.maine.gov/dhhs/oms/rules/index.shtml for rules and related rulemaking documents.
State Plan Amendment
Office: MaineCare Services
Email: Kristin.Merrill@maine.gov
Meeting location:
Comment deadline:
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