SP0304
LD 860
Session - 127th Maine Legislature
S "A" to C "A", Filing Number S-493, Sponsored by Hamper
LR 1699
Item 5
Bill Tracking, Additional Documents Chamber Status

Amend the amendment by striking out all of sections 1 to 6 and inserting the following:

Sec. 1. Dental services for pregnant women. Resolved: That, by January 1, 2017, the Department of Health and Human Services shall amend its rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 25 to cover diagnostic and preventive services to pregnant women and postpartum women for one year after the birth to ameliorate conditions or reduce complications that exist because of or are exacerbated by the pregnancy or that, if left untreated, could adversely affect fetal or child development; and be it further

Sec. 2. Dental services to avoid more costly medical or dental care. Resolved: That, by January 1, 2017, the Department of Health and Human Services shall amend its rule Chapter 101: MaineCare Benefits Manual, Chapter II, Section 25 to cover adult dental services provided to avoid more costly medical or dental care; and be it further

Sec. 3. Notice to MaineCare members and providers of dental services. Resolved: That the Department of Health and Human Services shall provide to MaineCare members and providers of dental services notice of changes in benefits to MaineCare members pursuant to rule changes under sections 1 and 2; and be it further

Sec. 4. Stakeholder group. Resolved: That prior to adopting rules pursuant to section 2, the Department of Health and Human Services shall convene a stakeholder group to identify dental services necessary to avoid more costly medical or dental care. The stakeholder group must consist of members representing dentists, federally qualified health centers, dental hygienists, hospitals and a clinical health system with experience in adult oral health initiatives; and be it further

Sec. 5. Appropriations and allocations. Resolved: That the following appropriations and allocations are made.

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)

Medical Care - Payments to Providers 0147

Initiative: Provides funding to add restorative, diagnostic and preventive dental services to pregnant women and postpartum women for one year after delivery.

GENERAL FUND 2015-16 2016-17
All Other
$0 $301,113
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GENERAL FUND TOTAL $0 $301,113

FEDERAL EXPENDITURES FUND 2015-16 2016-17
All Other
$0 $505,511
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FEDERAL EXPENDITURES FUND TOTAL $0 $505,511

Office for Family Independence Z020

Initiative: Provides funding for the Automated Client Eligibility System changes, testing and oversight to add restorative, diagnostic and preventive dental services to pregnant women and postpartum women for one year after delivery.

GENERAL FUND 2015-16 2016-17
All Other
$0 $5,600
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GENERAL FUND TOTAL $0 $5,600

OTHER SPECIAL REVENUE FUNDS 2015-16 2016-17
All Other
$0 $5,600
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OTHER SPECIAL REVENUE FUNDS TOTAL $0 $5,600

Office of MaineCare Services 0129

Initiative: Provides funding for the Maine Integrated Health Management Solution changes, testing and oversight to add restorative, diagnostic and preventive dental services to pregnant women and postpartum women for one year after delivery.

GENERAL FUND 2015-16 2016-17
All Other
$0 $41,556
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GENERAL FUND TOTAL $0 $41,556

FEDERAL EXPENDITURES FUND 2015-16 2016-17
All Other
$0 $124,667
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FEDERAL EXPENDITURES FUND TOTAL $0 $124,667

HEALTH AND HUMAN SERVICES, DEPARTMENT OF (FORMERLY DHS)
DEPARTMENT TOTALS 2015-16 2016-17
GENERAL FUND
$0 $348,269
FEDERAL EXPENDITURES FUND
$0 $630,178
OTHER SPECIAL REVENUE FUNDS
$0 $5,600
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DEPARTMENT TOTAL - ALL FUNDS $0 $984,047

summary

This amendment strikes from Committee Amendment "A" language regarding reimbursement rates under the MaineCare program for certain dental codes, changes the date by which the Department of Health and Human Services must amend its rules to cover specified dental services from January 1, 2016 to January 1, 2017, and adjusts funding accordingly.

FISCAL NOTE REQUIRED
(See attached)


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