| Sec. 1. Report. Resolved: That the Department of Health and Human |
| Services shall use its claims data, encounter data and decision support |
| system to evaluate the extent to which service limits under the MaineCare |
| Basic program, established in the Maine Revised Statutes, Title 22, |
| section 3174-FF, result in the receipt, by members who have received |
| services to the limits set by MaineCare Basic, of additional services |
| from alternative providers or in alternative settings because of the |
| limitations. The department shall confer with the MaineCare Advisory |
| Committee in developing the data queries for the research and shall |
| provide the committee with an opportunity to comment on a draft report |
| prior to its final submission. The department shall report its findings |
| to the joint standing committee of the Legislature having jurisdiction |
| over health and human services matters by January 15, 2007 along with its |
| recommendations for ensuring that the MaineCare Basic program provides |
| medically necessary services in as cost-effective a manner as possible. |
