Updates MaineCare reimbursement system to ensure sustainable, efficient, and value-oriented rates.

The bill updates the MaineCare reimbursement system to establish sustainable, efficient, and value-oriented rates. It mandates the Department of Health and Human Services to develop and maintain MaineCare payment models and rates for covered services. The department must establish rules for reimbursement that consider provider costs, federal requirements, and quality standards. The bill also requires the department to conduct annual inflation adjustments and cost-of-living adjustments for nursing facility reimbursement.

Updates MaineCare reimbursement system to ensure sustainable, efficient, and value-oriented rates.

The bill updates the MaineCare reimbursement system to establish sustainable, efficient, and value-oriented rates. It mandates the Department of Health and Human Services to develop and maintain MaineCare payment models and rates for covered services. The department must establish rules for reimbursement that consider provider costs, federal requirements, and quality standards. The bill also requires the department to conduct annual inflation adjustments and cost-of-living adjustments for nursing facility reimbursement.