Maine Code § 22-7863

Reimbursement for residential care facilities; room and board costs
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1. New construction, acquisitions and renovations. Notwithstanding any other law to the
contrary, the department shall permit a capital expenditure by a residential care facility for new
construction, an acquisition or a renovation that is less than $500,000 and shall provide reimbursement
to the facility for the capital expenditure without prior approval. The department shall permit a
residential care facility to seek and obtain approval for a capital expenditure that exceeds $500,000.
The department shall require that capital expenditures for energy efficiency improvements, for
replacement equipment, for information systems, for communications systems and for parking lots and
garages be permitted without prior approval and not be counted toward the determination of the
$500,000 threshold.
[PL 2017, c. 304, §1 (NEW).]
2. Extraordinary circumstance allowance. A residential care facility that experiences an
unforeseen and uncontrollable event during a year that results in unforeseen or uncontrollable increases
in expenses may request an adjustment to a prospective rate in the form of an extraordinary
circumstance allowance. As used in this subsection, "extraordinary circumstance" includes, but is not
limited to, an event of a catastrophic nature, an increase in minimum wage or social security expenses
or employee retirement contribution expenses in lieu of social security expenses, a change in the
number of licensed beds and a change in licensure or accreditation requirements. If the department
concludes that an extraordinary circumstance existed, the department shall make an adjustment in the
form of a supplemental allowance. The department shall determine from the nature of the extraordinary
circumstance whether the extraordinary circumstance will have a continuing impact and whether the
allowance should be included in the computation of the base rate for the succeeding year.
Reimbursement to a residential care facility for additional costs arising from an extraordinary
circumstance must be paid via a supplemental payment that is added to the per diem reimbursement
rate until the department adjusts the direct care price, the routine limit and the personal care services
limit, as applicable, to fairly and properly reimburse a facility for these costs.
[PL 2017, c. 304, §1 (NEW).]
3. Regulatory compliance costs. Costs incurred by a residential care facility to comply with
changes in federal or state laws, regulations and rules or local ordinances and not otherwise specified
in rules adopted by the department are considered reasonable and necessary costs. Reimbursement for
these additional regulatory costs must be paid via a supplemental payment that is added to the per diem
rate until the department adjusts the direct care price, the routine limit and the personal care services
limit, as applicable, to fairly and properly reimburse facilities for these costs.
[PL 2017, c. 304, §1 (NEW).]
4. Rulemaking. The department shall adopt rules to implement this section. Rules adopted
pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A.
[PL 2017, c. 304, §1 (NEW).]

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