Resolve, Directing The Department Of Health And Human Services To Apply For A Waiver From The Federal Government For The Medicaid Limitation On Payment To A Facility With More Than 16 Inpatient Beds For Psychiatric Treatment

LD 563 is a legislative resolution directing Maine's Department of Health and Human Services (DHHS) to apply for a federal waiver within 9 months. The waiver would allow Medicaid coverage for psychiatric inpatient facilities with more than 16 beds, which are currently excluded under federal rules (42 CFR §435.1009). This primarily affects larger psychiatric treatment facilities in Maine that serve Medicaid patients but cannot currently receive full Medicaid reimbursement. DHHS must report the waiver application and progress by January 1, 2027, to the Legislature's health committee.