24-A §6914. Intragovernmental transfer
§6914. Intragovernmental transfer Starting July 1, 2004, and ending September 30, 2012, Dirigo Health shall transfer funds, as necessary, to a special dedicated, nonlapsing revenue account administered by the agency of State Government that administers MaineCare for the purpose of providing a state match for federal Medicaid services provided to individuals eligible pursuant to Title […]
24-A §6915. Dirigo Health Enterprise Fund
§6915. Dirigo Health Enterprise Fund The Dirigo Health Enterprise Fund is created as an enterprise fund for the deposit of any funds advanced for initial operating expenses, payments made by employers and individuals, any savings offset payments made pursuant to former section 6913, any access payments made pursuant to section 6917 and any funds received […]
24-A §6916. Marketing and sale of Dirigo Health Program; qualifications of insurance producers
§6916. Marketing and sale of Dirigo Health Program; qualifications of insurance producers 1. Qualifications of insurance producers. An insurance producer licensed pursuant to chapter 16 may solicit, negotiate and sell insurance products offered by or through the Dirigo Health Program if the following conditions are met prior to any such solicitation, negotiation or sale: […]
24-A §6917. Access payment
§6917. Access payment 1. Access payments required from health insurance carriers, 3rd-party administrators and employee benefit excess insurance carriers. All health insurance carriers, 3rd-party administrators and employee benefit excess insurance carriers shall pay an access payment on all paid claims, except claims under accidental injury, specified disease, hospital indemnity, dental, vision, disability income, long-term care, […]
24-A §6951. Maine Quality Forum
§6951. Maine Quality Forum The Maine Quality Forum, referred to in this subchapter as “the forum,” is established within Dirigo Health. The forum is governed by the board with advice from the Maine Quality Forum Advisory Council pursuant to section 6952. The forum must be funded, at least in part, through the savings offset payments […]
24-A §6952. Maine Quality Forum Advisory Council
§6952. Maine Quality Forum Advisory Council The Maine Quality Forum Advisory Council, referred to in this subchapter as “the advisory council,” is a 17-member body established by Title 5, section 12004‑I, subsection 30‑A, to advise the forum. Except as provided in section 6907, subsection 2, information obtained by the advisory council is a public record […]
24-A §6904. Board of Trustees of Dirigo Health
§6904. Board of Trustees of Dirigo Health Dirigo Health operates under the supervision of the Board of Trustees of Dirigo Health established in accordance with this section. [PL 2007, c. 447, §4 (AMD).] 1. Appointments. The board consists of 9 voting members and 3 ex officio, nonvoting members as follows. A. The 9 […]
24-A §6971. Dirigo Health High-risk Pool (REPEALED)
§6971. Dirigo Health High-risk Pool (REPEALED) SECTION HISTORY PL 2003, c. 469, §A8 (NEW). PL 2005, c. 400, §C10 (AMD). PL 2007, c. 629, Pt. L, §6 (RP).
24-A §6905. Limitation on liability
§6905. Limitation on liability 1. Indemnification of Dirigo Health employees. An employee of Dirigo Health is not subject to any personal liability for having acted within the course and scope of membership or employment to carry out any power or duty under this chapter. Dirigo Health shall indemnify any member of the board and any […]
24-A §6981. Dirigo Health Self-administered Plan
§6981. Dirigo Health Self-administered Plan Notwithstanding section 6910, subsection 2, Dirigo Health may provide access to health benefits coverage by establishing the Dirigo Health Self-administered Plan, referred to in this subchapter as “the self-administered plan,” pursuant to this section. [PL 2007, c. 447, §11 (NEW).] 1. Establishment. Dirigo Health may provide access to health […]