24-A §6911. Coordination with MaineCare
§6911. Coordination with MaineCare The Department of Health and Human Services is the state agency responsible for the financing and administration of MaineCare. It shall pay for MaineCare benefits for MaineCare-eligible individuals, including those enrolled in health plans in MaineCare that are providing coverage under the Dirigo Health Program. An individual participating in the Dirigo […]
24-A §6912. Subsidies
§6912. Subsidies Dirigo Health may establish sliding-scale subsidies for the purchase of Dirigo Health Program coverage paid by eligible individuals or employees whose income is under 300% of the federal poverty level. Dirigo Health may also establish sliding-scale subsidies for the purchase of employer-sponsored health coverage paid by employees of businesses with more than 50 […]
24-A §6913. Savings offset payments against health insurance carriers, employee benefit excess insurance carriers and third-party administrators (REPEALED)
§6913. Savings offset payments against health insurance carriers, employee benefit excess insurance carriers and third-party administrators (REPEALED) SECTION HISTORY PL 2003, c. 469, §A8 (NEW). PL 2005, c. 400, §§A10-13,C9 (AMD). PL 2005, c. 683, §§A43,44 (AMD). PL 2007, c. 1, Pt. X, §§1, 2 (AMD). PL 2007, c. 1, Pt. X, §3 (AFF). PL […]
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 […]