Title 22, Title 22

The department shall increase access to comprehensive dental care for children under the Medicaid program so that services are received on a timely basis in the regions of the State in which they live, in accordance with this section. [RR 1997, c. 2, §45 (RAL).] 1. Telephone refe…

1. Program established. The Children's Health Insurance Program is established to provide health coverage for low-income children who are ineligible for benefits under the Medicaid program and who meet the requirements of subsection 2. The purpose of the Children's Health Insuran…

The department shall conduct an annual review of the adequacy of reimbursement rates for dental services for dentists who provide care for a disproportionate number of patients whose care is reimbursed through the Medicaid program and the Children's Health Insurance Program estab…

This section applies to reimbursement under the MaineCare program for opioid drugs for the treatment of pain. [PL 2011, c. 657, Pt. O, §2 (NEW).] 1. Treatment of a new onset of acute pain. The department shall establish limits for MaineCare reimbursement of opioid drugs that are …

The reimbursement requirements set forth in this section apply to payments for certain federally qualified health centers as defined in 42 United States Code, Section 1395x, subsection(aa)(1993). [PL 2021, c. 747, §1 (AMD).] 1. Services furnished by center. The department shall r…

Rules adopted by the department regarding access to home health care under the Medicaid program are major substantive rules as defined in Title 5, chapter 375, subchapter 2‑A.

1. Coverage. The department shall provide coverage for comprehensive tobacco cessation treatment to a MaineCare member who is 18 years of age or older or who is pregnant. Coverage must include, at a minimum: A. Coverage for all pharmacotherapy that is approved by the federal Food…

1. Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings. A. "Children's health insurance program" means the state children's health insurance program under Title XXI of the Social Security Act. "Children's h…

1. Reimbursement. By October 1, 2015, the department shall provide for the reimbursement under the MaineCare program of dental therapists practicing as authorized under Title 32, section 18377 for the procedures identified in their scope of practice. Reimbursement must be provide…

If the commissioner establishes maximum retail prices for prescription drugs pursuant to section 2693, the department shall adopt rules for the Medicaid program requiring additional prior authorization for the dispensing of drugs determined to be priced above the established maxi…

The commissioner shall designate an appropriate employee within the department as the state educational Medicaid officer to work in coordination with the Department of Education and school administrative units to maximize reimbursement for Medicaid services provided by school adm…

Rules concerning the principles for reimbursement for private, nonmedical and board and care institutions must be major substantive rules as defined in Title 5, chapter 375, subchapter II‑A.

1. Hearing aid; definition. For purposes of this section, "hearing aid" means a nonexperimental, wearable instrument or device designed for the ear and offered for the purpose of aiding or compensating for impaired human hearing. 2. (TEXT EFFECTIVE UNTIL 7/01/26) Required reimbur…

The department is authorized, subject to the approval of the Governor, to: [PL 1975, c. 771, §225 (AMD).] 1. Apply for assistance. Apply for federal assistance under the United States Social Security Act, as amended, and to comply with such conditions, not inconsistent with this …

Whenever the commissioner receives written notice from the State Tax Assessor that a nursing home is delinquent by more than 30 days in making a health care provider tax payment required by Title 36, section 2873, the commissioner shall, upon 10 days' written notice, withhold the…

Whenever the commissioner receives written notice from the State Tax Assessor that a residential treatment facility is delinquent by more than 30 days in making a health care provider tax payment required by Title 36, section 2873, the commissioner shall, upon 10 days' written no…

When the commissioner receives written notice from the State Tax Assessor that a hospital is delinquent by more than 30 days in making a health care provider tax payment required by Title 36, section 2883 or chapter 377, the commissioner shall, upon 10 days' written notice, withh…

1. Depreciation. For sales of nursing facilities, as defined in section 1812‑A, that occur on or after October 1, 2009, the department shall either: A. At the time of the sale, recapture depreciation paid by the department under the MaineCare program, from the proceeds of the sal…

The Treasurer of State shall be the appropriate officer of the State to receive available federal grants for programs for which the department may be eligible to receive federal funding in accordance with the Federal Social Security Act and the State Controller shall authorize ex…

Appropriations for assistance under this chapter when used in programs entitled to receive federal matching funds shall not lapse but shall be a continuing account so long and as federal grants are available to match the State's contribution. No payments matchable by federal fund…

If an applicant for or a recipient of aid is found by the department to be incapable of taking care of the applicant's or recipient's own health, welfare or money, payment must be made only to a legally appointed guardian or conservator for the applicant's or recipient's benefit.

If at any time during the continuance of aid the recipient thereof becomes possessed of any property or income in excess of the amount last disclosed to the department, it shall be the duty of the recipient immediately to notify the department of the receipt or possession of such…

All rights to aid shall be absolutely inalienable by any assignment, execution, pledge or otherwise, and shall not pass, in case of insolvency or bankruptcy, to any trustee, assignee or creditor.

1. A person who is denied aid, or who is not satisfied with the amount of aid allotted to the person, or is aggrieved by a decision of the department made under this chapter, or whose application is not acted upon with reasonable promptness, has the right of appeal to the commiss…

Any person who by means of a willfully false statement or representation, or by impersonation or other fraudulent devices, obtains or attempts to obtain, or aids or abets any person to obtain: [PL 1973, c. 790, §2 (NEW).] 1. Assistance not entitled. Aid to which a person is not e…

Any person who violates any of the provisions of this chapter for which no penalty is specifically provided shall be punished by a fine of not more than $500, or by imprisonment for not more than 11 months, or by both. If a recipient of aid is convicted of an offense under this c…

The department may recover the amount expended for aid in a civil action from a recipient or a former recipient who has failed to disclose assets that would have rendered the recipient or former recipient ineligible had the recipient or former recipient disclosed the assets. Such…

The department shall cease accepting applications for assistance through the Catastrophic Medical Expense Fund on June 30, 1987. The Department of Health and Human Services shall continue to provide financial assistance to, or on behalf of, families or individuals residing in the…

The department shall establish and maintain an information and referral service for medically indigent persons who become pregnant as a result of rape, gross sexual misconduct, incest or sexual abuse. The information and referral service shall include a list of medical and social…

The department shall meet annually with providers of community-based intermediate care facilities for persons with intellectual disabilities to review current principles of reimbursement under the federal Social Security Act, Title XIX, 42 United States Code, Chapter 7 and discus…

1. Development of demonstration. The Department of Health and Human Services shall develop, implement and administer the Maine Managed Care Insurance Plan Demonstration for individuals without health insurance in one urban site, one rural site and one site as determined by the de…

1. Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings. A. "Benefit design" means the health care benefits package provided through the Community Health Access Program. [PL 2001, c. 439, Pt. BBB, §1 (NEW); …

The Affordable Health Care Fund is established to assist individuals with the costs of participation in community health access programs. The fund is a nonlapsing fund and any excess funds may be used only for the purposes of this section. The fund may be used only to subsidize t…

The Office of MaineCare Services within the department shall biennially review and report to the joint standing committee of the Legislature having jurisdiction over health and human services matters and the joint standing committee of the Legislature having jurisdiction over app…

1. Reimbursement. The department shall reimburse services provided to MaineCare member adults with intellectual disabilities or autism under a waiver granted by the federal Centers for Medicare and Medicaid Services for home-based and community-based care on the basis of rates an…

1. Coverage. The department shall provide coverage for abortion services to a MaineCare member. 2. Funding. Abortion services that are not federally approved Medicaid services must be funded by state funds within existing resources. 3. Rulemaking. The department shall adopt rules…

1. Definition. As used in this section, unless the context otherwise indicates, "HIV prevention drug" has the same meaning as in Title 32, section 13786‑E, subsection 1, paragraph B. 2. Reimbursement for pharmacists prescribing, dispensing and administering HIV prevention drugs. …

This Part may be cited as the 1974 State Supplemental Income Act.

1. Objective. In keeping with the American heritage that each person in our society has an inherent human dignity, it is declared that persons of the State of Maine who are visually impaired, disabled or elderly are entitled to sufficient income to attain a reasonable standard of…

For purposes of this Part, unless the context otherwise indicates, the following words shall have the following meanings. [PL 1973, c. 790, §3 (NEW).] 1. Agreement. "Agreement" means a legally binding document between the Maine Department of Health and Human Services and the Unit…

On or before September 1st, the department shall submit a detailed annual report on the federal supplemental income program and the state supplemental income program to the Governor in accordance with Title 5, sections 43, 44, 45 and 46 and to the Legislative Council. The report …

1. The department shall enter into an agreement with the Secretary of the United States Department of Health, Education and Welfare or its successors, under which the secretary, through the Social Security Administration, on behalf of the State of Maine, shall administer the prog…

An individual who is a resident of the State of Maine and who applies to the Social Security Administration for supplemental security income benefits pursuant to Title XVI of the Social Security Act shall be deemed to be applying for state supplemental income benefits provided pu…

Regarding state supplemental income benefits administered by the secretary, any individual who is or claims to be an eligible individual or eligible spouse pursuant to this Part and is in disagreement with any determination concerning this Part by the United States Department of …

There shall be advanced with the authorization of the department, from the State Treasury to the secretary, prior to the first day of each month, an amount equal to the secretary's estimate of state supplemental benefits authorized pursuant to this Part for such month corrected f…

Information concerning an applicant or beneficiary under this Part shall be held in strict confidence. The department and secretary shall disclose or use such information only for purposes directly relating to administration of this Part.