LD 2000
pg. 2
Page 1 of 2 Resolve, Directing the Department of Human Services to Apply for a Federal Waiv... LD 2000 Title Page
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LR 2945
Item 1

 
G. For the purposes of the Medicaid cancer program, health
care coverage that is inadequate for the treatment of cancer
is coverage that does not provide comprehensive coverage for
diagnosis and treatment or has a deductible of $5,000 or
more for the person being covered.

 
H. An enrollee must be obligated to reimburse the State
from the estate of the enrollee for all benefit costs that
apply to Medicaid benefits for nursing facility care or
hospice care if the enrollee dies within 5 years.

 
3. Coverage may not begin under the Medicaid cancer program
until the waiver has been obtained from the Centers for Medicare
and Medicaid Services and the Legislature has approved the
operation of the program and appropriated funding for coverage in
the biennial budget.

 
4. Rules adopted pursuant to this resolve are routine
technical rules as defined by the Maine Revised Statutes, Title
5, chapter 375, subchapter II-A.

 
SUMMARY

 
This resolve directs the Department of Human Services to apply
for a waiver to establish a Medicaid cancer program. Coverage
under the program is limited to persons who have inadequate
health care coverage and covers only the diagnosis and treatment
of cancer. Coverage may not begin until the waiver has been
obtained from the federal Department of Health and Human
Services, Centers for Medicare and Medicaid Services and the
Legislature has approved the operation of the program and
appropriated funding for coverage in the biennial budget.


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