| B. Dirigo Health shall screen all eligible individuals and |
| employees for eligibility for subsidies under section 6918 |
| and eligibility for MaineCare.__To facilitate the screening |
| and referral process, Dirigo Health shall provide a single |
| application form for Dirigo Health and MaineCare.__The |
| application materials must inform applicants of subsidies |
| available through Dirigo Health and of the additional |
| coverage available through MaineCare.__It must allow an |
| applicant to choose on the application form to apply or not |
| to apply for MaineCare or for a subsidy.__It must allow an |
| applicant to provide household financial information |
| necessary to determine eligibility for MaineCare or a |
| subsidy.__Except when the applicant has declined to apply |
| for MaineCare or a subsidy, an application must be treated |
| as an application for Dirigo Health, for a subsidy and for |
| MaineCare.__MaineCare must make the final determination of |
| eligibility for MaineCare. |