| 2-C. Direct reimbursement to department. When an insured is |
eligible under the Medicaid MaineCare program administered by the |
Department of Human Services pursuant to the United States Social |
Security Act, Title XIX or under the elderly low-cost drug |
program under section 254 for the medical costs of injury, |
| disease, disability or similar occurrence for which an insurer is |
| liable, and the claim is not payable to a health care provider |
under the terms of the health insurance policy, the insurer shall |
directly reimburse the Department of Human Services, upon |
request, for any medical services paid by the department on |
behalf of a recipient under Medicaid or the elderly low-cost drug |
program under section 254 the MaineCare program to the extent |
| that those medical services are payable under the terms of the |
health insurance policy. If the insurer knows or has information |
| upon which to reasonably conclude that the insured is a recipient |
| of MaineCare services, the insurer shall advise the department in |
| writing as to the existence of the claim prior to any other |
| payment. |