LD 1319
pg. 316
Page 315 of 460 PUBLIC Law Chapter 20 Page 317 of 460
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LR 2000
Item 1

 
disabled as defined in 42 United States Code, Section
1382c.

 
D. Paragraph A, subparagraphs (2) and (3) apply only to a
recipient who died on or after October 1, 1993 for Medicaid
MaineCare payments made on or after October 1, 1993.

 
E. A claim under paragraph A, subparagraph (2) must be
waived if enforcement of the claim would create an undue
hardship under criteria developed by the department.

 
F. As used in this subsection, unless the context otherwise
indicates, the term "estate" means:

 
(1) All real and personal property and other assets
included in the recipient's estate, as defined in Title
18-A, section 1-201; and

 
(2) Any other real and personal property and other
assets in which the recipient had any legal interest at
the time of death, to the extent of that interest,
including assets conveyed to a survivor, heir or assign
of the deceased recipient through tenancy in common,
survivorship, life estate, living trust, joint tenancy
in personal property or other arrangement.

 
3. Definitions. For purposes of this section, "3rd party" or
"liable party" or "potentially liable party" means any entity,
including, but not limited to, an insurance carrier that may be
liable under a contract to provide health, automobile, workers'
compensation or other insurance coverage that is or may be liable
to pay all or part of the medical cost of injury, disease,
disability or similar occurrence of an applicant or recipient of
benefits under Medicaid or the elderly low-cost drug program
under section 254 the MaineCare program. For purposes of this
section and sections 18 and 19, an "insurance carrier" includes
health insurers, group health plans as defined in 29 United
States Code, Section 1167(1), service benefit plans and health
maintenance organizations.

 
"Liable party," "potentially liable party" or "3rd party" also
includes the trustee or trustees of any mortuary trust
established by the recipient or on the recipient's behalf in
which there is money remaining after the actual costs of the
funeral and burial have been paid in accordance with the terms of
the trust and in which there is no provision that the excess be
paid to the decedent's estate. "Liable party," "potentially
liable party" or "3rd party" may also include the recipient of
benefits under Medicaid or the elderly low-cost drug program
under section 254 the MaineCare program.


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