| | | disabled as defined in 42 United States Code, Section | | 1382c. |
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| | | 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. |
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| | | 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. |
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| | | F. As used in this subsection, unless the context otherwise | | indicates, the term "estate" means: |
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| | | (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 |
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| | | (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. |
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| | | 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. |
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| | | "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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