LD 1319
pg. 319
Page 318 of 460 PUBLIC Law Chapter 20 Page 320 of 460
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LR 2000
Item 1

 
1.__Premiums.__The department may apply to the federal Centers
for Medicare and Medicaid Services for a waiver or amend a
pending or current waiver under the Medicaid program authorizing
the department to impose cost sharing on some or all persons
eligible for MaineCare under the Katie Beckett option authorized
by the federal Tax Equity and Fiscal Responsibility Act of 1982.__
Premiums must be implemented on a sliding scale.

 
2.__Rules.__The department shall adopt rules providing for
sanctions when complete, timely payment of premiums has not been
made and providing grace periods applicable to such late or
incomplete payments and allowing waiver of premiums for good
cause.__Rules adopted pursuant to this subsection are routine
technical rules as defined in Title 5, chapter 375, subchapter 2-
A.

 
3.__Copayments.__The department may request, as part of the
waiver request under subsection 1, permission to charge members
copayments above those allowed in current federal regulation and
statute.

 
Sec. K-10. 22 MRSA §3174-T, sub-§5, ķA, as amended by PL 1999, c. 731,
Pt. PP, §2, is repealed and the following enacted in its place:

 
A.__Premiums must be paid at the beginning of each month for
coverage for that month.__Premium payments must be between
1% and 2% of family income.__Premiums must be imposed in a
manner that places less burden on those with lower incomes
than on those with higher incomes.

 
Sec. K-11. 22 MRSA §3174-V, as enacted by PL 1999, c. 401, Pt. T,
§1, is amended to read:

 
§3174-V. Federally qualified health center reimbursements

 
Beginning in fiscal year 1999-00 2003-04, the reimbursement
requirements listed in subsections 1 and 2 apply to payments for
certain federally qualified health centers as defined in 42
United States Code, Section 1395x, subsection(aa)(1993).

 
1. Services furnished by center. The department shall
reimburse a federally qualified health center no less than 100%
of reasonable costs, reduced by the total copayments for which
members are responsible, for services furnished by the center
within the scope of service approved by the federal Health
Resources and Services Administration or the commissioner if that
center:


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