| | | A. Is receiving a grant under Section 330 of the federal | | Public Health Services Act; or |
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| | | B. Is receiving funding under contract with the recipient | | of a grant under Section 330 of the federal Public Health | | Services Act, is identified as a subrecipient in the Section | | 330 grantee's approved scope of work and meets the | | requirements to receive a grant under Section 330 of that | | Act. |
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| | | 2. Contracted services. When a federally qualified health | | center otherwise meeting the requirements of subsection 1 | | contracts with a managed care plan for the provision of Medicaid | | services, the department shall reimburse that center the | | difference between the payment received by the center from the | | managed care plan and 100% of the reasonable cost, reduced by the | | total copayments for which members are responsible, incurred in | providing the services within the scope of service approved by | | the federal Health Resources and Services Administration or the | | commissioner. Any such managed care contract must provide | | payments for the services of a center that are not less than the | | level and amount of payment that the managed care plan would make | | for services provided by an entity not defined as a federally | | qualified health center. |
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| | | Sec. K-12. 22 MRSA §3174-AA is enacted to read: |
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| | | §3174-AA.__Mail order drugs |
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| | | The department shall require MaineCare members to purchase | | maintenance drugs by mail order when substantial cost | | efficiencies can be obtained by doing so. |
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| | | Sec. K-13. 22 MRSA §3521, last ¶, as enacted by PL 1999, c. 790, Pt. | | B, §3, is amended to read: |
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| | | The department shall, after hearing, in a manner consistent | | with the Maine Administrative Procedure Act, adopt rules | | governing eligibility, application procedures, services covered | | and reimbursement procedures, including member responsibility for | | a $10 copayment for prescriptions; a $10 copayment for an office | | visit to a physician, optometrist or optician; and a $50 | | copayment for a hospital procedure or an ambulatory surgical | | center procedure. The authority to adopt rules granted by this | | paragraph is deemed to be the same authority granted by former | | section 3501-B. |
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| | | Sec. K-14. 22 MRSA §3790, sub-§1, as enacted by PL 1997, c. 530, Pt. | | B, §1, is amended to read: |
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