LD 1319
pg. 320
Page 319 of 460 PUBLIC Law Chapter 20 Page 321 of 460
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LR 2000
Item 1

 
A. Is receiving a grant under Section 330 of the federal
Public Health Services Act; or

 
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.

 
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.

 
Sec. K-12. 22 MRSA §3174-AA is enacted to read:

 
§3174-AA.__Mail order drugs

 
The department shall require MaineCare members to purchase
maintenance drugs by mail order when substantial cost
efficiencies can be obtained by doing so.

 
Sec. K-13. 22 MRSA §3521, last ¶, as enacted by PL 1999, c. 790, Pt.
B, §3, is amended to read:

 
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.

 
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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