|
| | | Department personnel assigned to MaineCare provider relations | | shall assist MaineCare providers in addressing and resolving in a | | cost-effective and expeditious manner any disagreements between | | the department and providers or groups of providers.__Provider | | relations personnel shall receive and investigate complaints and | | concerns from providers regarding the MaineCare program and the | | MaineCare reimbursement prior to informal review or | | administrative hearing.__In performing their duties under this | | subsection, the provider relations personnel must have access to | | the Director of the Bureau of Medical Services.__The department | | shall implement the provisions of this section within existing | | resources. |
|
| | | Sec. 4. 22 MRSA §1714-A, sub-§2, as amended by PL 2001, c. 596, Pt. B, | | §4 and affected by §25, is further amended to read: |
|
| | | 2. Establishment of debt. A debt is established by the | | department when it notifies a provider of debt that the provider | owes the department pursuant to a final reconciliation decision | | and order that constitutes final agency action. A debt is | | collectible by the department 31 days after exhaustion of all | | administrative appeals and any judicial review available under | | Title 5, chapter 375. |
|
| | | Sec. 5. 22 MRSA §1714-A, sub-§5, as enacted by PL 1991, c. 568, §4, is | | amended to read: |
|
| | | 5. Department may offset. The department may offset against | | current reimbursement owed to a provider or any entity related by | | ownership or control to that provider any debt it is owed by that | | provider after the debt becomes collectible. The department | | shall adopt rules that implement this subsection and define the | | ownership or control relationships that are subject to an offset | | under this subsection.__Rules adopted pursuant to this subsection | | are routine technical rules as defined in Title 5, chapter 375, | | subchapter 2-A. |
|
| | | Sec. 6. Complaint resolution and informal hearing process recommendations. By | | January 5, 2004, the Department of Human Services and the Department of | | Behavioral and Developmental Services, in conjunction with their duties | | with regard to merger of the 2 departments under Public Law 2003, chapter | | 20, Part K, section 18, shall report to the Joint Standing Committee on | | Health and Human Services recommendations to improve the MaineCare | | complaint resolution and informal hearing process that ensure that | | MaineCare providers receive fair and impartial complaint resolution | | procedures and informal hearings. |
|
|