| | 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. |
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| | 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: |
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| | 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. |
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| | Sec. 5. 22 MRSA §1714-A, sub-§5, as enacted by PL 1991, c. 568, §4, is | amended to read: |
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| | 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. |
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| | 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. |
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