LD 468
pg. 316
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LR 2149
Item 1

 
percentage of the alleged overpayment amount, except that the
department may engage a private vendor to conduct audits of
providers located outside this State and may base that vendor's
compensation on a percentage of the amount of overpayment received
by the department. The department shall disclose to the public any
mathematical algorithm used in performance of an audit.

 
PART UU

 
Sec. UU-1. 22 MRSA §254, 3rd ¶, as enacted by PL 2001, c. 691, §1 and
affected by §6, is amended to read:

 
The commissioner shall make available suitable applications
with instructions for applicants. By submitting an application
or participating in a review to redetermine eligibility for
benefits under this section, the applicant agrees that, if the
applicant is determined to be otherwise eligible for benefits
under this section, the department shall serve as the authorized
representative of the applicant for the purpose of enrollment in
any Medicare D plan.__The department shall choose which Medicare
D plan, options or coverage in which to enroll the applicant and
may choose to apply for any available subsidies on behalf of the
applicant. The department may adopt rules that describe any
circumstances in which it is permissible for any applicant
otherwise eligible for benefits under this section to retain the
right to enroll or make other choices in connection to Medicare D
coverage.

 
Sec. UU-2. 22 MRSA §254, sub-§1-A, ¶B, as enacted by PL 2001, c. 691,
§1 and affected by §6, is amended to read:

 
B. An individual does not receive full MaineCare
pharmaceutical benefits;.

 
Sec. UU-3. 22 MRSA §254, sub-§1-A, ¶¶C and D are enacted to read:

 
C.__An individual is not eligible for Medicare D benefits as
of January 1, 2006 or the date when enrollment for Medicare
D coverage becomes available to the individual, whichever
date is later.

 
D.__With regard to eligibility for wrap services only, an
individual eligible for full MaineCare benefits as well as
Medicare D coverage may also receive wrap services to the
extent provided in rules to be adopted by the department;

 
Sec. UU-4. 22 MRSA §254, sub-§11-A, as enacted by PL 2001, c. 691, §1
and affected by §6, is amended to read:


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