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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. |
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| | | Sec. UU-1. 22 MRSA §254, 3rd ¶, as enacted by PL 2001, c. 691, §1 and | | affected by §6, is amended to read: |
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| | | 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. |
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| | | 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: |
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| | | B. An individual does not receive full MaineCare | pharmaceutical benefits;. |
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| | | Sec. UU-3. 22 MRSA §254, sub-§1-A, ¶¶C and D are enacted to read: |
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| | | 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. |
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| | | 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; |
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| | | 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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