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Medicare Prescription Drug, Improvement,__and Modernization Act of | 2003. |
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| | 5.__Report by Treasurer of State.__The Treasurer of State | shall report at least annually on the fund on or before the 2nd | Friday in November to the joint standing committee of the | Legislature having jurisdiction over appropriations and financial | affairs and the joint standing committee of the Legislature | having jurisdiction over health and human services matters.__The | report must summarize the status of and activity in the fund. |
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| | Sec. B-2. Rebates on injectable drugs administered in office. The Department of | Health and Human Services shall adopt rules by October 15, 2005 | that ensure the collection of the full value of rebates owed to | the department on injectable prescription drugs that are provided | in the office of a physician or in another health care facility | and that are paid for by the MaineCare program under the Maine | Revised Statutes, Title 22, chapter 855 or the elderly low-cost | drug program under Title 22, section 254. Rules adopted pursuant | to this section are routine technical rules as defined in Title | 5, chapter 375, subchapter 2-A. |
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| | Sec. C-1. Medicare billing. By October 15, 2005 the Department of | Health and Human Services shall contract for services to recover | payments from the federal Medicare program for health care | services that would otherwise be paid for under the MaineCare | program for persons who are eligible under both programs. The | contractor is authorized to submit requests for payment and | pursue claims and appeals on behalf of the Department of Health | and Human Services, Bureau of Medical Services and dually | eligible MaineCare members for health care services, including, | but not limited to, skilled nursing facility care and home health | care. |
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| | Sec. C-2. Coordination of benefits. The Department of Health and Human | Services shall coordinate benefits among the MaineCare program | under the Maine Revised Statutes, Title 22, chapter 855, the | elderly low-cost drug program under Title 22, section 254, the | Medicare program under 42 United States Code, Section 1395 et | seq. and the federal Medicare Prescription Drug, Improvement, and | Modernization Act of 2003. In providing this coordination, the | Department of Health and Human Services shall: |
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| A. Maximize federal funding available through the federal | Medicaid program and the federal Medicare Prescription Drug, | Improvement, and Modernization Act of 2003; |
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