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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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