LD 1448
pg. 4
Page 3 of 7 An Act To Stabilize and Strengthen the MaineCare Program Page 5 of 7
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LR 1954
Item 1

 
Medicare Prescription Drug, Improvement,__and Modernization Act of
2003.

 
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.

 
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.

 
PART C

 
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.

 
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:

 
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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