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payments made by plan enrollees also enrolled in | | MaineCare to those enrollees. |
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| | | (6) Dirigo Health shall require participating | | employers to pass on any subsidy in section 6912 to the | | plan enrollee qualifying for the subsidy, up to the | | amount of payments made by the plan enrollee. |
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| | | (7) Dirigo Health may establish other criteria for | | participation. |
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| | | (8) Dirigo Health may limit the number of | | participating employers. |
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| | | C. Dirigo Health may permit eligible individuals to | purchase Dirigo Health Insurance Program coverage for | | themselves and their dependents as set out in this | | paragraph. |
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| | | (1) Dirigo Health may establish contract and other | | reporting forms and procedures necessary for the | | efficient administration of contracts. |
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| | | (2) Dirigo Health may collect payments from eligible | | individuals participating in the Dirigo Health | Insurance Program to cover the cost of: |
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| | (a) Enrollment in the Dirigo Health Insurance | | Program for eligible individuals and dependents; |
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| | | (b) Dirigo Health's quality assurance, disease | | prevention, disease management and cost- | | containment programs; |
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| | | (c) Dirigo Health's administrative services; and |
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| | | (d) Other health promotion costs. |
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| | | (3) Dirigo Health shall reduce the payment amounts for | | individuals eligible for a subsidy under section 6912 | | accordingly. |
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| | | (4) Dirigo Health may require that eligible | | individuals certify that all their dependents are | enrolled in the Dirigo Health Insurance Program or are | | covered by another creditable plan. |
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| | | (5) Dirigo Health may require an eligible individual who is | | currently employed by an eligible employer that does not offer | | health insurance to certify that the current employer did not | | provide access to an |
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