An Act To Require Payment by a Carrier for Health Care Services Provided to Enrollees of the Carrier
Be it enacted by the People of the State of Maine as follows:
Sec. 1. 24-A MRSA §4303, sub-§2-A is enacted to read:
2-A. Payment to provider for services rendered during pendency of credentialling. A carrier offering or renewing a health plan in the State shall pay claims for services rendered to an enrollee by a provider during the 60 days immediately preceding the date credentials are granted to that provider by the carrier.
summary
Providers who treat enrollees of a carrier are not compensated for care provided during the pendency of credentialling. This bill requires retroactive payment to a provider for services rendered up to 60 days prior to credentials being granted.