Me. Rev. Stat. tit. 24-A, ch. 56 – Health Maintenance Organizations | Midpage

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Maine Revised Statutes

Chapter 56

Me. Rev. Stat. tit. 24-A, ch. 56

Health Maintenance Organizations

4201Short title 4202-ADefinitions 4203Establishment of health maintenance organizations 4204Issuance of certificate of authority 4204-ASurplus requirements 4205Powers of health maintenance organizations 4205-AContinuity of licensure; business combinations 4206Governing body 4207Evidence of coverage and charges for health care services 4207-APoint-of-service products 4208Annual and interim reports 4209Information to enrollees 4210Open enrollment 4211Complaint system 4212Prohibited practices 4213Regulation of agents 4214Powers of insurers and nonprofit hospital or medical service corporations 4215Examinations 4216Suspension or revocation of certificate of authority 4217Rehabilitation, liquidation or conservation of health maintenance organizations 4218Regulations 4218-ACompliance with the Affordable Care Act 4219Administrative procedures 4220Fees 4221Penalties and enforcement 4222Statutory construction and relationship to other laws 4222-ARules 4222-BApplicability 4223Filings and reports as public documents 4224Confidentiality; liability; access to records 4225Commissioner of Health and Human Services' authority to contract 4226Federal legislation 4227Choice of alternative coverage 4228Utilization review data 4229Acquired Immune Deficiency Syndrome 4231Insolvency or withdrawal; alternative coverage 4232Replacement coverage 4233Registration, regulation and supervision of holding company systems 4233-AExtension of coverage for dependent children 4233-BMandatory offer to extend coverage for dependent children up to 26 years of age 4233-CMandatory offer of coverage for certain adults with disabilities 4234Child coverage 4234-AMental health services coverage 4234-BMaternity and routine newborn care 4234-CNewborn children coverage 4234-DOff-label use of prescription drugs for cancer 4234-EOff-label use of prescription drugs for HIV or AIDS 4234-FMaternity and postpartum care 4235Standardized claim forms 4236Chiropractors in health maintenance organizations 4237Coverage for breast cancer treatment 4237-ACoverage for screening mammograms and diagnostic and supplemental breast examinations 4238Medical food coverage for inborn error of metabolism 4239Medical child support 4240Coverage for diabetes supplies 4241Gynecological and obstetrical services 4243Limits on priority liens; subrogation 4245NCQA accreditation survey report 4246Coverage for services provided by registered nurse first assistants 4249Mandated offer of domestic partner benefits 4252Offer of coverage for breast reduction surgery and symptomatic varicose vein surgery 4253Enrollment for individuals or families establishing eligibility for MaineCare 4254Coverage for colorectal cancer screening 4257Coverage for services provided by independent practice dental hygienist or dental hygienist 4258Coverage for children's early intervention services 4260Dental benefit waiting period 4261Fees for covered dental services