LD 988
pg. 1
LD 988 Title Page An Act to Facilitate the Collection of Data Concerning the Health Care Services... Page 2 of 3
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LR 1277
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 24 MRSA §2332-J is enacted to read:

 
§2332-J.__Health care services provided by certified nurse

 
practitioners and certified nurse midwives

 
1.__Provider identification numbers.__A nonprofit hospital or
medical service organization that issues group and individual
health care contracts and provides coverage under those contracts
for services performed by certified nurse practitioners and
certified nurse midwives shall assign identification numbers to
certified nurse practitioners and certified nurse midwives that
perform covered services for individuals covered under those
contracts.

 
2.__Submission of claim.__A claim submitted for payment to a
nonprofit hospital or medical service organization by a health
care provider or facility must include the identification number
required by subsection 1 of the certified nurse practitioner or
certified nurse midwife that provided the service.

 
3.__Report to Superintendent of Insurance.__A nonprofit
hospital or medical service organization subject to this section
shall report its experience related to services provided by
certified nurse practitioners and certified nurse midwives for
each calendar year to the Superintendent of Insurance not later
than April 30th of the following year.__The report must be in a
form prescribed by the superintendent and include the total
amount of claims paid in this State for the services of certified
nurse practitioners and certified nurse midwives, the amount of
claims paid for inpatient, outpatient and day treatment services
and utilization rates.__The superintendent shall compile this
data for all nonprofit hospital or medical service organizations
in an annual report.

 
Sec. 2. 24-A MRSA §2756 is enacted to read:

 
§2756.__Health care services provided by certified nurse

 
practitioners and certified nurse midwives

 
1.__Provider identification numbers.__An insurer that issues
individual health care contracts and provides coverage under
those contracts for services performed by certified nurse
practitioners and certified nurse midwives shall assign
identification numbers to certified nurse practitioners and
certified nurse midwives that perform covered services for
individuals covered under those contracts.

 
2.__Submission of claim.__A claim submitted for payment to an
insurer by a health care provider or facility must include the


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