LD 444
pg. 1
LD 444 Title Page An Act Providing Procedures To Protect Members upon Redesign of the MaineCare P... LD 444 Title Page
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LR 92
Item 1

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

Sec. 1. 22 MRSA §3174-FF, sub-§3, ķI is enacted to read:

I.__A member is eligible for covered services determined to
be medically necessary in addition to those provided or
limited under paragraphs A to H if failure to provide the
services would create a substantial likelihood that the
member's medical condition will deteriorate or if the
provision of those services would be cost-effective in
comparison to the provision of other covered medical
services for the treatment of the member's medical


This bill provides that a member of MaineCare whose services
are limited under MaineCare Basic is eligible for additional
medically necessary services if failure to provide those services
creates a substantial likelihood of deterioration of medical
condition or if providing those services is cost-effective.

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