122nd MAINE LEGISLATURE
LD 600 LR 0761(01)
An Act To Save the Health Care System Money by Ensuring Timely Denials of Claims
Fiscal Note for Original Bill
Sponsor: Rep. Glynn of South Portland
Committee: Insurance and Financial Services
Fiscal Note Required: Yes
   
             
Fiscal Note
Undetermined current biennium cost increase - General Fund
Fiscal Detail and Notes
Provisions of the bill that require MaineCare to pay claims submitted by a provider that have not been paid within 90 days by the primary carrier would significantly increase both claims payment and administrative costs for the MaineCare program.  Under current law, the MaineCare program would not pay such claims without an appropriate explanation of actions taken by the primary carrier.  Requiring MaineCare to automatically pay these claims after 90 days would increase MaineCare claims costs in the short term, increase MaineCare administrative costs to recover these payments from the primary carrier, and increase longer term MaineCare claims costs if these recovery efforts are not as successful as current law actions to avoid such costs.