HP0826, LD 1114, item 4, Document Text

Amend the bill by striking out everything after the enacting clause and before the summary and inserting the following:

‘Sec. 1. 22 MRSA §3174-F, sub-§1, ¶F, as enacted by PL 1997, c. 159, §2, is repealed.

Sec. 2. 22 MRSA §3174-F, sub-§1, ¶G is enacted to read:

G. To the extent consistent with federal law, other dental services, which may include preventive and restorative services and partial or full dentures, when the department determines that the other dental services are medically necessary to correct or ameliorate an underlying medical condition and will be cost-effective in comparison to the provision of other covered medical services for the treatment of that condition.

(1) By October 1, 2012 and quarterly thereafter, as limited by existing resources, the department shall convene the MaineCare Dental Advisory Commission and representatives of dental clinics, private dentists, MaineCare members and others with expertise in medical and oral health to develop a list of underlying medical conditions for which MaineCare dental services will be provided under this paragraph.

(2) The dental services must be available to MaineCare members without prior authorization, must meet the requirements of this paragraph, must be identified by a dentist or oral surgeon as dental services of short duration and must include services that will reduce the need for care in a hospital emergency department or reduce the need for other covered services.

’

(3) When the list under subparagraph (1) has been developed, the department shall amend the rules of the MaineCare program to cover the listed services. Rules adopted pursuant to this subparagraph are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A.

summary

This amendment, which is the minority report of the committee, replaces the bill. It retains the provisions of the bill that seek to provide cost-effective dental services for adult MaineCare members and adds a process for identifying those services and a requirement that the services be cost-effective. It is the same as Committee Amendment "A" with the addition of a clarification that any provision of dental services must be consistent with federal law.

HP0826 LD 1114	Second Regular Session - 125th Maine Legislature C "B", Filing Number H-818, Sponsored by		LR 1830 Item 4
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