Chapter 19: NONPROFIT HOSPITAL OR MEDICAL SERVICE ORGANIZATIONS
Subchapter 1: GENERAL PROVISIONS
§2324. Certified ambulatory health care center outpatient coverage
Every nonprofit hospital and medical service organization which issues group and individual health care contracts providing
coverage for inpatients and outpatient hospital care to residents of the State shall make available coverage for outpatient
health care to subscribers with health care facilities certified by the Department of Health and Human Services for purposes
of reimbursement under the United States Rural Health Clinic Services Act, Public Law 95-210, or its successor, and with incorporated
nonprofit health centers engaged in the delivery of comprehensive primary care provided the health care facility or nonprofit
health center providing the care has contracted with the organization on terms and conditions which the organization deems
satisfactory to its membership.
1979, c. 376, (NEW);
2003, c. 689, Pt. B, §6 (REV)
Services provided under such contract to certified rural health clinics shall include, but need not be limited to, services
presently provided for under group and individual health care contracts to hospitals or groups of hospitals presently licensed
under Title 22, chapter 405, or its successor. In no way shall services provided under such contracts to these health clinics
be construed to require a nonprofit hospital or medical services organization to provide contract coverage for a service in
a particular rural health clinic which does not meet state qualifications or criteria.
1979, c. 376, (NEW)
1979, c. 376, (NEW).
2003, c. 689, §B6 (REV).
Data for this page extracted on 10/16/2012 08:28:41.
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney.