Health Care Quality Only §6952

Forum

Advisory

Council

Sec. A-7. 22 MRSA §3174-G, sub-§1, as amended by PL 2001, c. 450, Pt. A, §§1 and 2, is amended to read:

1. Delivery of services. The department shall provide for the delivery of federally approved Medicaid services to the following persons:

A. A qualified woman during her pregnancy and up to 60 days following delivery when the woman's family income is equal to or below 200% of the nonfarm income official poverty line;

B. An infant under one year of age when the infant's family income is equal to or below 185% 200% of the nonfarm income official poverty line;

C. A qualified elderly or disabled person when the person's family income is equal to or below 100% of the nonfarm income official poverty line;

D. A child one year of age or older and under 19 years of age when the child's family income is equal to or below 150% 200% of the nonfarm income official poverty line;

E. The parent or caretaker relative of a child described in paragraph B or D when the child's family income is equal to or below 150% 200% of the nonfarm income official poverty line, subject to adjustment by the commissioner under this paragraph. Medicaid services provided under this paragraph must be provided within the limits of the program budget. Funds appropriated for services under this paragraph must include an annual inflationary adjustment equivalent to the rate of inflation in the Medicaid program. On a quarterly basis, the commissioner shall determine the fiscal status of program expenditures under this paragraph. If the commissioner determines that expenditures will exceed the funds available to provide Medicaid coverage pursuant to this paragraph, the commissioner must adjust the income eligibility limit for new applicants to the extent necessary to operate the program within the program budget. If, after an adjustment has occurred pursuant to this paragraph, expenditures fall below the program budget, the commissioner must raise the income eligibility limit to the extent necessary to provide services to as many eligible persons as