Legislation


Me. Stat. tit. 24-A, § 4303. Plan requirements: Health Plan Requirements – Maine

Status: Enacted
Year Enacted: 1995
Year Amended: 2017
File: Download

Prescribes requirements for health plan contracts. Among other things, such as ensuring adequate access to providers, the statute prohibits certain contract provisions including (1) those which induce financial incentives to deny medically necessary services and (2) most-favored-nations clauses. Balance billing allowed but managed care providers required to provide notice of practices, disclose maximum out-of-pocket charge on request; Additional rules for participating providers.


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