Me. Stat. tit. 24-A, §§ 4331 through 4343: Health Plan Improvement Act – Maine

Status: Enacted
Year Enacted: 1999
Year Amended: 2003
File: Download

States that each carrier must provide information regarding its downstream risk arrangements to the superintendent, including whether services not furnished by the entity are covered by the risk arrangement, the type of risk arrangement, whether it involves a withhold or bonus, the panel size and number of enrollees covered, and, in the case of capitated entities, the capitation payments made to primary care providers broken down by percent for primary care services, referral services to specialists, hospital services and other types of provider services. States that the carrier must provide information on the risk arrangement to enrollees upon request.


Return to Database Search

© 2018- The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

Associated Litigation:

No items found