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24-A §4201. Short title - §4201. Short title This chapter may be cited as the...
24-A §4202. Definitions (REPEALED) - §4202. Definitions (REPEALED) SECTION HISTORY PL 1975, c. 503 (NEW)....
24-A §4202-A. Definitions - §4202-A. Definitions As used in this chapter, unless the context...
24-A §4203. Establishment of health maintenance organizations - §4203. Establishment of health maintenance organizations 1. Subject to the...
24-A §4204. Issuance of certificate of authority - §4204. Issuance of certificate of authority 1. Procedure upon receipt...
24-A §4204-A. Surplus requirements - §4204-A. Surplus requirements 1. Initial minimum surplus. To qualify for...
24-A §4205. Powers of health maintenance organizations - §4205. Powers of health maintenance organizations 1. The powers of...
24-A §4205-A. Continuity of licensure; business combinations - §4205-A. Continuity of licensure; business combinations When a health maintenance...
24-A §4206. Governing body - §4206. Governing body 1. The governing body of any health...
24-A §4207. Evidence of coverage and charges for health care services - §4207. Evidence of coverage and charges for health care services...
24-A §4207-A. Point-of-service products - §4207-A. Point-of-service products 1. Product design; mandatory requirements. A point-of-service...
24-A §4208. Annual and interim reports - §4208. Annual and interim reports 1. Every health maintenance organization...
24-A §4209. Information to enrollees - §4209. Information to enrollees 1. Information provided annually. Every health...
24-A §4210. Open enrollment - §4210. Open enrollment 1. After a health maintenance organization has...
24-A §4210-A. Continuity of health insurance coverage (REPEALED) - §4210-A. Continuity of health insurance coverage (REPEALED) SECTION HISTORY PL...
24-A §4211. Complaint system - §4211. Complaint system 1. Every health maintenance organization shall establish...
24-A §4212. Prohibited practices - §4212. Prohibited practices 1. No health maintenance organization, or representative...
24-A §4213. Regulation of agents - §4213. Regulation of agents The superintendent may, after notice and...
24-A §4214. Powers of insurers and nonprofit hospital or medical service corporations - §4214. Powers of insurers and nonprofit hospital or medical service...
24-A §4215. Examinations - §4215. Examinations 1. The superintendent may make an examination of...
24-A §4216. Suspension or revocation of certificate of authority - §4216. Suspension or revocation of certificate of authority 1. Notwithstanding...
24-A §4217. Rehabilitation, liquidation or conservation of health maintenance organizations - §4217. Rehabilitation, liquidation or conservation of health maintenance organizations Any...
24-A §4218. Regulations - §4218. Regulations The superintendent may, after notice and hearing pursuant...
24-A §4218-A. Compliance with the Affordable Care Act - §4218-A. Compliance with the Affordable Care Act The superintendent may...
24-A §4219. Administrative procedures - §4219. Administrative procedures 1. When the superintendent has cause to...
24-A §4220. Fees - §4220. Fees 1. Every health maintenance organization subject to this...
24-A §4221. Penalties and enforcement - §4221. Penalties and enforcement 1. The superintendent may levy an...
24-A §4222. Statutory construction and relationship to other laws - §4222. Statutory construction and relationship to other laws 1. Except...
24-A §4222-A. Rules - §4222-A. Rules Subject to the applicable requirements and procedures of...
24-A §4222-B. Applicability - §4222-B. Applicability 1. Every health maintenance organization licensed under this...
24-A §4223. Filings and reports as public documents - §4223. Filings and reports as public documents All applications, filings...
24-A §4224. Confidentiality; liability; access to records - §4224. Confidentiality; liability; access to records 1. Confidentiality. Any data...
24-A §4224-A. Loss information (REPEALED) - §4224-A. Loss information (REPEALED) SECTION HISTORY PL 1995, c. 71,...
24-A §4225. Commissioner of Health and Human Services' authority to contract - §4225. Commissioner of Health and Human Services' authority to contract...
24-A §4226. Federal legislation - §4226. Federal legislation Nothing in this chapter shall prohibit any...
24-A §4227. Choice of alternative coverage - §4227. Choice of alternative coverage Any employer of more than...
24-A §4228. Utilization review data - §4228. Utilization review data 1. Report required. On or before...
24-A §4229. Acquired Immune Deficiency Syndrome - §4229. Acquired Immune Deficiency Syndrome No policy, contract or certificate...
24-A §4230. Trade practices and frauds (REPEALED) - §4230. Trade practices and frauds (REPEALED) SECTION HISTORY PL 1989,...
24-A §4231. Insolvency or withdrawal; alternative coverage - §4231. Insolvency or withdrawal; alternative coverage 1. Continuation of coverage...
24-A §4232. Replacement coverage - §4232. Replacement coverage 1. Group hospital, medical or surgical expenses,...
24-A §4233. Registration, regulation and supervision of holding company systems - §4233. Registration, regulation and supervision of holding company systems 1....
24-A §4233-A. Extension of coverage for dependent children - §4233-A. Extension of coverage for dependent children An individual or...
24-A §4233-B. Mandatory offer to extend coverage for dependent children up to 26 years of age - §4233-B. Mandatory offer to extend coverage for dependent children up...
24-A §4233-C. Mandatory offer of coverage for certain adults with disabilities - §4233-C. Mandatory offer of coverage for certain adults with disabilities...
24-A §4234. Child coverage - §4234. Child coverage 1. Definitions. For the purposes of this...
24-A §4234-A. Mental health services coverage - §4234-A. Mental health services coverage 1. Findings. The Legislature finds...
24-A §4234-B. Maternity and routine newborn care - §4234-B. Maternity and routine newborn care Individual and group contracts...
24-A §4234-C. Newborn children coverage - §4234-C. Newborn children coverage All individual and group health maintenance...
24-A §4234-D. Off-label use of prescription drugs for cancer - §4234-D. Off-label use of prescription drugs for cancer 1. Definitions....
24-A §4234-E. Off-label use of prescription drugs for HIV or AIDS - §4234-E. Off-label use of prescription drugs for HIV or AIDS...
24-A §4234-F. Maternity and postpartum care - §4234-F. Maternity and postpartum care A health maintenance organization that...
24-A §4235. Standardized claim forms - §4235. Standardized claim forms All health maintenance organizations providing payment...
24-A §4236. Chiropractors in health maintenance organizations - §4236. Chiropractors in health maintenance organizations Every health maintenance organization...
24-A §4237. Coverage for breast cancer treatment - §4237. Coverage for breast cancer treatment 1. Inpatient care. All...
24-A §4237-A. Screening mammograms - §4237-A. Screening mammograms 1. Definition. For purposes of this section,...
24-A §4238. Medical food coverage for inborn error of metabolism - §4238. Medical food coverage for inborn error of metabolism 1....
24-A §4239. Medical child support - §4239. Medical child support A health maintenance organization must comply...
24-A §4240. Coverage for diabetes supplies - §4240. Coverage for diabetes supplies All health maintenance organization individual...
24-A §4241. Gynecological and obstetrical services - §4241. Gynecological and obstetrical services 1. Coverage in managed care...
24-A §4242. Coverage for Pap tests (REALLOCATED FROM TITLE 24-A, SECTION 4240) - §4242. Coverage for Pap tests (REALLOCATED FROM TITLE 24-A, SECTION...
24-A §4243. Limits on priority liens; subrogation - §4243. Limits on priority liens; subrogation An individual or group...
24-A §4244. Coverage for prostate cancer screening (REALLOCATED FROM TITLE 24-A, SECTION 4243) - §4244. Coverage for prostate cancer screening (REALLOCATED FROM TITLE 24-A,...
24-A §4245. NCQA accreditation survey report - §4245. NCQA accreditation survey report 1. Access and confidentiality. The...
24-A §4246. Coverage for services provided by registered nurse first assistants - §4246. Coverage for services provided by registered nurse first assistants...
24-A §4247. Coverage for contraceptives (REALLOCATED FROM TITLE 24-A, SECTION 4245) - §4247. Coverage for contraceptives (REALLOCATED FROM TITLE 24-A, SECTION 4245)...
24-A §4248. Coverage for services of certified nurse practitioners; certified midwives; certified nurse midwives (REALLOCATED FROM TITLE 24-A, SECTION 4245) - §4248. Coverage for services of certified nurse practitioners; certified midwives;...
24-A §4249. Mandated offer of domestic partner benefits - §4249. Mandated offer of domestic partner benefits 1. Definition. [PL...
24-A §4250. Coverage for hospice care services (REALLOCATED FROM TITLE 24-A, SECTION 4249) - §4250. Coverage for hospice care services (REALLOCATED FROM TITLE 24-A,...
24-A §4251. Coverage for general anesthesia for dentistry (REALLOCATED FROM TITLE 24-A, SECTION 4249) - §4251. Coverage for general anesthesia for dentistry (REALLOCATED FROM TITLE...
24-A §4252. Offer of coverage for breast reduction surgery and symptomatic varicose vein surgery - §4252. Offer of coverage for breast reduction surgery and symptomatic...
24-A §4253. Enrollment for individuals or families establishing eligibility for MaineCare - §4253. Enrollment for individuals or families establishing eligibility for MaineCare...
24-A §4254. Coverage for colorectal cancer screening - §4254. Coverage for colorectal cancer screening 1. Colorectal cancer screening....
24-A §4255. Coverage for hearing aids (REALLOCATED FROM TITLE 24-A, SECTION 4253) - §4255. Coverage for hearing aids (REALLOCATED FROM TITLE 24-A, SECTION...
24-A §4256. Coverage for medically necessary infant formula (REALLOCATED FROM TITLE 24-A, SECTION 4254) - §4256. Coverage for medically necessary infant formula (REALLOCATED FROM TITLE...
24-A §4257. Coverage for services provided by independent practice dental hygienist - §4257. Coverage for services provided by independent practice dental hygienist...
24-A §4258. Coverage for children's early intervention services - §4258. Coverage for children's early intervention services 1. Definition. For...
24-A §4259. Coverage for the diagnosis and treatment of autism spectrum disorders (REALLOCATED FROM TITLE 24-A, §4258) - §4259. Coverage for the diagnosis and treatment of autism spectrum...
24-A §4260. Dental benefit waiting period - §4260. Dental benefit waiting period 1. Enrollee defined. For the...