LD 332
pg. 1
LD 332 Title Page Resolve, Affecting the MaineCare Reimbursement Formula LD 332 Title Page
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LR 1590
Item 1

 
Sec. 1. Rulemaking. Resolved: That by November 1, 2003, the
Department of Human Services shall amend the rules affecting
the MaineCare medical care reimbursement formula for hospital
services. Rules adopted pursuant to this section are routine
technical rules as defined in the Maine Revised Statutes,
Title 5, chapter 375, subchapter 2-A. The rules must:

 
1. Exclude from reimbursement the costs of advertising for
hospital services or for physicians who serve on the staff of
the hospital;

 
2. Exclude from reimbursement the costs of physician time
that is not spent in direct patient care or other required
hospital or patient-related activity;

 
3. Exclude all reimbursement if the hospital uses economic
credentialing to exclude physicians who are not employed by
the hospital; and

 
4. Restrict physician reimbursement to direct care services
provided to patients.

 
SUMMARY

 
This resolve directs the Department of Human Services to
amend the rules for reimbursement under the MaineCare program
for the reimbursement of hospitals by November 1, 2003. It
designates the rules as routine technical rules as defined in
Title 5, chapter 375, subchapter 2-A.


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