The Department of Human Services is the state agency responsible for the financing and administration of MaineCare.__ It shall pay for MaineCare benefits for MaineCare-eligible individuals, including those enrolled in health plans in MaineCare that are providing coverage under Dirigo Health Insurance.

§6918.__Subsidies

Dirigo Health may establish sliding-scale subsidies for the purchase of Dirigo Health Insurance paid by individuals or employees whose income is under 300% of the federal poverty level and who are not eligible for MaineCare.__Dirigo Health may also establish sliding-scale subsidies for the purchase of employer- sponsored health coverage paid by employees of businesses with more than 50 employees, whose income is under 300% of the federal poverty level and who are not eligible for MaineCare.

1.__Administration.__Dirigo Health shall, by rule, establish procedures to administer this section.

2. Individuals eligible for subsidy.__Individuals eligible for a subsidy must:

A.__Have an income under 300% of the federal poverty level, be a resident of the State, be ineligible for MaineCare coverage and be enrolled in Dirigo Health Insurance; or

B.__Be enrolled in a health plan of an employer with more than 50 employees.__The health plan may not be self-funded and must meet any other criteria established by Dirigo Health.__The individual must meet other eligibility criteria established by Dirigo Health.

3.__Limitation of subsidies. Dirigo Health may limit the availability of subsidies to reflect limitations of available funds.

4.__Limitation on amount subsidized.__Dirigo Health may limit the amount subsidized of the payment made by individual plan enrollees under section 6916, subsection 2, paragraph C to 40% of the payment to more closely parallel the subsidy received by employees.__In no case may the subsidy granted to eligible individuals in accordance with subsection 2, paragraph A exceed the maximum subsidy level available to other eligible individuals.