LD 124
Session - 127th Maine Legislature
LR 1150
Item 1
Bill Tracking, Additional Documents Chamber Status

An Act To Require Payment by a Carrier for Health Care Services Provided to Enrollees of the Carrier

Be it enacted by the People of the State of Maine as follows:

Sec. 1. 24-A MRSA §4303, sub-§2-A  is enacted to read:

2-A Payment to provider for services rendered during pendency of credentialling.   A carrier offering or renewing a health plan in the State shall pay claims for services rendered to an enrollee by a provider during the 60 days immediately preceding the date credentials are granted to that provider by the carrier.


Providers who treat enrollees of a carrier are not compensated for care provided during the pendency of credentialling. This bill requires retroactive payment to a provider for services rendered up to 60 days prior to credentials being granted.

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