Maine § 22 §3174-G Medicaid coverage of certain elderly and disabled individuals, children and pregnant women; transitional Medicaid

Maine Statutes

§ 22 §3174-G — Medicaid coverage of certain elderly and disabled individuals, children and pregnant women; transitional Medicaid

Maine·Title 22 HEALTH AND WELFARE·Part 1 ADMINISTRATION·Ch. 855 AID TO NEEDY PERSONS

1.Delivery of services. The department shall provide for the delivery of federally approved Medicaid services to the following persons: 1-A. Elderly prescription drug program. 1-B. Funding. State funds necessary to implement subsection 1‑C must include General Fund appropriations and Other Special Revenue allocations from the Fund for a Healthy Maine to the elderly low-cost drug program operated pursuant to section 254‑D, including rebates received in that program from pharmaceutical manufacturers, that are no longer needed in that program as a result of the Medicaid waiver obtained pursuant to subsection 1‑C. 1-C. Prescription drug waiver program. Except as provided in paragraph G, the department shall apply to the federal Centers for Medicare and Medicaid Services for a waiver or amend

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1.
Delivery of services.
The department shall provide for the delivery of federally approved Medicaid services to the following persons:
1-A.
Elderly prescription drug program.
1-B.
Funding.
State funds necessary to implement subsection 1‑C must include General Fund appropriations and Other Special Revenue allocations from the Fund for a Healthy Maine to the elderly low-cost drug program operated pursuant to section 254‑D, including rebates received in that program from pharmaceutical manufacturers, that are no longer needed in that program as a result of the Medicaid waiver obtained pursuant to subsection 1‑C.
1-C.
Prescription drug waiver program.
Except as provided in paragraph G, the department shall apply to the federal Centers for Medicare and Medicaid Services for a waiver or amend a pending or current waiver under the Medicaid program authorizing the department to use federal matching dollars to enhance the prescription drug benefits available to persons who qualify for the elderly low-cost drug program established under section 254‑D. The program created pursuant to the waiver is the prescription drug waiver program, referred to in this subsection as the "program."
1-D.
Enrollment fee.
The department may assess an annual enrollment fee of $25 for participation in the MaineCare program for a family including a parent or caretaker relative of a child described in subsection 1, paragraph B when the family's income exceeds 150% of the nonfarm income official poverty line.
2.
Resource test.
The department may not apply a resource test to those children and pregnant women who are made eligible under this section, unless these persons also receive Temporary Assistance for Needy Families or United States Supplemental Security Income benefits.
3.
Benefits authorized.
The scope of medical assistance to be provided within this section must be that authorized by the Federal Sixth Omnibus Budget Reconciliation Act, Public Law 99-509.
4.
Transitional Medicaid.
The department shall administer a program of transitional Medicaid to families receiving benefits under Section 1931 of the federal Social Security Act in accordance with 42 United States Code, Section 1396r‑6 and this subsection. The amount, duration and scope of services provided under this subsection must be the same as that provided to a parent or caretaker relative of a child described in subsection 1, paragraph B.

Maine § 22 §3174-G (Medicaid coverage of certain elderly and disabled individuals, children and pregnant women; transitional Medicaid) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Legislative History

PL 1989, c. 502, §A72 (NEW). PL 1997, c. 530, §A34 (AMD). PL 1997, c. 643, §RR4 (AMD). PL 1997, c. 777, §A1 (AMD). PL 1999, c. 401, §§KKK2,3 (AMD). PL 1999, c. 401, §KKK10 (AFF). PL 1999, c. 531, §F2 (AFF). PL 1999, c. 731, §§KK1,OO1 (AMD). PL 1999, c. 790, §A25 (AMD). PL 2001, c. 450, §§A1,2 (AMD). PL 2001, c. 650, §§1-3 (AMD). PL 2003, c. 469, §A5 (AMD). PL 2003, c. 469, §A11 (AFF). PL 2003, c. 673, §§Y1,2 (AMD). PL 2003, c. 673, §Y3 (AFF). PL 2005, c. 3, §M1 (AMD). PL 2005, c. 3, §M2 (AFF). PL 2005, c. 401, §§C5,6 (AMD). PL 2007, c. 539, Pt. NNN, §1 (AMD). PL 2007, c. 695, Pt. C, §§9, 10 (AMD). PL 2011, c. 380, Pt. KK, §§2, 3 (AMD). PL 2011, c. 477, Pt. Z, §1 (AMD). PL 2011, c. 657, Pt. Z, §1 (AMD). PL 2011, c. 657, Pt. Z, §2 (AFF). IB 2017, c. 1, Pt. A, §§1-3 (AMD). PL 2019, c. 485, §2 (AMD). PL 2021, c. 461, §§1-7 (AMD). PL 2021, c. 519, §§1-8 (AMD). PL 2021, c. 519, §11 (AFF). PL 2021, c. 635, Pt. CCC, §§1, 2 (AMD). PL 2023, c. 597, §§5-10 (AMD).