§ 24 §2320 — Home health care coverage

Maine § 24 §2320

• Jurisdiction: Maine
• Title 24: INSURANCE
• Ch. 19: NONPROFIT HOSPITAL OR MEDICAL SERVICE ORGANIZATIONS

Text

Every nonprofit hospital and medical service organization which issues group and individual health care contracts providing coverage for inpatient hospital care to residents of this State shall make available coverage for home health services by a home health care provider which has contracted with the nonprofit hospital or medical service organization under terms and conditions which the organization deems satisfactory to its membership.
The contract providing coverage for home health care services may contain reasonable limitation on the number of home care visits and other services provided, but the number of such visits shall not be less than 90 in any continuous period of 12 months for each person covered under the contract. Each visit by an individual member of a home health care provider shall be considered as one home care visit.
1.
Home health care services.
"Home health care services" means those health care services rendered in a place of residence on a part-time basis to a covered person only if:
2.
Home health care services included.
Home health care services shall include:
3.
Home health care provider.
"Home health care provider" means a home health care agency which is certified under Title XVIII of the Social Security Act of 1965, as amended, which:
4.
Exclusions.

Legislative History

PL 1977, c. 470, §1 (NEW). PL 1977, c. 696, §201 (AMD). RR 2019, c. 2, Pt. B, §76 (COR).