§ 24-A §6910 — Dirigo Health Program

1.
Dirigo Health Program.
Dirigo Health shall arrange for the provision of health benefits coverage through the Dirigo Health Program not later than October 1, 2004. The Dirigo Health Program must comply with all relevant requirements of this Title. Dirigo Health Program coverage may be offered by health insurance carriers that apply to the board and meet qualifications described in this section and any additional qualifications set by the board or may be provided through the Dirigo Health Self-administered Plan pursuant to section 6981.
2.
Legislative approval of nonprofit health care plan or expansion of public plan.
If health insurance carriers do not apply to offer and deliver Dirigo Health Program coverage, the board may have Dirigo Health provide access to health insurance by proposing the establishment of a nonprofit health care plan organized under Title 13‑B and authorized pursuant to Title 24, chapter 19 or by proposing the expansion of an existing public plan. If the board proposes the establishment of a nonprofit health care plan or the expansion of an existing public plan, the board shall submit its proposal, including, but not limited to, a funding mechanism to capitalize a nonprofit health care plan and any recommended legislation to the joint standing committee of the Legislature having jurisdiction over health insurance matters. Dirigo Health may not provide access to health insurance by establishing a nonprofit health care plan or through an existing public plan without specific legislative approval.
3.
Carrier participation requirements.
To qualify as a carrier of Dirigo Health Program coverage, a health insurance carrier must:
4.
Contracting authority.
Dirigo Health has contracting authority and powers to administer Dirigo Health Insurance as set out in this subsection.
5.
Enrollment in Dirigo Health Program.
Dirigo Health shall perform, at a minimum, the following functions to facilitate enrollment in the Dirigo Health Program.
6.
Quality improvement, disease management and cost containment.
Dirigo Health shall promote quality improvement, disease prevention, disease management and cost-containment programs as part of its administration of the Dirigo Health Program.

Legislative History

RR 2003, c. 1, §22 (COR). PL 2003, c. 469, §A8 (NEW). PL 2005, c. 400, §C8 (AMD). PL 2007, c. 447, §9 (AMD). PL 2021, c. 366, §29 (AMD). PL 2021, c. 553, §17 (AMD).