Maine Code § 24-A-2847-S

Coverage for children's early intervention services
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(REALLOCATED FROM TITLE 24-A, SECTION 2847-R)
1. Definition. For purposes of this section, "children's early intervention services" means services
provided by licensed occupational therapists, physical therapists, speech-language pathologists or
clinical social workers working with children from birth to 36 months of age with an identified
developmental disability or delay as described in the federal Individuals with Disabilities Education
Act, Part C, 20 United States Code, Section 1411, et seq.
[PL 2011, c. 420, Pt. A, §25 (RAL).]
2. Required coverage. All group health insurance policies, contracts and certificates must provide
coverage for children's early intervention services in accordance with this subsection.
A. A referral from the child's primary care provider is required. [PL 2011, c. 420, Pt. A, §25
(RAL).]
B. The policy, contract or certificate may limit coverage to $3,200 per year for each child not to
exceed $9,600 by the child's 3rd birthday. [PL 2011, c. 420, Pt. A, §25 (RAL).]
C. The policy, contract or certificate may contain provisions for maximum benefits and
coinsurance and reasonable limitations, deductibles and exclusions to the extent that these
provisions are not inconsistent with the requirements of this section. [PL 2011, c. 420, Pt. A,
§25 (RAL).]
[PL 2011, c. 420, Pt. A, §25 (RAL).]

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