Maine Code § 24-A-4329

Independent health care provider assistance
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1. Independent health care provider defined. For the purposes of this section, "independent
health care provider" means an independent health care practitioner or group of independent health care
practitioners with 6 or fewer health care practitioners, but does not include a health care practitioner
employed by a hospital or health system or a group of health care practitioners that is owned or operated,
in whole or in part, by a hospital or health system.
[PL 2023, c. 590, §1 (NEW).]

2. Liaison program. The bureau shall establish a liaison program, referred to in this section as
"the program," to provide assistance to independent health care providers as set forth in this section.
[PL 2023, c. 590, §1 (NEW).]
3. Duties. The duties of the program include:
A. Providing information to independent health care providers on how to contact the program for
assistance through the bureau's publicly accessible website and through a toll-free number; [PL
2023, c. 590, §1 (NEW).]
B. Providing information to independent health care providers on the bureau's publicly accessible
website regarding the State's health insurance laws and rules and the rights and responsibilities of
carriers and health care providers; [PL 2023, c. 590, §1 (NEW).]
C. Assisting independent health care providers with inquiries related to the State's health insurance
laws and rules; and [PL 2023, c. 590, §1 (NEW).]
D. Receiving information from independent health care providers regarding regulatory or
compliance issues that may have a market-wide impact. [PL 2023, c. 590, §1 (NEW).]
[PL 2023, c. 590, §1 (NEW).]
4. Provider complaint process. The bureau shall establish a process to receive and investigate
complaints from independent health care providers regarding an alleged violation of any provision of
this Title or any rule adopted pursuant to this Title. The bureau may also receive and investigate
complaints from providers other than independent health care providers.
[PL 2023, c. 590, §1 (NEW).]
5. Confidentiality. With respect to the program or complaints, records, correspondence and
reports of investigation in connection with actual or claimed violations of this Title or a rule adopted
pursuant to this Title are confidential to the same extent as records, correspondence and reports of
investigation of consumer complaints under section 216.
[PL 2023, c. 590, §1 (NEW).]
6. Procedures for data collection. The bureau may establish procedures for collecting, tracking
and quantifying requests for assistance and complaints.
[PL 2023, c. 590, §1 (NEW).]
7. Aggregate information. The bureau shall compile and publish aggregate information regarding
complaints received under subsection 4 on its publicly accessible website.
[PL 2023, c. 590, §1 (NEW).]
8. Staffing resources. The bureau may consider staffing resources and any limitations on those
resources when establishing guidelines regarding the assistance provided through the program and
complaint process.
[PL 2023, c. 590, §1 (NEW).]
9. Rules. The bureau may adopt rules to implement this section. Rules adopted pursuant to this
subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A.
[PL 2023, c. 590, §1 (NEW).]
10. No legal representation. This section does not authorize the bureau to act as a legal
representative of a provider or to provide assistance with contract negotiations or interpretations of the
terms of contracts between providers and carriers in any manner through the program or complaint
process.
[PL 2023, c. 590, §1 (NEW).]

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