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Department of Health and Human Services
Office of MaineCare Services

Other Rules

The Office of MaineCare Services, formerly the Bureau of Medical Services, Division of Policy and Provider Services performs rulemaking to implement and update policies for the programs listed below. Adopted rules for these programs are available on the Secretary of State (SOS) website.  

• Maine State Services Manual - MaineRX and DEL (10-144, Department of Health and Human Services, Chapter 104)
• Medical Eye Care (10-144, Department of Health and Human Services, Chapter 107)
• Quality Oversight for Commercial Health Maintenance Organizations (10-144, Department of Health and Human Services, Chapter 109)
• Free Care Guidelines (10-144, Department of Health and Human Services, Chapter 150)
• Maine Certificate of Need Procedures Manual for Health Care Facilities - Other Than Nursing Care Facilities (10-144, Department of Health and Human Services, Chapter 503)

Proposed, recently adopted and emergency rules for the programs are posted below. Any policy clarifications regarding adopted policies are also posted below.

Note: Although adopted rules are posted on the SOS website, there is always a delay between the effective date the Office of MaineCare Services adopts a rule and the date it is posted on the SOS website. Therefore, the Office of MaineCare Services posts recently adopted rules here until they are posted on the SOS website.

For information regarding Manufacturer Prescription Drug Fees please go to the external link: http://www.maine.gov/dhhs/boh/manufacturer_laws_fees.htm

Proposed

Rule

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Department of Health and Human Services, 10-144, Chapter 275­ – Reporting Requirements for Pharmaceutical Manufacturers and Labelers, and Office of the Attorney General, 26-239, Chapter 111 – Reporting Requirements for Pharmaceutical Manufacturers and Labelers.	(.doc)	(.pdf)
Concise Summary: This rulemaking clarifies Maine requirements for clinical trial registration and results reporting, compatible with Federal reporting requirements and with the capabilities of the publicly funded website www.ClinicalTrials.gov. It requires posting of past reports on the publicly funded website. The rule modifies the scope of the trials required to be registered and reported, and it clarifies the requirements of reporting post hoc analysis trial results and of updating trial results. It also extends the time anticipated for posting of submissions of results to the publicly funded website. This rulemaking provide contact information and clarifies the application of penalty for violations. The Department proposes other minor technical, grammatical and structural changes within this rulemaking. This rule change is not anticipated to have any adverse impact on small business. Seehttp://www.maine.gov/dhhs/oms/rules/provider_rules_policies.html for rules and related rulemaking documents. Deadline for Comments: Comments must be received by midnight July 13, 2009
Submit Comments on Proposed Rules
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Recently Adopted

Rule

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Chapter 104, Section 4, Maine Part D Wrap Benefits	(.doc)	(.pdf)
CONCISE SUMMARY: The Department of Heath and Human Services gives notice of a final rule Maine State Services Manual, Chapter 104, Section 4, Maine Part D Wrap Benefits. In order to comply with the federal guidelines that determine the Part D Benefit parameters, the member co-payment for generic drugs has increased from $2.25 to $2.40 per prescription. This rule is required to comply with federal guidelines. The Part D Wrap Benefit covers this co-payment for eligible beneficiaries. The new co-pay amount is reflected in the Appendix to this rule. EFFECTIVE DATE: March 29, 2009
Read Responses to Comments:	(.doc)	(.pdf)
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Emergency

Rule

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There are no Emergency Other Rules at this time.

 

Note:If you can not read the above files you can use these links to access Word Viewer for .doc files or Adobe Acrobat for .pdf files.

 

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