C.M.R. 10, 144, ch. 101, ch. VI, 144-101-VI-03, subsec. 144-101-VI-0307

Current through 2024-46, November 13, 2024
Subsection 144-101-VI-0307 - POLICIES AND PROCEDURES
3.07-1Beneficiary Protections

Providers may not engage in any marketing and/or other activities intended to result or resulting in the selective recruitment and enrollment of individuals with more favorable health status. Section 1905(t)(3)(D) of the Social Security Act prohibits discrimination based on health status, marketing activities included.

3.07-2Termination

The Department may terminate a provider from the PCPlus program based on failure to meet program requirements or any other basis provided in Ch. I, Sec. 1.20-1 of the MBM. Termination from the PCPlus program will be in accordance with the provisions of Ch. I, Sec. 1.19-1. PCPs may terminate their participation from PCPlus without cause with thirty (30) days' notice by sending written notification to PCP-Network-Services.DHHS@maine.gov.

C.M.R. 10, 144, ch. 101, ch. VI, 144-101-VI-03, subsec. 144-101-VI-0307