Code of Maine Rules
02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
031 - BUREAU OF INSURANCE
Chapter 330 - MINIMUM STANDARDS FOR MENTAL ILLNESS BENEFITS - REVISED
Section 031-330-9 - Managed Care

When a preferred provider arrangement is used, benefits for services of a non-preferred provider may not reduce benefits below the minimums set forth in this rule. If a point-of-service option is provided as part of an HMO plan, benefit levels may be lower than the mandated levels only for the self-referred services. No penalties under a utilization review program may reduce benefits below the minimums set forth in this rule.