Code of Maine Rules
02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
031 - BUREAU OF INSURANCE
Chapter 825 - PROCEDURES AND STANDARDS FOR OBTAINING A HARDSHIP EXEMPTION FROM SUBMITTING ELECTRONIC HEALTH CLAIMS
Section 031-825-3 - Hardship exemption application process
Universal Citation: 02 ME Code Rules ยง 031-825-3
Current through 2024-38, September 18, 2024
A. A health care practitioner must submit a written application for exemption by December 16, 2005, or within 60 days after opening a practice in this state or becoming eligible for a hardship exemption.
B. The written application for an exemption must include:
1. Names and medical license
numbers of the principals of the practice.
2. Physical location and mailing address of
the practice.
3. Type of practice
(e.g., dental, behavioral health).
4. The reason or reasons for requesting an
exemption.
5. The number of
full-time equivalent employees, including non-medical personnel, employed by
the practice.
6. The number of
doctors, nurses and other medical personnel employed by the practice.
7. The average number of patients seen per
month.
8. Annual gross health care
claims and billings generated by the practice.
9. A statement advising whether the
practitioner has:
a. Access to telephone
services
b. Access to a
computer
c. Access to an internet
service provider or to cable services.
10. An analysis of how much it would cost the
practitioner to set up and maintain electronic billing capability during the
first year, including the cost of complying with Federal rules regulating the
security of protected electronic health information. The analysis must also
compare the annual cost of electronic billing to the annual cost of the
practitioner's current billing methodology.
11. Any other information requested by the
Superintendent.
C. The Superintendent shall notify the health care practitioner of the decision within 30 days of receiving a completed written application, inclusive of any additional information requested by the Superintendent.
Disclaimer: These regulations may not be the most recent version. Maine may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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