Code of Maine Rules
90 - INDEPENDENT AGENCIES
590 - MAINE HEALTH DATA ORGANIZATION (MHDO)
Chapter 10 - DETERMINATION OF ASSESSMENTS
Section 590-10-3 - Submittals and Timetables
Current through 2024-13, March 27, 2024
A. Health Insurance Entities, Third-Party Administrators, Carriers that Provide Administrative Services Only for a Plan Sponsor, Pharmacy Benefits Managers. Estimates for payment of the computed assessments derived from Bureau of Insurance filings or from the MHDO claims database shall be sent by the MHDO to all health insurance entities, third-party administrators, carriers that provide administrative services only for a plan sponsor, and pharmacy benefits managers that process and pay claims annually. All health insurance entities, third-party administrators, carriers that provide administrative services only for a plan sponsor, and pharmacy benefits managers that process and pay claims shall within thirty days of receipt of the estimates for payment notify the MHDO of any modifications to their assessments as a result of exempted health care premiums or claims processed or paid.
B. Requests For Payment. Requests for payment of the final assessments shall be sent by the MHDO to all hospital and non-hospital health care providers, all health insurance entities, and all third-party administrators, carriers that provide administrative services only for a plan sponsor, and pharmacy benefits managers that process and pay claims on an annual basis.
C. Assessments Due. All assessments shall be due to the MHDO within 30 days of receipt of the requests for payment.
