Maine

Last week, Maine Gov. Janet Mills signed into law a comprehensive package of prescription drug cost control legislation that addresses pharmaceutical prices throughout the supply chain. The four new laws include: Stricter requirements on pharmacy benefit managers (PBMs); Updates to its drug transparency program to require more prescriptive data collection and enforcement mechanisms; Establishment of […]

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  • State Health Policy Blog

    NASHP Updates Model Drug Price Transparency Legislation, Featuring a Common Data Set for Cross-State Comparisons and Stronger Enforcement

    As drug price transparency measures proliferate across states, the National Academy of State Health Policy (NASHP) has released revised model transparency legislation featuring a common data set to reduce reporter burden and yield standardized, actionable data that will be comparable across states.  The data — to be reported by manufacturers, pharmacy benefit managers (PBMs), wholesalers, and insurers — will […]

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    April 23, 2019 | Filed under: Front Page, Front Page-Rx, Maine, State Health Policy Blog

  • State Health Policy Blog

    SIM Round One Test States Expand Value-Based Payments in Medicaid, and in Some Cases, Beyond

    The Centers for Medicare & Medicaid Services (CMS) recently released its third annual evaluation of the State Innovation Model (SIM) Round One Test States, which analyzes the ability of states to use policy and regulatory levers to drive statewide health care transformation. The evaluation, completed by a team of researchers from RTI International, the Urban […]

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    September 26, 2017 | Filed under: Blog Posts, Front Page, Maine, Minnesota, State Health Policy Blog, Vermont

  • State-Specific Medicaid Program Changes

    The following information is paired with our blog, Emerging Themes in Proposed State Medicaid Waivers. Key Pending Waiver Requests for ACA Medicaid Expansion Eligibility Groups Seeking to add work requirements as a condition of eligibility: Arizona (20 hours/week for school/job training; unspecified for employment or job search) Arkansas (80 hours/month) Indiana (Average of 20 hours/week) Kentucky […]

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  • State Health Policy Blog

    Should Maine’s Invisible High Risk Pool Law be the Model to Address Market Stability Nationally?

    The urgency to stabilize the individual markets is palpable in the states. Insurers will begin filing preliminary rates for 2018 next month and are developing those rates in a period of uncertainty. Will cost sharing reductions continue? Will there be some help to stabilize the market, calm jittery insurers and assure that consumers in every […]

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  • State Health Policy Blog

    Addressing Inequities through Innovations in Oral Health Policy

    States have made great strides in improving children’s oral health, this includes a greater number accessing the dentist and a decline in untreated caries—tooth decay. Medicaid and the Children’s Health Insurance Programs (CHIP), which insure our nation’s most vulnerable populations, have played an important role by covering dental benefits for children. Some Medicaid agencies opted […]

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  • State Health Policy Blog

    New Law to Curb Opioid Abuse and Diversion Passed in Maine, Strengthens Prescription Drug Monitoring Program

    Governor Paul LePage signed into law “An Act to Prevent Opiate Abuse by Strengthening the Controlled Substances Prescription Monitoring Program” (now PL 2015, c. 488) on April 19, 2016, making Maine the second state to pass legislation on the issue this year. In March, Massachusetts passed the nation’s first law limiting first-time opioid prescriptions. Maine’s […]

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  • Maine – Medical Homes

    Maine PCMH Pilot In 2007-2008, the Maine Legislature created a bipartisan Commission to Study Primary Care Medical Practice. The Commission, in turn, recommended the development of the Patient-Centered Medical home (PCMH) Pilot. The legislature appropriated $500,000 for that purpose in 2009, and three collaborators – the Maine Quality Forum (part of the state’s Dirigo Health Agency), Quality […]

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    April 1, 2014 | Filed under: Maine

  • Maine

    In Maine:   As of July 1, 2011, there were 357,706 beneficiaries enrolled in MaineCare, the state’s Medicaid program. Of these, 176,335 were enrolled in a primary care case management (PCCM) program, including 130,824 children. The PCCM program is mandatory for Medicaid beneficiaries receiving TANF, children, pregnant women, and childless adults below 100% FPL. Medicaid-eligible […]

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    December 5, 2013 | Filed under: Maine

  • Maine 2014 CHIP Fact Sheet

    2014 NASHP CHIP Fact Sheet – Maine 2012 NASHP CHIP Fact Sheet – Maine 2010 NASHP CHIP Fact Sheet – Maine 2008 NASHP CHIP Fact Sheet – Maine Additional States’ CHIP Fact Sheets… Adobe Acrobat .PDF printable versions of the Maine NASHP CHIP Fact Sheets Key Highlights: Program Type: Maine operates a combination CHIP program, […]

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    December 6, 2012 | Filed under: Maine