United States — Maine Act or statute

United States — Maine legislation

Maine Revised Statutes, Title 22, § 2687: Maximum allowable cost list, 2011

The MaineCare services office must hold a 17-day written comment period for proposed maximum allowable cost list changes that reduce pharmacy payments, delay those changes for at least 30 days after comments are…

Medicaid reimbursementpharmacy paymentpublic reportingrulemaking

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“The MaineCare services office must hold a 17-day written comment period for proposed maximum allowable cost list changes that reduce pharmacy payments, delay those changes for at least 30 days after comments are answered, file an annual report by December 31, and amend rules to implement the subchapter.”

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    Enacted 2011 · Source version 1 Oct 2025. The date shown identifies this source expression and should not be treated as proof that no later change exists.

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Maximum allowable cost list

The MaineCare services office must hold a 17-day written comment period for proposed maximum allowable cost list changes that reduce pharmacy payments, delay those changes for at least 30 days after comments are answered, file an annual report by December 31,…

Section 2687

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Source record from legislature.maine.gov · Enacted 2011 · Source version 1 Oct 2025

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Amendment
§ 2687Maximum allowable cost listAmendment

The MaineCare services office must hold a 17-day written comment period for proposed maximum allowable cost list changes that reduce pharmacy payments, delay those changes for at least 30 days after comments are answered, file an annual report by December 31, and amend rules to implement the subchapter.

1. Comment period. The Department of Health and Human Services, office of MaineCare services shall establish a 17-day written comment period on any proposed change to the state maximum allowable cost list if the change results in a reduction in payment to pharmacies. The written comment period must be held in compliance with the Maine Administrative Procedure Act. A change in the maximum allowable cost list that will result in a reduction in payment to pharmacies may not take effect for at least 30 days and not until 30 days after the office of MaineCare services has completed its response to any written comments. For the purposes of this section, "maximum allowable cost list" means a list of prescription drugs that bases reimbursement on the cost of the generic product. [PL 2011, c. 323, §1 (NEW).] 2. Report. The Department of Health and Human Services, office of MaineCare services shall prepare an annual report that summarizes the number of drugs affected by changes made to the maximum allowable cost list under subsection 1 and the percentage change in payment for those drugs that resulted from changes to the list during the calendar year. The office of MaineCare services shall file the report annually by December 31st with the joint standing committee of the Legislature having jurisdiction over health and human services matters. [PL 2011, c. 323, §1 (NEW).] 3. Rulemaking. The Department of Health and Human Services, office of MaineCare services shall amend its rules to implement the provisions of this subchapter. Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2‑A. [PL 2011, c. 323, §1 (NEW).]
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