Bill > LD2123

This bill aims to improve access to dental care for children in Maine by requiring the Department of Health and Human Services to provide supplemental payments to providers for medically necessary deep sedation or general anesthesia used during dental services at ambulatory surgical centers, provided that at least 50% of the patients at that center are MaineCare members. MaineCare is the state's Medicaid program, which provides health coverage to low-income individuals and families. The bill also mandates that the department amend its rules to remove any time limits on reimbursable anesthesia services for comprehensive dental care for children, as long as those services are medically necessary, and to establish specific requirements for reimbursement rates and billing for these anesthesia services, including a minimum rate of $250 per 15-minute increment. This legislation is intended to address a backlog of children waiting for essential dental procedures due to current reimbursement limitations.

Health and Social Services

https://legislature.maine.gov/legis/bills/display_ps.asp?LD=2123&snum=132