Health Care Reform

Maine tells insurers they must honor referrals from any direct health care provider

The superintendent of the Maine Bureau of Insurance has issued a <a href="https://www.maine.gov/pfr/insurance/sites/maine.gov.pfr.insurance/files/inline-files/490.pdf" target="_blank" link-data="{&quot;cms.site.owner&quot;:{&quot;_ref&quot;:&quot;0000018e-8611-dbad-a9af-fe79f4ec0000&quot;,&quot;_type&quot;:&quot;ae3387cc-b875-31b7-b82d-63fd8d758c20&quot;},&quot;cms.content.publishDate&quot;:1764617242730,&quot;cms.content.publishUser&quot;:{&quot;_ref&quot;:&quot;00000192-f502-d200-a19b-fd17f90c0000&quot;,&quot;_type&quot;:&quot;6aa69ae1-35be-30dc-87e9-410da9e1cdcc&quot;},&quot;cms.content.updateDate&quot;:1764617242730,&quot;cms.content.updateUser&quot;:{&quot;_ref&quot;:&quot;00000192-f502-d200-a19b-fd17f90c0000&quot;,&quot;_type&quot;:&quot;6aa69ae1-35be-30dc-87e9-410da9e1cdcc&quot;},&quot;link&quot;:{&quot;attributes&quot;:[],&quot;target&quot;:&quot;NEW&quot;,&quot;url&quot;:&quot;https://www.maine.gov/pfr/insurance/sites/maine.gov.pfr.insurance/files/inline-files/490.pdf&quot;,&quot;_id&quot;:&quot;0000019a-db62-d61b-a3be-fbff3e3c0000&quot;,&quot;_type&quot;:&quot;33ac701a-72c1-316a-a3a5-13918cf384df&quot;},&quot;theme.bundle-default.:link:LinkEnhancement.hbs._template&quot;:null,&quot;theme.bundle-default.:link:LinkEnhancement.hbs._preset&quot;:null,&quot;_id&quot;:&quot;0000019a-db62-d61b-a3be-fbff3e3c0001&quot;,&quot;_type&quot;:&quot;02ec1f82-5e56-3b8c-af6e-6fc7c8772266&quot;}">bulletin</a> telling health plans that a plan must open up its provider network gates when any care provider wants to refer an enrollee to an in-network specialist or other in-network care provider.