(REALLOCATED FROM TITLE 24-A, SECTION 2847-R)

(REALLOCATED FROM TITLE 24-A, SECTION 2847-R)
1. Definition. For purposes of this section, “children’s early intervention services” means services provided by licensed occupational therapists, physical therapists, speech-language pathologists or clinical social workers working with children from birth to 36 months of age with an identified developmental disability or delay as described in the federal Individuals with Disabilities Education Act, Part C, 20 United States Code § 1411, et seq.

[PL 2011, c. 420, Pt. A, §25 (RAL).]

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Terms Used In Maine Revised Statutes Title 24-A Sec. 2847-S

  • Contract: A legal written agreement that becomes binding when signed.
  • health insurance: means insurance of human beings against bodily injury, disablement or death by accident or accidental means, or the expense thereof, or against disablement or expense resulting from sickness, and every insurance appertaining thereto, including provision for the mental and emotional welfare of human beings by defraying the costs of legal services only to the extent provided for in chapter 38. See Maine Revised Statutes Title 24-A Sec. 704
  • United States: includes territories and the District of Columbia. See Maine Revised Statutes Title 1 Sec. 72
  • Year: means a calendar year, unless otherwise expressed. See Maine Revised Statutes Title 1 Sec. 72
2. Required coverage. All group health insurance policies, contracts and certificates must provide coverage for children’s early intervention services in accordance with this subsection.
A. A referral from the child’s primary care provider is required. [PL 2011, c. 420, Pt. A, §25 (RAL).]
B. The policy, contract or certificate may limit coverage to $3,200 per year for each child not to exceed $9,600 by the child’s 3rd birthday. [PL 2011, c. 420, Pt. A, §25 (RAL).]
C. The policy, contract or certificate may contain provisions for maximum benefits and coinsurance and reasonable limitations, deductibles and exclusions to the extent that these provisions are not inconsistent with the requirements of this section. [PL 2011, c. 420, Pt. A, §25 (RAL).]

[PL 2011, c. 420, Pt. A, §25 (RAL).]

SECTION HISTORY

PL 2011, c. 420, Pt. A, §25 (RAL).