ME | Maine’s Superintendent of Insurance, Eric Cappa, has issued the following Supplemental Order Regarding Roster Billing.
The following additional emergency measures are effective immediately and until further notice, for all carriers issuing health plans in Maine’s individual, small group, and large group insurance markets:
- Health carriers shall implement processes to accept roster billing for COVID-19 vaccine administration on forms established with Maine EMS in lieu of the forms required under 24-A M.R.S. § 2436(2-A). Administration fees may not include facility costs.
- Carriers may reject roster claims for COVID-19 vaccine administration on a line-by-line basis if they do not have the information required by the roster claim forms, and may require providers that do not submit conforming roster claims to resubmit them.
- If carriers that participate in COVID-19 vaccine centers use their best efforts to comply with the prompt payment requirements of 24-A M.R.S. § 2436, they shall not be subject to the interest penalty in section 2436(3) if undisputed payment is made within 90 days after a roster claim is submitted.