Maine Maine ER – 4.2.19 I.   Scope and Applicability A.  Who is subject to the state’s external review laws? All health carriers. 24-A M.R.S. § 4312 HMOs? Yes. Insurers? Yes. Utilization review organizations? Yes. ACOs? Yes. PPOs? Yes. Third party administrators? Yes. B.  What exemptions are provided, if any? Decisions relating to the following health […]

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