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USA Statutes : maine
Title : Title 22. HEALTH AND WELFARE
Chapter : Chapter 405. LICENSING OF HOSPITALS AND INSTITUTIONS
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Title 22 - §1811. License required; definitions
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1811. License required; definitions
No person, partnership, association or corporation, nor any state, county or local governmental units, may establish, conduct
or maintain in the State any hospital, sanatorium, convalescent home, rest home, nursing home, ambulatory surgical facility
or other institution for the hospitalization or nursing care of human beings without first obtaining a license therefor. Hospital,
sanatorium, convalescent home, rest home, nursing home, ambulatory surgical facility and other related institution, within
the meaning of this chapter, means any institution, place, building or agency in which any accommodation is maintained, furnished
or offered for the hospitalization of the sick or injured or care of any aged or infirm persons requiring or receiving chronic
or convalescent care. Nothing in this chapter may apply to hotels or other similar places that furnish only board and room,
or either, to their guests or to such homes for the aged or blind as may be subject to licensing under any other law.
[1989, c. 136, §1 (amd); c. 572, §1 (amd); c. 878, Pt. A, §58 (rpr).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1812-A. Nursing home defined
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1812-A. Nursing home defined
A nursing home or nursing facility shall be defined as a facility which is operated in connection with a hospital, or in which
nursing care and medical services are prescribed by or performed under the general direction of persons licensed to practice
medicine or surgery in the State, for the accommodation of convalescent or other persons who are not acutely ill and not in
need of hospital care, but who do require skilled nursing care and related medical services. The term "nursing home" or "nursing
facility" is restricted to those facilities, the purpose of which is to provide skilled nursing care and related medical services
for a period of not less than 24 hours per day to individuals admitted because of illness, disease or physical or mental infirmity
and which provides a community service.
[2001, c. 666, Pt. A, §2 (amd).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1812-B. Hospitals and nursing homes
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1812-B. Hospitals and nursing homes
The administration of medication in facilities licensed under section 1811, except group home intermediate care facilities
for the mentally retarded, may be delegated to unlicensed personnel when such personnel have received appropriate training
and instruction and the programs of training and instruction have been approved by the State Board of Nursing. The administration
of medication in group home intermediate care facilities for the mentally retarded may be performed by unlicensed personnel
when these personnel have received appropriate training and instruction and the programs of training and instruction have
been approved by the department. Delegation of the administration of medication shall not require the personal presence of
the delegating professional nurse at the place where this service is performed, unless that personal presence is necessary
to assure that medications are safely administered. The board shall issue such rules concerning delegation as it deems necessary
to insure the highest quality of health care to the patient. The department shall issue such rules as it deems necessary to
insure the highest quality of health care to residents of group home intermediate care facilities for the mentally retarded.
[1983, c. 284, § 2 (amd).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1812-C. Nursing staff in nursing homes; reimbursement; delegation of duties; and policies
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1812-C. Nursing staff in nursing homes; reimbursement; delegation of duties; and policies
1. Reimbursement of nursing assistants. Nursing homes shall be entitled to receive reimbursement under the department's principles of reimbursement, in accordance
with approved staffing patterns, for long-term care facilities for nursing assistants enrolled in training programs.
[1985, c. 738, §1 (new).]
2. Training program expenses. Nursing homes shall be entitled to receive reimbursement under the department's principles of reimbursement for long-term
care facilities, for all reasonable expenses associated with carrying out a certified nursing assistant educational program,
consistent with the department rules governing the licensing and functioning of skilled nursing facilities and intermediate
care facilities.
[1985, c. 738, §1 (new).]
3. Delegation of nursing duties. A registered nurse in a skilled nursing facility or an intermediate care facility may delegate the following functions to
nursing assistants enrolled in training programs:
A. Distributing clean linens;
[1985, c. 738, §1 (new).]
B. Making unoccupied beds;
[1985, c. 738, §1 (new).]
C. Distributing food trays, water and nourishments;
[1985, c. 738, §1 (new).]
D. Escorting selected patients within the facility;
[1985, c. 738, §1 (new).]
E. Assisting patients with clothing;
[1985, c. 738, §1 (new).]
F. Combing hair;
[1985, c. 738, §1 (new).]
G. Assisting with feeding; and
[1985, c. 738, §1 (new).]
H. Other similar functions that may be safely performed by a nursing assistant enrolled in a training program, provided that
the nursing assistant in training has satisfactorily demonstrated the ability to perform the delegated tasks.
[1985, c. 738, §1 (new).]
These functions may be limited to selected residents.
[1985, c. 738, §1 (new).]
4. Consistent policies.
[1987, c. 195, §1 (rp).]
5. Rules; supervision of and delegation to nursing assistants. The Department of Health and Human Services shall revise its rules or adopt rules concerning supervision of and delegation
of tasks to certified nursing assistants and nursing assistants in training. The rules shall be developed and adopted jointly
by the department and the State Board of Nursing and shall be consistent with other relevant rules.
[1987, c. 195, §2 (new); 2003, c. 689, Pt. B, §6 (rev).]
6. Rules; maintenance of approved staffing pattern. The department shall revise its rules or adopt rules to require documentation when any nursing home receives reimbursement
for an approved staffing pattern which exceeds the minimum staffing level and fails to meet that approved staffing level for
one year. Failure to meet the minimum staffing requirements as set forth in the Regulations Governing the Licensure of Long-Term
Care Facilities shall be cause for licensure sanctions permitted under law and rules.
[1987, c. 195, §2 (new).]
6-A. Shared staffing. The department shall permit staff in nursing facilities to be shared with facilities licensed to provide assisted living
services as long as there is a clear, documented audit trail and the staffing in the nursing facilities remains adequate to
meet the needs of residents. Staffing to be shared may be based on the average number of hours used per week or month within
the assisted living program. In a facility licensed to provide assisted living services under section 7801 in which 2 or
more staff are required to be awake and on duty during a night shift, one of the staff may be shared with a nursing facility
located in the same building without prior approval from the department, subject to the following provisions.
A. Prior notice must be given to the department.
[2003, c. 416, §2 (new).]
B. The assisted living program shall maintain its state minimum staffing ratio, and the nursing facility shall maintain its
state minimum staffing ratio and its federal licensed nurse staffing requirement.
[2003, c. 416, §2 (new).]
C. The assisted housing program and the nursing facility shall each post a notice informing the public that, although staffing
is shared on the night shift, compliance with the minimum staffing requirements is maintained.
[2003, c. 416, §2 (new).]
D. The department may suspend the facility's ability to share staffing under this subsection if the most recent survey for
either level of care indicates deficiencies that are related to resident care and that arise from the sharing of staff.
[2003, c. 416, §2 (new).]
[2003, c. 416, §2 (amd).]
7. Health Occupations Training Project.
[1987, c. 777, §6 (rp).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1812-D. Reimbursement; geriatric training programs
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1812-D. Reimbursement; geriatric training programs
The Department of Health and Human Services shall amend the principles of reimbursement for long-term care facilities in order
that Medicaid-certified providers of service are reimbursed for fees charged for attendance at and materials for the educational
programs, as required by Title 37-B, section 602-A.
[1987, c. 830, §1 (new); 2003, c. 689, Pt. B, §6 (rev).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1812-E. Ambulatory surgical facility
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1812-E. Ambulatory surgical facility
1. Definition. As used in this chapter, unless the context otherwise indicates, "ambulatory surgical facility" means a facility with a
primary purpose of providing elective surgical care to a patient who is admitted to and discharged from the facility within
the same day. In order to meet this primary purpose, a facility must at least administer anesthetic agents, maintain a sterile
environment in a surgical suite and charge a facility fee separate from the professional fee. "Ambulatory surgical facility"
does not include:
A. A facility that is licensed as part of a hospital;
[1991, c. 752, §1 (new).]
B. A facility that provides services or accommodations for patients who stay overnight;
[1991, c. 752, §1 (new).]
C. A facility existing for the primary purpose of performing terminations of pregnancies; or
[1991, c. 752, §1 (new).]
D. The private office of a physician or dentist in individual or group practice, unless that facility or office is certified
as a Medicare ambulatory surgical center.
[1991, c. 752, §1 (new).]
[1991, c. 752, §1 (amd).]
2. Standards. The department shall establish standards for the licensure of ambulatory surgical facilities effective July 1, 1992. The
standards must provide that ambulatory surgical facilities that are certified for the federal Medicare and Medicaid programs
meet the requirements for state licensure.
[1991, c. 752, §1 (amd).]
3. Annual inspection. The department shall inspect annually ambulatory surgical facilities, except that state inspections need not be performed
during a year when a Medicare inspection is performed.
[1991, c. 752, §1 (new).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1812-F. Nursing homes; staffing for social services and patient activities
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1812-F. Nursing homes; staffing for social services and patient activities
1. Minimum hours. The department shall approve at least the following number of hours for the following services in nursing homes.
A. The department shall approve at least 12 hour per patient per week for social services.
[1991, c. 327 (new).]
B. The department shall approve at least 20 hours per week in nursing homes of up to 30 beds, at least 30 hours per week in
nursing homes of 31 to 60 beds and at least 40 hours per week in nursing homes of 61 beds or more for patient activities.
[1991, c. 327 (new).]
[1991, c. 327 (new).]
2. Transfer of hours. The department shall approve the transfer of previously approved nonnursing hours to social service or patient activity
hours if the transfer does not increase the nursing home's per diem rate.
[1991, c. 327 (new).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1812-G. Maine Registry of Certified Nursing Assistants
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1812-G. Maine Registry of Certified Nursing Assistants
1. Established. The Maine Registry of Certified Nursing Assistants is established in compliance with federal and state requirements. The
Department of Health and Human Services shall maintain the registry.
[1991, c. 421, §1 (new); 2003, c. 689, Pt. B, §6 (rev).]
2. Contents. The Maine Registry of Certified Nursing Assistants must contain a listing of nursing assistants who have successfully completed
a nursing assistant training program, hold a certificate of training and meet the eligibility requirements established by
the State Board of Nursing. The listing must include, for any nursing assistant listed, a notation of:
A. Any criminal convictions, except for Class D and Class E convictions over 10 years old that did not involve as a victim
of the act a patient, client or resident of a health care entity; and
[1997, c. 465, §1 (amd).]
B. Any specific documented findings by the state survey agency of abuse, neglect or misappropriation of property of a resident,
client or patient. For purposes of this section, "state survey agency" means the agency specified under 42 United States
Code, Sections 1395aa and 1396 responsible for determining whether institutions and agencies meet requirements for participation
in the State's Medicare and Medicaid programs.
[1991, c. 421, §1 (new).]
[1997, c. 465, §1 (amd).]
3. Eligibility requirements for listing. The State Board of Nursing shall adopt rules pursuant to the Maine Administrative Procedure Act defining eligibility requirements
for listing on the Maine Registry of Certified Nursing Assistants, including rules regarding temporary listing of nursing
assistants who have received training in another jurisdiction. The rules must permit nursing assistants to work under the
supervision of a registered professional nurse in a facility providing assisted living services as defined in chapter 1664
and must recognize work in those facilities for the purpose of qualifying for and continuing listing on the registry. Rules
adopted regarding the work of nursing assistants in facilities providing assisted living services are routine technical rules
as defined by Title 5, chapter 375, subchapter II-A.
[2001, c. 596, Pt. B, §5 (amd); §25 (aff).]
4. Verification of credentials and training. The department shall verify the credentials and training of all applicants to the Maine Registry of Certified Nursing Assistants.
[2003, c. 376, §1 (amd).]
5. Verifying certified nursing assistant listing. A health care institution, facility or organization that employs a certified nursing assistant shall, before hiring a certified
nursing assistant, verify with the Maine Registry of Certified Nursing Assistants that the certified nursing assistant is
listed on the Maine Registry of Certified Nursing Assistants.
[2003, c. 376, §1 (amd).]
6. Registry notations. Except as otherwise provided in this section:
A. An individual may not be employed in a hospital, nursing facility, home health agency or assisted housing program as a certified
nursing assistant if that individual has been convicted in a court of law of a crime involving abuse, neglect or misappropriation
of property in a health care setting; and
[2003, c. 376, §2 (new).]
B. An individual may not be employed in a hospital, nursing facility, home health agency or assisted housing program as a certified
nursing assistant if that individual:
(1) Has been the subject of a complaint involving abuse or neglect that was substantiated by the department pursuant to
its responsibility to license hospitals, nursing facilities, home health agencies and assisted housing programs and that was
entered on the Maine Registry of Certified Nursing Assistants; or
(2) Has been the subject of a complaint involving the misappropriation of property in a health care setting that was substantiated
by the department and entered on the Maine Registry of Certified Nursing Assistants.
[2003, c. 376, §2 (new).]
[2003, c. 376, §2 (new).]
7. Time limit on consideration of prior criminal conviction. Except as otherwise provided in this section, an individual may not be employed in a hospital, nursing facility, home health
agency or assisted housing program as a certified nursing assistant if that individual has a prior criminal conviction within
the last 10 years of:
A. A crime for which incarceration of 3 years or more may be imposed under the laws of the state in which the conviction occurred;
or
[2003, c. 376, §2 (new).]
B. A crime for which incarceration of less than 3 years may be imposed under the laws of the state in which the conviction
occurred involving sexual misconduct or involving abuse, neglect or exploitation in a setting other than a health care setting.
[2003, c. 376, §2 (new).]
[2003, c. 599, §4 (amd); §5 (aff); c. 634, §3 (amd).]
8. Exception. The restrictions on employment under subsections 6 and 7 do not apply to an individual listed and active on the Maine Registry
of Certified Nursing Assistants prior to the effective date of this subsection, as long as the individual meets other state
and federal requirements for certified nursing assistants and continues to maintain an active status by timely reregistration
as required by the rules.
[2003, c. 376, §2 (new).]
9. Notification. A nursing assistant training program must notify applicants to that program of the restrictions under subsections 6 and
7 prior to the acceptance of any applicant.
[2003, c. 376, §2 (new).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1812-H. Participation in the Medicare health insurance for the aged program
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1812-H. Participation in the Medicare health insurance for the aged program
1. Medicare. Any nursing facility that participates in the Medicaid program must participate in the Medicare health insurance for the
aged program as a skilled nursing facility.
[1993, c. 410, Pt. FF, §4 (amd).]
2. Compliance. Any nursing facility required to participate in the Medicare health insurance for the aged program shall:
A. File an application to become a Medicare provider by January 1, 1994;
[1993, c. 410, Pt. FF, §5 (amd).]
B. Follow required federal procedures for certification and become certified within 90 days of the department's recommendation
for certification;
[1991, c. 622, Pt. M, §10 (new).]
C. Submit an annual application for Medicare participation at the same time applications for licensure and Medicaid certification
are due; and
[1991, c. 622, Pt. M, §10 (new).]
D. Participate in the Medicare program by billing Medicare for care provided to eligible recipients prior to billing Medicaid.
[1991, c. 622, Pt. M, §10 (new).]
[1993, c. 410, Pt. FF, §5 (amd).]
2-A. Rules. The department shall adopt rules to implement this section. The rules must consider the unique needs of different parts
of the State. Nursing facilities in different parts of the State may be required to certify different numbers or percentages
of beds depending on the number of Medicare recipients in those areas, the number of patients in hospitals who are waiting
for nursing facility admission and other relevant demographic information. Nothing in this subsection prohibits the department
from requiring all nursing facilities to certify all of their beds as Medicare skilled nursing facility beds.
[1993, c. 410, Pt. FF, §6 (new).]
2-B. Implementation. Notwithstanding any provision of this section to the contrary, a nursing facility may decline to admit a prospective resident
after an evaluation of the person's clinical condition and related care needs and a determination that the facility lacks
qualified staff to meet the level of care required for that person. A nursing facility is not subject to penalty or sanction
for declining to admit a prospective resident under this subsection. Nothing in this subsection affects the obligation of
a nursing facility to provide care specific to the needs of residents of the facility.
[2001, c. 600, §1 (new).]
3. Sanctions. Failure to comply with any of the provisions listed in this section may result in the imposition of a penalty. The department
may impose a penalty of $100 per bed for failure to comply with any of these provisions. This penalty must be imposed for
each day a facility fails to comply with subsection 2, paragraph D. A repeated failure to comply with any provision results
in fines of $200 per bed. The imposition and collection of these penalties are governed by section 7946.
[1993, c. 410, Pt. FF, §7 (amd).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1812-I. Critical access hospital defined
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1812-I. Critical access hospital defined
For purposes of this chapter, "critical access hospital" has the same meaning as set out in section 7932, subsection 10.
[2003, c. 673, Pt. HH, §1 (new).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1812. Maternity home or hospital defined (REPEALED)
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1812. Maternity home or hospital defined (REPEALED)
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1813. Licenses for new and existing hospitals
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1813. Licenses for new and existing hospitals
A person, partnership, association or corporation or any state, county or local governmental unit may not continue to operate
an existing hospital, sanatorium, convalescent home, rest home, nursing home or ambulatory surgical facility or open a hospital,
sanatorium, convalescent home, rest home, nursing home or ambulatory surgical facility unless the operation is approved and
regularly licensed by the State.
[1991, c. 104 (rpr).]
div> Notwithstanding any other provision of this Title, a state-operated mental health hospital subject to licensure may have its
current conditional license extended until January 1, 1993. By January 1, 1993, the department shall adopt rules that apply
specifically to the licensure of psychiatric and mental health hospitals. Until those rules are adopted, the department shall
apply existing hospital licensure rules to psychiatric and mental health hospitals.
[1991, c. 104 (rpr).]
div> For nursing facilities providing both nursing home and assisted living services, the department shall issue one license reflecting
both levels of care. The commissioner shall adopt rules to implement this paragraph. Rules adopted pursuant to this paragraph
are routine technical rules as defined by Title 5, chapter 375, subchapter II-A.
[1997, c. 488, §1 (new).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1814. Application
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1814. Application
Any person, partnership, association or corporation, including state, county or local governmental units, desiring a license
shall file with the department a verified application containing the name of the applicant desiring the license; whether the
persons so applying are at least 18 years of age; the type of institution to be operated; the location; the name of the person
in charge. Application on behalf of a corporation or association or governmental units shall be made by any 2 officers thereof
or by its managing agents. All applicants shall submit satisfactory evidence of their ability to comply with the minimum standards
of this chapter and all regulations adopted thereunder.
[1989, c. 136, §3 (amd).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1815-A. Nursing home surcharge
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1815-A. Nursing home surcharge
In addition to the fee in section 1815, an application for a license to operate a nursing home must be accompanied by a nonrefundable
surcharge of $5 for each bed contained within the facility. The surcharge must be deposited in the General Fund.
[1991, c. 765, §1 (new).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1815. Fees
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1815. Fees
Each application for a license to operate a hospital, convalescent home or nursing home must be accompanied by a nonrefundable
fee. Hospitals shall pay $40 for each bed contained within the facility. Nursing and convalescent homes shall pay $26 for
each bed contained within the facility. Each application for a license to operate an ambulatory surgical facility must be
accompanied by the fee established by the department. The department shall establish the fee for an ambulatory surgical facility,
not to exceed $500, on the basis of a sliding scale representing size, number of employees and scope of operations. All licenses
issued must be renewed annually upon payment of a like fee. The State's share of all fees received by the department under
this chapter must be deposited in the General Fund. A license granted may not be assignable or transferable. State hospitals
are not required to pay licensing fees.
[2003, c. 507, Pt. C, §1 (amd); §4 (aff).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1816. Inspections
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1816. Inspections
Every building, institution or establishment for which a license has been issued shall be periodically inspected by duly appointed
representatives of the Bureau of Medical Services under the rules and regulations to be established by the department. No
institution of any kind licensed pursuant to this chapter shall be required to be licensed or inspected under the laws of
this State relating to hotels, restaurants, lodging houses, boardinghouses and places of refreshments. No such license shall
be issued until the applicant has furnished the department with a written statement signed by the Commissioner of Public Safety
or the proper municipal official designated in Title 25, chapters 313 to 321 to make fire safety inspections that the home
and premises comply with said chapters 313 to 321 relating to fire safety. The department shall establish and pay reasonable
fees to the municipal official or the Commissioner of Public Safety for each such inspection. Said written statement shall
be furnished annually.
[1981, c. 470, Pt. A, § 71 (amd).]
div> For nursing facilities providing both nursing home and assisted living services, the department shall ensure that a single
coordinated licensing and life safety code inspection is performed. The commissioner shall adopt rules to implement this
paragraph. Rules adopted pursuant to this paragraph are routine technical rules as defined by Title 5, chapter 375, subchapter
II-A.
[1997, c. 488, §2 (new).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1817. Issuance of licenses
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1817. Issuance of licenses
The department is authorized to issue licenses to operate hospitals, sanatoriums, convalescent homes, rest homes, nursing
homes, ambulatory surgical facilities or other related institutions that, after inspection, are found to comply with this
chapter and any regulations adopted by the department. When any institution, upon inspection by the department, is found not
to meet all requirements of this chapter or departmental regulations thereunder, the department is authorized to issue either
a temporary license for a specified period not to exceed 90 days, during which time corrections specified by the department
must be made by the institution for compliance with this chapter and departmental regulations thereunder, if in the judgment
of the commissioner the best interests of the public will be so served, or a conditional license setting forth conditions
that must be met by the institution to the satisfaction of the department. Failure of the institution to meet any of these
conditions immediately voids the conditional license by written notice thereof by the department to the conditional licensee
or, if the licensee cannot be reached for personal service, by notice thereof left at the licensed premises. The fee for this
temporary or conditional license is $15 and is payable at the time of issuance of such a license. A new application for a
regular license may be considered by the department if, when and after the conditions set forth by the department at the time
of the issuance of this temporary or conditional license have been met and satisfactory evidence of this fact has been furnished
to the department. The department may amend, modify or refuse to renew a license hereunder in conformity with the Maine Administrative
Procedure Act, Title 5, chapter 375, or file a complaint with the District Court requesting suspension or revocation of any
license on any of the following grounds: Violation of this chapter or the rules and regulations issued pursuant thereto; permitting,
aiding or abetting the commission of any illegal act in that institution; conduct of practices detrimental to the welfare
of the patient; provided that whenever, on inspection by the department, conditions are found to exist that violate this chapter
or departmental regulations issued thereunder that, in the opinion of the commissioner, immediately endanger the health or
safety of patients, or both the health and safety, in any of the institutions or to such an extent as to create an emergency,
the department by its duly authorized agents may, under the emergency provisions of Title 4, section 184, subsection 6, request
that the District Court suspend or revoke the license.
[RR 1999, c. 2, §24 (cor); §25 (aff).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1818. Appeals
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1818. Appeals
Any person who is aggrieved by the decision of the department in refusing to issue a license or the renewal of a license may
request a hearing as provided by the Maine Administrative Procedure Act, Title 5, chapter 375.
[1981, c. 470, Pt. A, § 72 (amd).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1819-A. Financial disclosure
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1819-A. Financial disclosure
Each hospital licensed under this chapter must annually publicly disclose:
[2005, c. 249, §1 (new).]
1. IRS Form 990. The federal Internal Revenue Service Form 990, including all related disclosable schedules, for the hospital and for each
tax-exempt entity related to the hospital that is required by federal law to file that form with the Internal Revenue Service;
and
[2005, c. 249, §1 (new).]
2. IRS Form 1120. The federal Internal Revenue Service Form 1120 for each for-profit entity in which the hospital has a controlling interest.
[2005, c. 249, §1 (new).]
div> Information required to be disclosed under this section must be submitted by the hospital to the department within 5 months
after the end of the hospital's fiscal year or within 5 months after the date on which the entity files the applicable form
with the Internal Revenue Service. The department shall make available for public inspection and photocopying copies of all
documents required by this section and shall post those documents on the department's publicly accessible website.
[2005, c. 249, §1 (new).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1819. Investment of hospital trust funds
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1819. Investment of hospital trust funds
Hospitals may treat any 2 or more trust funds as a single fund solely for the purpose of investment, if such investment is
not prohibited by the instrument, judgment, decree or order creating such trust funds. Unless ordered by decree, the hospital
so investing said funds is not required to render a court accounting with regard to such funds, but it, as accountant, or
any interested person, may by petition to the Superior Court or the probate court in the county where said hospital is located
secure approval of such accounting on such conditions as the court may establish.
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1820-A. Right of entry and inspection of nursing homes and boarding homes
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1820-A. Right of entry and inspection of nursing homes and boarding homes
The department and any duly designated officer or employee thereof shall have the right to enter upon and into the premises
of any nursing home licensed pursuant to this chapter at any reasonable time in order to determine the state of compliance
with this chapter and any rules and regulations in force pursuant thereto. Such right of entry and inspection shall extend
to any premises which the department has reason to believe is being operated or maintained as a nursing home without a license,
but no such entry or inspection of any premises shall be made without the permission of the owner or person in charge thereof,
unless a warrant is first obtained from the District Court authorizing the same. Any application for a nursing home license
made pursuant to this chapter shall constitute permission for and complete acquiescence in any entry or inspection of the
premises for which the license is sought in order to facilitate verification of the information submitted on or in connection
with such application.
[1975, c. 719, § 3 (amd).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1820. Standards
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1820. Standards
The department shall have the power to establish reasonable standards under this chapter which it finds to be necessary and
in the public interest and may rescind or modify such regulations from time to time as may be in the public interest, in so
far as such action is not in conflict with any of the provisions of said chapter. No standards, rules or regulations of the
department pursuant to this chapter shall be adopted or enforced which would have the effect of denying a license to any hospital
or other institution required to be licensed, solely by reason of the school or system of practice employed or permitted to
be employed by physicians therein, provided such school or system of practice is recognized by the laws of this State.
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1821. Violations; penalties (REPEALED)
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1821. Violations; penalties (REPEALED)
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1822-A. Notice to nursing facility applicants
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1822-A. Notice to nursing facility applicants
If an applicant to a nursing facility has not received a preadmission assessment in accordance with section 3174-I, the nursing
facility shall provide to the applicant and any relative or friend assisting the applicant a notice prepared by the department
regarding preadmission assessment. The notice must indicate that preadmission assessment is required and that, if the applicant
depletes the applicant's resources and applies for Medicaid in the future, the applicant may need to leave the nursing facility
if an assessment conducted at that time finds that the applicant is not medically eligible for nursing facility services.
[1995, c. 170, §1 (amd).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1822. Notice when nursing home voluntarily closed
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1822. Notice when nursing home voluntarily closed
Any person, including county or local government units, who is conducting, managing or operating any hospital, sanatorium,
convalescent home, rest home, nursing home or institution within the meaning of this chapter, and who is properly licensed
therefor in accordance with this chapter shall give at least 30 days' advance notice of the voluntary closing of such facility
to the patients therein and to those persons, governmental units or institutions who are primarily responsible for the welfare
of those patients who are being cared for by said hospital, sanatorium, convalescent home, rest home, nursing home or institution
so that adequate preparation may be made for the orderly transfer of said patients to another qualified facility.
[1971, c. 281 (new).]
div> Failure to provide such notice shall subject the offender to the same penalties provided in section 1821.
[1971, c. 281 (new).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1823. Treatment of minors
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1823. Treatment of minors
Any hospital licensed under this chapter or alcohol or drug treatment facility licensed pursuant to section 7801 that provides
facilities to a minor in connection with the treatment of that minor for venereal disease or abuse of drugs or alcohol or
for the collection of sexual assault evidence through a sexual assault forensic examination is under no obligation to obtain
the consent of that minor's parent or guardian or to inform that parent or guardian of the provision of such facilities so
long as such facilities have been provided at the direction of the person or persons referred to in Title 32, sections 2595,
3292, 3817, 6221 or 7004. The hospital shall notify and obtain the consent of that minor's parent or guardian if that hospitalization
continues for more than 16 hours.
[1999, c. 90, §2 (amd).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1824. Personal funds of residents
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1824. Personal funds of residents
The operator or agent of any skilled nursing or intermediate care facility, licensed pursuant to this chapter, who manages,
holds or deposits the personal funds of any resident of the facility is subject to all the procedures and provisions included
in section 7857.
[2001, c. 596, Pt. B, §6 (amd); §25 (aff).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1825. Smoking in nursing homes
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1825. Smoking in nursing homes
Residents, visitors and personnel in any nursing home licensed pursuant to this chapter may smoke only in specifically-designated
areas of the nursing home.
[1983, c. 293 (new).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1826. Nursing home admission contracts
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1826. Nursing home admission contracts
All contracts or agreements executed at the time of admission or prior to admission by a resident or legal representative
and by any nursing home licensed pursuant to this chapter shall be subject to the requirements of this section.
[1985, c. 291, § 1 (new).]
1. Required contract provisions. Each contract or agreement shall contain the following provisions.
A. A resident may obtain medical care from any qualified institution, agency or person of his choice, as long as that health
care provider complies with any applicable laws or rules concerning the provision of care to the resident.
[1985, c. 291, § 1 (new).]
B. A resident may obtain medication from any qualified pharmacy, as long as that pharmacy complies with any applicable state
rules and federal regulations and with the reasonable policies of the facility concerning procurement of medication.
[1985, c. 291, § 1 (new).]
[1985, c. 291, § 1 (new).]
2. Contract requirements. Each contract or agreement is subject to the following requirements.
A. No contract or agreement may contain a provision for the discharge of a resident or the transfer of a resident to another
facility or to another room within the same facility which is inconsistent with state law or rule.
[1985, c. 291, § 1 (new).]
B. Each contract or agreement shall contain a complete copy of the department rules establishing residents' rights and shall
contain a written acknowledgement that the resident has been informed of those rights. In the case of a mentally retarded
or otherwise incompetent individual, the written acknowledgement of those rights shall be made by a representative of the
resident. No provision in the contract or agreement may negate, limit or otherwise modify any provision of the residents'
rights.
[1985, c. 291, § 1 (new).]
C. No provision of a contract or agreement may require or imply a lesser standard of care or responsibility than is required
by law or rule.
[1985, c. 291, § 1 (new).]
D. No provision in a contract or agreement may state or imply a lesser degree of responsibility for the personal property of
a resident than is required by law or rule.
[1985, c. 291, § 1 (new).]
E. No contract or agreement may require the resident to sign a waiver of liability statement as a condition of discharge, even
if the discharge is against medical advice. This does not prohibit a facility from attempting to obtain a written acknowledgement
that the resident has been informed of the potential risk in being discharged against medical advice.
[1985, c. 291, § 1 (new).]
F. Each contract or agreement shall contain a provision which provides for at least 30 days' notice prior to any changes in
rates and charges, responsibilities, services to be provided or any other items included in the contract or agreement.
[1985, c. 291, § 1 (new).]
G. No contract or agreement may require the resident to authorize the facility or its staff to manage, hold or otherwise control
the income or other assets of a resident.
[1985, c. 291, § 1 (new).]
H. No contract or agreement may contain any provisions which restrict or limit the ability of a resident to apply for and receive
Medicaid or which require a specified period of residency prior to applying for Medicaid. The resident may be required to
notify the facility when an application for Medicaid has been made. No contract or agreement may require a deposit or other
prepayment from Medicaid recipients. No contract or agreement may refuse to accept retroactive Medicaid benefits.
[1985, c. 291, §1 (new).]
I. No contract or agreement may contain a provision which provides for the payment of attorneys' fees or any other cost of
collecting payments from the resident.
[1985, c. 291, § 1 (new).]
[1985, c. 291, § 1 (new).]
3. Other contract provisions. The contract or agreement may contain other provisions that do not violate state law or rule or federal law or regulation
and that are specifically allowed by the standardized contract under subsection 4.
[1997, c. 329, §1 (amd).]
4. Standardized contract. The commissioner shall adopt rules to standardize nursing home contracts for all nursing home residents to clarify the rights
and obligations of residents. Rules adopted pursuant to this subsection are routine technical rules as defined by Title 5,
chapter 375, subchapter II-A.
[1997, c. 329, §2 (new).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1827. Photographs of nursing home residents
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1827. Photographs of nursing home residents
A nursing home may require an identification photograph of each resident. Photographs may not be used for any other purpose
without the permission of the resident for each specific use. The permission must indicate the specific purpose which the
pictures are to be used for and, except for the identification photograph, may not be contained in the admission contract
or agreement.
[1985, c. 291, § 1 (new).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1828. Records; disclosure
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1828. Records; disclosure
1. Confidential information. The following provisions apply to records that are made, acquired or retained by the department in connection with the administration
of the Medicaid program and the licensing or certification of hospitals, nursing homes and other medical facilities and entities.
A. Except as provided in Title 5, section 9057 and in subsections 2 and 3, confidential information may not be released without
a court order or a written release from the person whose privacy interest is protected by this section.
[1989, c. 175, §2 (new).]
B. "Confidential information" means any information which directly or indirectly identifies:
(1) Any person who makes a complaint to the department;
(2) A resident or a recipient of services of any facility or provider licensed or certified by the department;
(3) Any recipient of a public welfare program, such as the United States Social Security Act, Title XIX; or
(4) Any medical or personal information concerning the individuals listed in subparagraphs (2) and (3).
[1989, c. 175, §2 (new).]
[1989, c. 175, §2 (new).]
2. Optional disclosure. The department may disclose relevant confidential information to the extent allowed by federal law and regulation to the
following persons or agencies:
A. Employees of the department and legal counsel for the department in carrying out their official functions;
[1989, c. 175, §2 (new).]
B. Professional and occupational licensing boards pursuant to chapter 857;
[1989, c. 175, §2 (new).]
C. An agency or person investigating a report of abuse or neglect when the investigation is authorized by law or by an agreement
with the department;
[1989, c. 175, §2 (new).]
D. A physician treating an individual whom the physician reasonably suspects may have been abused or neglected;
[1989, c. 175, §2 (new).]
E. The resident or recipient of services on whose behalf the complaint was made; or
[1989, c. 175, §2 (new).]
F. A parent, guardian, spouse or adult child of a resident or recipient of services or any other person permitted by the resident
or recipient to participate in decisions relating to the resident's or recipient's care.
[1989, c. 175, §2 (new).]
[1989, c. 175, §2 (new).]
3. Mandatory disclosure. The department shall disclose relevant confidential information to the extent allowed by federal law and regulations to
the following:
A. A law enforcement agency investigating a report of abuse or neglect or the commission of a crime by an owner, operator or
employee of a facility or provider; or
[1989, c. 175, §2 (new).]
B. Appropriate state or federal agencies when disclosure is necessary to the administration of the Medicaid program.
[1989, c. 175, §2 (new).]
[1989, c. 175, §2 (new).]
4. Further disclosure. Information released pursuant to subsections 2 and 3 shall be used solely for the purpose for which it was provided and
shall not be further disseminated.
[1989, c. 175, §2 (new).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1829. Notice to medical utilization review entity
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1829. Notice to medical utilization review entity
1. Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings.
A. "Medical utilization review entity" means a person, corporation, organization or other entity that provides medical utilization
review services as defined in Title 24-A, section 2773.
[1991, c. 548, Pt. A, §17 (rpr).]
B. "Emergency treatment" means treatment of a case involving accidental bodily injury or the sudden and unexpected onset of
a critical condition requiring medical or surgical care for which a person seeks immediate medical attention within 24 hours
of the onset.
[1991, c. 548, Pt. A, §17 (rpr).]
[1991, c. 548, Pt. A, §17 (rpr).]
2. Notification requirement. If a hospital provides emergency treatment to a person who is insured or otherwise covered under a policy or contract that
requires review of hospitalization by a medical utilization review entity, the hospital must notify the medical utilization
review entity covering that person, unless the person is:
A. Released from the hospital no more than 48 hours after admission; or
[1991, c. 548, Pt. A, §17 (rpr).]
B. Covered under an insurance policy or contract that is not subject to Title 24, section 2302-B, Title 24-A, section 2749-A
or Title 24-A, section 2847-A.
[1993, c. 645, Pt. A, §2 (amd).]
The notification must include the name of the person admitted, the general medical nature of the admission and the telephone
number of the admitting physician or other health care provider treating the person.
[1993, c. 645, Pt. A, §2 (amd).]
3. Timing of notification. Notification must be made within 2 business days after the hospital determines the identity of the utilization review entity
and receives written authorization to release the information by the patient or other person authorized to permit release
of the information.
[1991, c. 548, Pt. A, §17 (rpr).]
4. Exemption. The hospital is exempt from this requirement if:
A. The hospital receives a written confirmation from the admitting physician, the patient or a representative of the patient
that the medical utilization review entity has been notified; or
[1991, c. 548, Pt. A, §17 (rpr).]
B. The hospital is not able to obtain written authorization to release the information, following a good faith effort by the
hospital to obtain that authorization.
[1991, c. 548, Pt. A, §17 (rpr).]
[1991, c. 548, Pt. A, §17 (rpr).]
5. Immunity from liability for notification. Neither the hospital nor any of its employees or representatives may be held liable for damages resulting from the notification
required by this section.
[1991, c. 548, Pt. A, §17 (rpr).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1830. Pharmaceutical services in nursing homes
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1830. Pharmaceutical services in nursing homes
1. Notice. Each nursing home shall post a notice in a place within the nursing home where notices for residents are ordinarily posted
stating that each resident has the right to obtain medication from a pharmacy of the resident's choice as provided in section
1826, subsection 1.
[1991, c. 548, Pt. A, §18 (new).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
Title 22 - §1831. Patient referrals
Title 22: HEALTH AND WELFARE Subtitle 2: HEALTH Part 4: HOSPITALS AND MEDICAL CARE Chapter 405: LICENSING OF HOSPITALS AND INSTITUTIONS §1831. Patient referrals
1. Provision of information. In order to provide for informed patient or resident decisions, a hospital or nursing facility shall provide lists of licensed
providers of care and services for all patients or residents prior to discharge for whom home health care or nursing care
is needed.
A. For all patients or residents requiring home health care, the list must include all licensed home health care providers
that request to be listed and any branch offices, including addresses and phone numbers, that serve the area in which the
patient or resident resides.
[1997, c. 337, §1 (new).]
B. For all patients or residents requiring nursing facility care, the list must include all nursing facilities that request
to be listed that serve the area in which the patient or resident resides or wishes to reside.
[1997, c. 337, §1 (new).]
C. The hospital or nursing facility shall disclose to the patient or resident any direct or indirect financial interest the
hospital or nursing facility has in the nursing facility or home health care provider.
[1997, c. 337, §1 (new).]
[1997, c. 337, §1 (new).]
2. Rulemaking. The department shall establish by rule guidelines necessary to carry out the purposes of this section. Rules adopted under
this section are routine technical rules pursuant to Title 5, chapter 375, subchapter II-A.
[1997, c. 337, §1 (new).]
The Revisor's Office cannot provide legal advice or
interpretation of Maine law to the public. If you need legal
advice, please consult
a qualified attorney. Office of the Revisor of Statutes 7 State House Station
State House Room 108
Augusta, Maine 04333-0007
This page created on: 2005-10-01
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