{"data":{"id":"us-me/24-m.r.s.-2302-c","jurisdiction":"us-me","citation":"24 M.R.S. §2302-C","heading":"Penalty for noncompliance with utilization review programs","body":"A contract issued or renewed by a nonprofit service organization after April 8, 1994 may not contain a provision that permits, upon retroactive review and confirmation of medical necessity, the imposition of a penalty of more than $500 for failure to provide notification under a utilization review program.  This section does not limit the right of nonprofit service organizations to deny a claim when appropriate prospective or retroactive review concludes that services or treatment rendered were not medically necessary.","path":["TITLE 24: INSURANCE","CHAPTER 19: NONPROFIT HOSPITAL OR MEDICAL SERVICE ORGANIZATIONS","SUBCHAPTER 1: GENERAL PROVISIONS"],"source_url":"https://legislature.maine.gov/statutes/24/title24sec2302-C.html","current_through":"October 1, 2025","vintage":"","retrieved_at":"2026-09-04T15:12:33Z","sha256":"2cf867ee280466a96c28d2757cf810709e84fc0d311dc9311a86ea93f5fdc828","source_id":"us-me","stale":false,"prev":"us-me/24-m.r.s.-2302-b","next":"us-me/24-m.r.s.-2303"},"notice":"GroundRules: Original legal text. Not legal advice."}