An Act Regarding Pharmacy Provider Audits
Be it enacted by the People of the State of Maine as follows:
Sec. 1. 24-A MRSA §4317, sub-§10, ¶¶F to H are enacted to read:
F. Prior to an audit, the entity conducting an audit shall give the pharmacy 10 days' advance written notice of the audit and the range of prescription numbers and the range of dates included in the audit.
G. A pharmacy has the right to request mediation by a private mediator, agreed upon by the pharmacy and the pharmacy benefits manager, to resolve any disagreements. A request for mediation does not waive any existing rights of appeal available to a pharmacy under this subsection or subsection 11.
H. The requirements of section 4303, subsection 10 apply to claims audited under this subsection.
Effective 90 days following adjournment of the 126th Legislature, First Regular Session, unless otherwise indicated.