ࡱ>  Wbjbj$$ 7F|F|x00000DDD8|<D Bxt{{{AAAAAAA$CJF|A0*{{**A00A{,{,{,*00A{,*A{,{,{,汊g+R{,AA0 B{,F+@F{,{,8F0,{i<{,#d '{{{AA+{{{ B****F{{{{{{{{{ :  Date  HYPERLINK "ApprovedWaiverList3-2-15.doc" Approved Waiver ListProviderTown/CityWaiver ReasonExpiration7/29/2002Aroostook Medical CenterPresque IsleSubstantially equivalent - 3.B N/A8/14/2002Mercy Pain CenterPortlandSubstantially equivalent - 3.B N/A9/23/2002Michele E. Spekhardt, D.M.D., P.A.BangorSubstantially equivalent - 3.EN/A10/8/2002Mercy Hospital - Emergency RoomPortlandSubstantially equivalent - 3.EN/A10/21/2002Horizons Health ServicesFort FairfieldSubstantially equivalent - 3.B N/A11/7/2002Bangor Internal Medicine AssociatesBangorSubstantially equivalent - 3.EN/A11/25/2002Aroostook Family PracticePresque IsleSubstantially equivalent - 3.EN/A12/2/2002Elm City Medical Associates, P.A.WatervilleSubstantially equivalent - 3.EN/A12/19/2002Daniel J. Bizier, D.M.D., P.A.LewistonSubstantially equivalent - 3.EN/A1/7/2003Orthopedic Associates of Portland, P.A.PortlandSubstantially equivalent - 3.B N/A 3/27/2003 Bowdoin Medical GroupBiddeford, Brunswick, Cumberland, Gorham, Knightville and PortlandSubstantially equivalent - 3.EN/A5/13/2003Eastern Maine Medical Center Family PracticeBangorSubstantially equivalent - 3.EN/A2/23/2005Central Maine Clinical AssociatesLewistonSubstantially equivalent - 3.EN/A10/25/2005Midcoast Maine, P.A.RocklandSubstantially equivalent - 3.EN/A11/3/2005Central Maine Medical Center Medical OncologyLewistonSubstantially equivalent - 3.EN/A11/3/2005Central Maine Medical Center Radiation OncologyLewistonSubstantially equivalent - 3.EN/A11/22/2005York Primary CareYorkSubstantially equivalent - 3.EN/A11/6/2006Penobscot Nation Health DepartmentIndian IslandSubstantially equivalent - 3.EN/A7/11/2006Waldoboro Family MedicineWaldoboroSubstantially equivalent - 3.EN/ADate GrantedProviderTown/CityWaiver ReasonExpiration3/12/2008Medical Rehabilitation AssociatesLewistonSubstantially equivalent - 3.EN/A7/1/2008Family MedicineCamdenSubstantially equivalent - 3.EN/A8/14/2008Rx Security (Printer)Port Chester, NYSubstantially equivalent - 3.EN/A10/30/2008Sebasticook Family DoctorsNewportSubstantially equivalent - 3.EN/A4/4/2008Pediatric Associates of Lewiston, PALewistonSubstantially equivalent - 3.EN/A6/5/2008Cornerstone Behavioral HealthWatervilleSubstantially equivalent - 3.EN/A6/18/2009Michael E. Trueworthy, CNPScarboroughSubstantially equivalent - 3.EN/A4/10/2010Skowhegan Family MedicineSkowheganSubstantially equivalent - 3.EN/A6/6/2010Island Community Medical Services, Inc.VinalhavenSubstantially equivalent - 3.EN/A8/31/2010Saint Joseph Internal MedicineBangorSubstantially equivalent - 3.EN/A 11/24/2011Waterville PediatricsWatervilleSubstantially equivalent - 3.E N/A 1/27/2011Jean Burton, NPPortlandSubstantially equivalent - 3.EN/A3/11/2011Franklin Memorial HospitalFarmingtonSubstantially equivalent - 3.EN/A07/22/11Sacoppee Valley Health CenterPorterSubstantially equivalent 3.B & EN/A08/03/11Kittery Family PracticeKitterySubstantially equivalent 3.BN/A12/28/11InterMED Yarmouth Health CenterYarmouthSubstantially equivalent 3.BN/A12/17/12Kennebec Behavioral HealthWatervilleSubstantially equivalent 3.BN/A04/30/13Central Maine Medical CenterLewistonSubstantially equivalent 3.BN/A04/30/13Rumford HospitalRumfordSubstantially equivalent 3.BN/ADate GrantedProviderTown/CityWaiver ReasonExpiration04/30/13Bridgton HospitalBridgtonSubstantially equivalent 3.BN/A06/19/13York HospitalYork, Wells, Kittery, BerwickSubstantially equivalent 3.BN/A06/25/13Arthur Jewell Community Health CenterBrooksSubstantially equivalent 3.BN/A10/31/13Northern Maine Medical CenterFort KentSubstantially equivalent 3.BN/A11/08/13New England Rehabilitation HospitalPortlandSubstantially equivalent 3.BN/A02/03/14Full Circle Health Care, LLCPresque IsleSubstantially equivalent 3.BN/A02/12/14MaineOrthoPortlandSubstantially equivalent 3.BN/A10/24/14Millinocket Regional HospitalMillinocketSubstantially equivalent 3.BN/A10/30/14Falmouth Orthopedic CenterFalmouthSubstantially equivalent 3.BN/A11/25/14Waterville Family PracticeWatervilleSubstantially equivalent 3.BN/A01/13/15Waterboro Village Pediatrics Kati DeRevereMount DesertSubstantially equivalent 3.BN/A02/04/15Mount Desert Island HospitalMount DesertSubstantially equivalent 3.BN/A02/24/15Health Affiliates MaineAuburn, Bangor, Mount DesertSubstantially equivalent 3.BN/A03/02/15Maine General PsychiatryAugustaSubstantially equivalent 3.BN/A8/12/15Coastal Maine PsychiatryPortlandSubstantially equivalent 3.BN/A9/1/15ClearChoiceMDScarboroughSubstantially equivalent 3.BN/A9/8/15Southern Maine Health Care all providersBiddeford, all locationsSubstantially equivalent 3.BN/A9/14/15Bucksport Regional Health Center all providersBucksportSubstantially equivalent 3.BN/A     Security Prescription Blank Rule Waiver List Approved Waiver List Rev.  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