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Vision Care (Optometrists, Opticians)
45.1 Enrollment 45-2
45.1.1 Medicaid Managed Care Enrollment 45-2
45.2 Reimbursement 45-2
45.3 Provider Responsibilities 45-2
45.4 Benefits and Limitations 45-3
45.4.1 Eye Examinations 45-3
45.4.1.1 Refractive Errors 45-3
45.4.2 Eye Examinations for the Purpose of Prescribing Eyewear 45-3
45.4.2.1 Disease or Injury to the Eye 45-6
45.4.2.3 Corneal Topography 45-7
45.4.2.4 Therapeutic Optometrists 45-7
45.4.3 Medicare/Medicaid 45-7
45.4.4 Nonprosthetic Eyewear 45-8
45.4.4.1 Dispensing Requirements 45-8
45.4.4.2 Replacements 45-8
45.4.4.4 Contact Lenses 45-9
45.4.4.5 Noncovered Services/Supplies 45-9
45.4.5 Nonprosthetic Eyeglasses and Contacts 45-10
45.4.5.3 Replacements 45-11
45.4.5.4 Contact Lenses (Must be Prior Authorized) 45-11
45.4.5.5 Contact Lens Services Not Covered 45-11
45.4.5.6 Major Eyeglass Repairs 45-11
45.4.6 Prosthetic Eyewear 45-11
45.4.6.1 Medicare Coverage 45-11
45.4.6.2 Replacements 45-11
45.4.6.3 Significant Diopter Change 45-12
45.4.7 Prosthetic Eyeglasses and Contacts 45-12
45.4.7.1 Contact Lenses 45-12
45.4.7.2 Eyeglasses 45-12
45.5 Claims Information 45-12
45.5.1 Claim Filing Resources 45-12
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