Definition: Visual services are provided by a licensed, Medicaid participating eye doctor. Visual services include eyeglasses, eyeglass repairs as required, glass eyes, and contact lenses. |
Limits: Contact lenses are limited to recipients who have unilateral aphakia (the absence of the lens of the eye, due to surgical removal, a perforatingwound or ulcer, or congenital anomaly) or bilateral aphakia; and Eyeglasses are limited to no more than two pairs of eyeglasses per recipient, per 365 days, based on medical necessity as determined by a medical professional. All special eyeglasses and contact lenses must be prior authorized. |