Medicaid's eye care program provides services through ophthalmologists,
optometrists and opticians. Adults (21 years of age and older) are eligible
for one complete eye exam and one pair of eyeglasses every three calendar
years. Children are eligible for the same services on an annual basis.
Contact lenses may be provided only under certain conditions and when
approved ahead of time. Eyeglasses, including frame styles for pre-teens,
teens, males and females, are chosen through a competitive bidding process.
denials, reasons for recoupments, where to find information in the
Medicaid Provider Billing Manual, free tools and contacts for providers
to use in preventing fraud and abuse.