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.
Information on 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.