Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-17 - EYE CARE SERVICES
Section 560-X-17-.07 - Special Situations
Universal Citation: AL Admin Code R 560-X-17-.07
Current through Register Vol. 43, No. 02, November 27, 2024
(1) Eye Care for Patients Eligible for Both Medicare and Medicaid. See the Medicaid Provider Manual for instructions in filing claims when the Medicaid patient is entitled to benefits covered by Medicare.
(2) If eyeglasses are prescribed under conditions not covered by Medicare, instructions and procedures appearing in other paragraphs of this chapter should be followed.
(3) Unusual Situations.
(a) Services for unusual situations may be
provided when prior authorized. Full, written information justifying medical
necessity must be sent to Medicaid prior to the service being
rendered.
(b) Please refer to Rule
560-X-17-.01(3)
for prior authorization procedures.
Author: Jacquelyn King, Program Manager; Medical Support
Statutory Authority: State Plan; Title XIX, Social Security Act; 42 C.F.R. §401 et. seq.
Disclaimer: These regulations may not be the most recent version. Alabama may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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