Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 140 - MEDICAL PAYMENT
Subpart D - PAYMENT FOR NON-INSTITUTIONAL SERVICES
Section 140.416 - Optometric Services and Materials
Current through Register Vol. 48, No. 38, September 20, 2024
a) Payment for optometric services and materials shall be made to physicians, optometrists, opticians and optical companies.
b) Payment shall be made for the following optometric services and materials:
c) Optometric services and materials for which payment shall not be made include:
d) Payment for services and materials shall be at the lesser of the provider's usual and customary charge or the maximums established by the Department pursuant to Section 140.400.
e) Lenses, Frames and Frame Parts Requirements that Began During a Public Health Emergency. Notwithstanding subsections (b)(4) and (c)(2) of this Section and Section 140.418, and any other provision to the contrary in this Part, the Department will reimburse for lenses, frame parts and frames provided by the Department's laboratory vendors for dates of service on or after March 9, 2020 until the Department determines any or all of the services provided by the Department's laboratory vendors are no longer necessary or until the DOC laboratory resumes production of lenses, frames and frame parts.