Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.14 - Vision Care Services
Section 10.09.14.05 - Limitations
Universal Citation: MD Code Reg 10.09.14.05
Current through Register Vol. 51, No. 19, September 20, 2024
A. The following are not covered:
(1) Eyeglasses, ophthalmic
lenses, optical aids, and optician services rendered to recipients 21 years old
and older;
(2) Eyeglasses,
ophthalmic lenses, optical aids, and optician services rendered to recipients
which were not ordered as a result of a full or partial EPSDT screen;
(3) Repairs, except when repairs to
eyeglasses are more cost-effective than replacing with new
eyeglasses;
(4) Combination or
metal frames except when required for proper fit;
(5) Cost of travel by the provider;
(6) A general screening of a Medical
Assistance population;
(7) Visual
training sessions which do not include orthoptic treatment;
(8) Routine adjustment.
B. An optometrist certified by the Board as qualified to administer diagnostic pharmaceutical agents may use the following agents in strengths not greater than the strengths indicated:
(1) Agents directly or indirectly affecting
the pupil of the eye, including the mydriatics and cycloplegics listed below:
(a) Phenylephrine hydrochloride (2.5
percent);
(b) Hydroxyamphetamine
hydrobromide (1 percent);
(c)
Cyclopentolate hydrochloride (0.5-2 percent);
(d) Tropicamide (0.5 and 1
percent);
(e) Cyclopentolate
hydrochloride (0.2 percent) with Phenylephrine hydrochloride (1
percent);
(f) Dapiprazole
hydrochloride (0.5 percent); and
(g) Hydroxyamphetamine hydrobromide (1
percent) and Tropicamide (0.25 percent); and
(2) Agents directly or indirectly affecting
the sensitivity of the cornea including the:
(a) Topical anesthetics listed below:
(i) Proparacaine hydrochloride (0.5 percent);
and
(ii) Tetracaine hydrochloride
(0.5 percent); and
(b)
Diagnostic topical anesthetic and dye combinations listed below:
(i) Benoxinate hydrochloride (0.4 percent) -
Fluorescein sodium (0.25 percent); and
(ii) Proparacaine hydrochloride (0.5 percent)
- Fluorescein sodium (0.25 percent).
C. An optometrist certified by the Board as qualified to administer and prescribe topical therapeutic pharmaceutical agents is limited to:
(1) Ocular antihistamines,
decongestants, and combinations of them, excluding steroids;
(2) Ocular antiallergy pharmaceutical
agents;
(3) Ocular antibiotics and
combinations of ocular antibiotics, excluding specially formulated or fortified
antibiotics;
(4) Anti-inflammatory
agents, excluding steroids;
(5)
Ocular lubricants and artificial tears;
(6) Tropicamide;
(7) Homatropine;
(8) Nonprescription drugs that are
commercially available; and
(9)
Primary open-angle glaucoma medications, in accordance with a written treatment
plan developed jointly between the optometrist and an
ophthalmologist.
Disclaimer: These regulations may not be the most recent version. Maryland 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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