Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.86 - MEDICAID PRIMARY CARE SERVICES
Subchapter 37.86.21 - Eyeglass Services
Rule 37.86.2105 - EYEGLASSES, REIMBURSEMENT

Universal Citation: MT Admin Rules 37.86.2105

Current through Register Vol. 18, September 20, 2024

(1) Eyeglasses are paid by the department through a single volume purchase contract.

(2) Reimbursement for contact lenses or dispensing fees is as follows:

(a) The department pays the lower of the following:
(i) the provider's usual and customary charge for the service; or

(ii) the amount specified for the particular service or item in the department's Eyeglasses Fee Schedule.

(3) The department adopts and incorporates by reference the department's Eyeglasses Fee Schedule effective May 1, 2024. A copy of the department's fee schedule is posted at the Montana Medicaid provider web site at https://medicaidprovider.mt.gov. A copy of the department's fee schedule may also be obtained from Department of Public Health and Human Services, Health Resources Division, 1400 Broadway, P.O. Box 202951, Helena, MT 59620-2951.

AUTH: 53-6-113, MCA; IMP: 53-6-101, 53-6-113, 53-6-141, MCA

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