New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 54 - PHYSICIAN SERVICES
Subchapter 5 - POLICIES AND PROCEDURES FOR PROVISION OF SERVICES PRESCRIBED OR RENDERED BY A PHYSICIAN
Section 10:54-5.45 - Vision care services
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The Division recognizes vision care services, and optical appliances and services provided only by the following eligible providers, within the restrictions of their respective licensure or requirements in the state in which they are located:
(b) Covered professional (ophthalmologist and optometrist) vision care services include office visits for evaluation and management, comprehensive eye examinations, low vision examinations, low vision work-ups, vision training work-ups, and vision training program visits.
(c) For Medicaid/NJ FamilyCare purposes, prior authorization shall be required for a low vision work-up, vision training work-up and vision training. The Vision Care Services Chapter, at 10:62-2.5, lists the optical appliances that require prior authorization.