Oklahoma Administrative Code
Title 317 - Oklahoma Health Care Authority
Chapter 30 - Medical Providers-Fee for Service
Subchapter 5 - Individual Providers and Specialties
Part 45 - OPTOMETRISTS
Section 317:30-5-431 - Coverage by category
Current through Vol. 41, No. 20, July 1, 2024
Payment is made to optometrists as set forth in this Section.
(1) Adults. Payment can be made for medical services that are reasonable and necessary for the diagnosis and treatment of illness or injury up to the patient's maximum number of allowed office visits per month.
(2) Children. Eye examinations are covered when medically necessary. Determination of the refractive state is covered when medically necessary.
(3) Individuals eligible for Part B of Medicare. Payment is made utilizing the Medicaid allowable for comparable services.
Added at 12 Ok Reg 751, eff 1-5-95 through 7-14-95 (emergency); Added at 12 Ok Reg 3131, eff 7-27-95; Amended at 17 Ok Reg 3354, eff 8-1-00 (emergency); Amended at 18 Ok Reg 1130, eff 5-11-01; Amended at 19 Ok Reg 2922, eff 7-1-02 (emergency); Amended at 20 Ok Reg 1193, eff 5-27-03; Amended at 23 Ok Reg 2463, eff 6-25-06; Amended at 24 Ok Reg 2824, eff 5-1-07 (emergency); Amended at 25 Ok Reg 653, eff 2-1-08 (emergency); Amended at 25 Ok Reg 2634, eff 7-25-08