Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1147 - OPTOMETRISTS' SERVICES
SCOPE OF BENEFITS
Section 1147.22 - Scope of benefits for the medically needy
Current through Register Vol. 54, No. 12, March 23, 2024
Medically needy recipients are eligible for vision examinations. They are not eligible for eyeglasses, low vision aids or prostheses unless they are 20 years of age or younger and the eyeglasses, low vision aids or prostheses have been:
(1) Prescribed through the EPSDT program as described in § 1101.32(a)(1) (relating to coverage variations).
(2) Prescribed through the School Medical program as described in § 1101.32(a)(2).
(3) Prior authorized by the Department as provided through the EPSDT program when screening has not occurred under § 1101.32(a)(1).
The provisions of this § 1147.22 issued under sections 403(a) and (b) and 443.6 of the Public Welfare Code (62 P. S. §§ 403(a) and (b) and 443.6).
This section cited in 55 Pa. Code § 1147.11 (relating to types of services covered).
