Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 354 - MEDICAID HEALTH SERVICES
Subchapter A - PURCHASED HEALTH SERVICES
Division 2 - MEDICAID VISION CARE PROGRAM
Section 354.1017 - Specifications for Eyewear
Current through Reg. 49, No. 38; September 20, 2024
The provider must ensure that eyewear meets the following specifications.
(1) Lenses must meet federal and state specifications and all standards of the American standard prescription requirements for first quality lenses and dress eyewear.
(2) Standard frame sizes are dispensed at no cost to the eligible recipient.
(3) An eyeglass supplier must show each eligible recipient a minimum selection of frame styles and colors as required by the Texas Health and Human Services Commission policy.
(4) Frames are only those manufactured in the United States of America, unless foreign-made frames are comparable in quality to and less expensive than American made-frames. Lenses are only those manufactured in the United States of America, unless foreign-made lenses are comparable in quality to and less expensive than American-made lenses.
(5) Frames are serviceable and meet prescription quality standards.
(6) Lenses and frame materials are new.
(7) Supplies are at least equivalent in quality to program eyewear provided under this division at no cost to the eligible recipients.
(8) All repair materials billed to Texas Medicaid must be new and at least equivalent to the original item and meet the specifications for prosthetic eyewear cited in these provisions.
