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 354.1023 - Optometric Services Provider
Universal Citation: 1 TX Admin Code ยง 354.1023
Current through Reg. 49, No. 38; September 20, 2024
(a) In addition to those services described in § RSA 354.1015 and § RSA 363.502 of this title (both relating to Benefits and Limitations), and subject to the specifications, conditions, limitations, and requirements established by the Texas Health and Human Services Commission (HHSC) or its designee, diagnostic and treatment services performed by a provider qualified to provide optometric services under Texas Medicaid are covered by the Texas Medicaid Program.
(b) To be covered, the evaluation, diagnostic, and treatment services must be:
(1) within the provider's scope of practice,
as defined by state law;
(2)
reasonable and medically necessary as determined by HHSC; and
(3) provided to an eligible recipient by a
qualified provider enrolled in the Texas Medicaid Program at the time the
service(s) are provided.
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