Department of Public Health and Human Services

Montana Healthcare Programs Provider Information » Manuals » Optometric and Eyeglass Services Manual

Main Content

Optometric and Eyeglass Services Manual

Optometric and Eyeglass Services Manual

This manual is a DRAFT and IS NOT IN EFFECT.
Please visit the appropriate provider type page for the manual that is in force at this time.

Optometric and Eyeglass Services Manual

Printing the manual material found at this website for long-term use is not advisable. Department Policy material is updated periodically and it is the responsibility of the users to check and make sure that the policy they are researching or applying has the correct effective date for their circumstances.

If you experience any difficulty opening a section or link from this page, please email the webmaster.

How to Search this manual:

This edition has three search options.

  1. Search the whole manual. Open the Complete Manual pane.  From your keyboard press the Ctrl and F keys at the same time.  A search box will appear.  Type in a descriptive or key word (for example "Denials". The search box will show all locations where denials discussed in the manual.
  2. Search by Chapter. Open any Chapter tab (for example the "Billing Procedures" tab).  From your keyboard press the Ctrl and F keys at the same time.  A search box will appear.  Type in a descriptive or key word (for example "Denials". The search box will show where denials discussed in just that chapter.
  3. Site SearchSearch the manual as well as other documents related to a particular search term on the Montana Healthcare Programs Site Specific Search page.

Prior manuals may be located through the provider website archives.

 


Optometric and Eyeglass Services Manual

Updated 04/25/2017

This manual was updated 04/25/2017

Update Log

Update Log

 

04.10.2017
Optometric and Eyeglass Services, April 2017
In summary, the manual was updated to include current cost share language and co-pays and basic accessibility changes were made as approved by the Manuals Committee in September 2016.

12.31.2015
Optometric and Eyeglass Services, January 2016: HELP Plan-Related Updates and Others

06.24.2015
Optometric and Eyeglass Services, June 2015: Entire Manual
(Note: There are pages that have no text changes; however, the page layout is different than the previous manual due to changes on previous pages.)

08.11.2014
Entire Optometric and Eyeglass Services Manual
Information contained in the General Information for Providers manual or found elsewhere on the website has been removed, and links to those sources are included.

05.19.2010
Key Contacts and Prior Authorization

04.25.2006
Covered Services Information for Initial/New Prescriptions for Eyeglasses

10.12.2005
Covered Services Information for Initial/New Prescriptions

09.09.2005
Eyeglass Service Modifiers, New Place of Service Codes

04.18.2005
Clarification for Lens Add-Ons and Updated Key Contacts

01.19.2005
Rule References Added

04.29.2004
Updates for HIPAA, Covered Services, and Billing Procedures

07.09.2003
Covered Services

Table of Contents

 

Key Contacts

 

Introduction

 

Covered Services

 

Prior Authorization

 

Coordination of Benefits

 

Billing Procedures

 

Submitting a Claim

 

Remittance Advices and Adjustments

 

How Payment Is Calculated

 

Appendix A: Forms

 

Appendix B: Places of Service Codes

 

Definitions and Acronyms

 

Index

 

Complete Optometric and Eyeglass Services Manual