2023 - 2
Archived October 2, 2023 |
Fee Schedule (XLS 59KB) |
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2022 - 1
Archived May 26, 2023
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Procedure Codes (PDF 706KB) |
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2023 - 1
Archived May 2, 2023 |
Fee Schedule (XLS 53KB) |
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2022 - 2
Archived February 1, 2023 |
Fee Schedule (XLS 53KB) |
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2021 - 1
2022 - 1
Archived April 19, 2022
|
Procedure Codes (PDF 810KB)
Fee Schedule (XLS 53KB)
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2021 - 3
Archived March 11, 2022 |
Fee Schedule (XLS 53KB) |
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2021 - 2
Archived July 1, 2021 |
Fee Schedule (XLS 53KB) |
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2020 - 1
2021 - 1
Archived April 27, 2021
|
Procedure Codes (PDF 706KB)
Fee Schedule (XLS 60KB)
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2020 - 3
Archived January 4, 2021 |
Fee Schedule (XLS 60KB) |
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2019 - 1
2020 - 2
Archived August 17, 2020
|
Procedure Codes (PDF 893KB)
Fee Schedule (XLS 60KB)
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2020 - 1
Archived April 30, 2020 |
Fee Schedule (XLS 60KB) |
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2019 - 1
Archived January 13, 2020 |
Fee Schedule (XLS 53KB) |
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2018 - 1
Archived March 22, 2019 |
Procedure Codes (PDF 533KB) |
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2018- 1 (1/1/2018)
Archived December 27, 2018 |
Fee Schedule (XLS 53KB) |
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2016- 1
Archived March 27, 2018 |
Procedure Codes (PDF 140KB) |
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2017- 1 (1/1/2017)
Archived December 27, 2017 |
Fee Schedule (XLS 49KB) |
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2016 - 1 (1/1/2016)
Archived December 29, 2016 |
Fee Schedule (XLS 47KB) |
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2015 - 1 (4/1/2015)
Archived March 30, 2016 |
Procedure Codes (PDF 152KB) |
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2015 - 1 (4/1/2015)
Archived December 29, 2015 |
Fee Schedule (XLS 45KB) |
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2013 - 1 (9/1/2013)
2014 - 1 (4/1/2014)
Archived March 31, 2015 |
Procedure Codes (PDF 210KB)
Fee Schedule (XLS 45KB) |
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2012 - 1 (1/1/2012)
Archived April 8, 2014 |
Fee Schedule (XLS 46KB) |
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2012 - 1 (1/1/2012)
Archived April 8, 2014 |
Procedure Codes (PDF 140KB) |
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2010 - 1 (10/10)
Archived September 25, 2013 |
Policy Guidelines (PDF 209KB) |
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2011 - 1 (04/01/11)
Archived April 5, 2012 |
Procedure Codes (PDF 140KB) |
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2011 - 2 (04/01/11)
Archived April 5, 2012 |
Fee Schedule (XLS 46KB) |
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2010 - 1 (11/18/10)
Archived June 20, 2011 |
150003 Billing Guidelines (PDF 3.23MB) |
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2011 - 1
Archived March 30, 2011 |
Fee Schedule (XLS 46KB) |
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2010 - 1 (04/01/10)
Archived March 30, 2011 |
Procedure Codes (PDF 160KB) |
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2010 - 1 (05/31/10)
Archived February 10, 2011 |
150002 Billing Guidelines (PDF 1.37MB) |
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2010 - 1 (04/01/10)
Archived January 5, 2011 |
Fee Schedule (XLS 51KB) |
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2007 - 1 (10/07)
Archived October 11, 2010 |
Policy Guidelines (PDF 263KB) |
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2009 - 3 (12/01/09)
Archived July 19, 2010 |
Billing Guidelines (PDF 858KB) |
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2009 - 1 (01/01/09)
Archived April 1, 2010 |
Fee Schedule (XLS 36KB) |
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2009 - 1 (01/01/09)
Archived April 1, 2010 |
Procedure Codes (PDF 236KB) |
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2009 - 2 (10/01/09)
Archived December 3, 2009 |
Billing Guidelines (PDF 1.40MB) |
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2009 - 1 (05/07/09)
Archived September 23, 2009 |
Billing Guidelines (PDF 1.41MB) |
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2008 - 3 (11/11/08)
Archived May 14, 2009 |
150001 Billing Guidelines (PDF 975KB) |
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2007 - 1 (04/01/07)
Archived April 1, 2009 |
Procedure Codes (PDF 84KB) |
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2008 - 2 (06/4/08)
Archived December 8, 2008 |
Billing Guidelines (PDF 427KB) |
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03/2007
Archived November 25, 2008 |
Fee Schedule (XLS 36KB) |
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2008 - 1 (01/02/08)
Archived August 4, 2008 |
Prior Approval Guidelines (PDF 83KB) |
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2008 - 1 (01/16/08)
Archived July 24, 2008 |
Billing Guidelines (PDF 425KB) |
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2007 - 1 (06/07/07)
Archived January 18, 2008 |
Billing Guidelines (PDF 429KB) |
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2006 - 1 (04/06)
Archived October 12, 2007 |
Policy Guidelines (PDF 212KB) |
The Vision Care Policy Manual has been updated to include the information provided in the October 2007 Medicaid Update, especially updated prior approval requirements for optical services.
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2004 – 1
Archived July 13, 2007 |
Billing Guidelines (PDF 533KB) |
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2005 – 1 (04/05)
Archived April 13, 2007 |
Procedure Codes & Fee Schedule (PDF 230KB) |
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| 2004 – 1 |
Policy Guidelines (PDF 287KB) |
There was a discrepancy in the previous manual, on page 20 of 29. In this paragraph, the reference to "letter "S'" should actually refer to "number '7'". No other changes were made to this policy section.
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