130 CMR, § 402.434

Current through Register 1536, December 6, 2024

Section 402.434 - Service Limitations: Extra or Spare Eyeglasses

The MassHealth agency pays for an extra or spare pair of eyeglasses on a prior-authorization basis only. Any condition that warrants the use of an extra or spare pair of eyeglasses must be fully documented in the member's medical record. The MassHealth agency grants a prior authorization request for extra or spare eyeglasses only if one or more of the following conditions exists:

(A) aphakia;

(B) more than 7.00D of myopia or hyperopia; or

(C) more than 3.00D of astigma.

130 CMR, § 402.434

Amended by Mass Register Issue 1362, eff. 4/6/2018.

Amended by Mass Register Issue 1514, eff. 2/2/2024.