Statutes, codes, and regulations
Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICESArticle 5 - MEDICAID SERVICES
Rule 405 IAC 5-23 - Vision Care Services
Section 405 IAC 5-23-5 - Contact lenses

405 Ind. Admin. Code 5-23-5

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Current through October 31, 2024
Section 405 IAC 5-23-5 - Contact lenses

Authority: IC 12-15-1-10; IC 12-15-1-15; IC 12-15-21-2

Affected: IC 12-13-7-3; IC 12-15; IC 25-24-1-4

Sec. 5.

Contact lenses are covered only when documented as medically necessary and are not covered for cosmetic purposes. Medically necessary documentation must be maintained in the provider's office and shall be subject to postpayment review and audit.

405 IAC 5-23-5

Office ofthe Secretary of Family and Social Services; 405 IAC 5-23-5; filed Jul 25, 1997, 4:00 p.m.: 20 IR 3344; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; readopted filed Sep 19, 2007, 12:16p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA
Errata filed 11/1/2016, 9:36 a.m.: 20161109-IR-405160493ACA
Readopted filed 7/28/2022, 2:21 p.m.: 20220824-IR-405220205RFA
Readopted filed 5/30/2023, 11:54 a.m.: 20230628-IR-405230292RFA