Florida Medicaid’s Covered Services and HCBS Waivers
Visual Aid Services
Medicaid reimburses for visual aid services to provide visual aids to recipients to alleviate visual impairments.
Medicaid reimburses for visual aid services including:
- Eyeglasses
- Fitting, Dispensing, and Adjustment of Eyeglasses Services
- Eyeglass Repair Services
- Contact Lenses
- Prosthetic Eyes
- Florida Medicaid reimburses for two pairs per 365 days for recipients under the age of 21 years.
- For recipients age 21 years and older, Florida Medicaid reimburses for the following:
- One frame every two years
- Two lenses every 365 days
- Polycarbonate or thermoplastic lens materials for a recipient’s safety or documented medical condition (when necessary)
- Metal frames when plastic frames are medically inappropriate
- Rigid or soft contact lenses
- Extended wear (if the recipient cannot wear normal soft lenses)
- Fitting
- The contact lens and required care kits
- Instructions on insertion, removal, and proper care of the lenses
- A 90 day follow-up visit period that includes acuities, assessment of corneal physiology, biomicroscopy examination, and other procedures required (as necessary)
This service is one of the minimum covered services for all Managed Medical Assistance plans serving Medicaid enrollees.
Eligibility
Florida Medicaid recipients requiring medically necessary visual aid services.
Resource Information
Information on Medicaid health plans and services is available on the Statewide Medicaid Managed Care webpage.
The Florida Medicaid coverage policies, fee schedules, and Rule are available on the Agency Website.
