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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 354MEDICAID HEALTH SERVICES
SUBCHAPTER APURCHASED HEALTH SERVICES
DIVISION 2MEDICAID VISION CARE PROGRAM
RULE §354.1017Specifications for Eyewear

The provider must ensure that eyewear meets the following specifications.

  (1) Lenses are clear glass or plastic, meet federal and state specifications, and meet all standards of the American standard prescription requirements for first quality glass and plastic lenses dress eyewear.

  (2) Frames are zylonite, metal, or combination metal/zylonite.

  (3) Standard sizes of the frames are dispensed at no cost to the eligible recipient. An eyeglass supplier must show each eligible recipient a choice of: three styles of zylonite, metal, or a combination of zylonite/metal frames appropriate for male and female in a choice of three colors.

  (4) Frames are only those manufactured in the United States of America, unless foreign-made frames are comparable in quality to and less expensive than American made-frames. Lenses are only those manufactured in the United States of America, unless foreign-made lenses are comparable in quality to and less expensive than American-made lenses.

  (5) Frames are serviceable and meet prescription quality standards.

  (6) Lenses and frame materials are new.

  (7) Bifocal lenses are a minimum kryptoc 22 MM flat top lens or equivalent.

  (8) Trifocal lenses are a minimum flat top 7/25 lens or equivalent.

  (9) Supplies are at least equivalent in quality to program eyewear provided under this chapter at no cost to the eligible recipients.

  (10) All repair materials billed to Texas Medicaid must be new and at least equivalent to the original item and meet the specifications for prosthetic eyewear cited in these provisions.


Source Note: The provisions of this §354.1017 adopted to be effective July 1, 1986, 11 TexReg 2750; transferred effective September 1, 1993, as published in the Texas Register September 7, 1993, 18 TexReg 5978; transferred effective September 1, 2001, as published in the Texas Register May 24, 2002, 27 TexReg 4561; amended to be effective April 1, 2010, 35 TexReg 1127

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