1. (1) Eyeglasses are paid by the department through a single volume purchase contract.

2. (2) Reimbursement for contact lenses or dispensing fees is as follows:

   1. (a) The department pays the lower of the following:

      1. (i) the provider's usual and customary charge for the service; or
      2. (ii) the amount specified for the particular service or item in the department's Eyeglasses Fee Schedule.
3. (3) The department adopts and incorporates by reference the department's Eyeglasses Fee Schedule effective May 1, 2024. A copy of the department's fee schedule is posted at the Montana Medicaid provider web site at https://medicaidprovider.mt.gov. A copy of the department's fee schedule may also be obtained from Department of Public Health and Human Services, Health Resources Division, 1400 Broadway, P.O. Box 202951, Helena, MT 59620-2951.

Authorizing statute(s): 53-6-113, MCA

Implementing statute(s): 53-6-101, 53-6-113, 53-6-141, MCA

History: NEW, 1980 MAR p. 1611, Eff. 6/13/80; AMD, 1981 MAR p. 559, Eff. 6/12/81; AMD, 1981 MAR p. 1975, Eff. 1/1/82; AMD, 1982 MAR p. 1289, Eff. 7/1/82; AMD, 1989 MAR p. 272, Eff. 3/1/89; AMD, 1989 MAR p. 859, Eff. 6/30/89; AMD, 1990 MAR p. 1479, Eff. 7/27/90; AMD, 1997 MAR p. 1269, Eff. 7/22/97; AMD, 1998 MAR p. 676, Eff. 3/13/98; AMD, 1999 MAR p. 1379, Eff. 7/1/99; TRANS, from SRS, 2000 MAR p. 481; AMD, 2000 MAR p. 1664, Eff. 6/30/00; AMD, 2001 MAR p. 1117, Eff. 6/22/01; AMD, 2002 MAR p. 1779, Eff. 6/28/02; AMD, 2002 MAR p. 3329, Eff. 11/28/02; AMD, 2005 MAR p. 265, Eff. 2/11/05; AMD, 2006 MAR p. 1894, Eff. 7/28/06; AMD, 2007 MAR p. 1824, Eff. 11/9/07; AMD, 2009 MAR p. 2029, Eff. 10/30/09; AMD, 2010 MAR p. 1533, Eff. 7/1/10; AMD, 2016 MAR p. 2064, Eff. 12/1/16; AMD, 2024 MAR p. 2269, Eff. 9/21/24.