The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise.

1. (1) Eyeglass supplier--A person, firm, or institution that has a written agreement with the health insuring agent as an eyeglass supplier and is an eligible provider under the program. The fitting, adjustment, and repairs of the eyewear must be performed by a physician, doctor of optometry, or an optician. Suppliers accept the payments stipulated by the department as payment in full for the service and supplies involved, unless otherwise provided.
2. (2) Eyeglasses--Eyewear, dispensed and delivered, that is medically necessary; is prescribed by a doctor of optometry or a physician; is professionally determined to be necessary and appropriate for the lens, age, and sex of the recipient; and that significantly improves visual acuity or impedes progression of visual problems. The term eyeglasses does not include artificial eyes or any item of eyewear that is not covered under the EPSDT Eyeglass Program.
3. (3) Prosthetic eyewear--Eyewear that is medically necessary and prescribed by a doctor of optometry or physician for post cataract surgery, congenital absence of the eye lens, or loss of an eye lens because of trauma. Prosthetic eyewear includes contact lenses and glass or plastic lenses in frames.
4. (4) Prosthetic eyewear supplier--A person, firm, or institution that has a written agreement with the department's health insuring agent as an eyewear supplier. The fitting, adjustment, and repair of the eyewear must be performed by a physician, a doctor of optometry, or an optician. The eyewear supplier accepts the payment stipulated by the department as payment in full for the services and supplies, unless otherwise provided in this chapter.

Source Note:The provisions of this §363.501 adopted to be effective July 1, 1986, 11 TexReg 2758; transferred effective September 1, 1993, as published in the Texas Register September 7, 1993, 18 TexReg 5978; transferred effective September 1, 2002, as published in the Texas Register December 6, 2002, 27 TexReg 11527.