MedicaidCoverageMedium impact
[Indiana] Versant Policy Updates - October 2025
CareSource·IN · Ophthalmology, Optometry·Medical Policy
Effective date
Dec 1, 2025
We identified it
May 9, 2026
Summary
CareSource/Versant Health has issued updates to two vision service policies for Indiana Medicaid members effective December 1, 2025: Medically Necessary Contact Lenses (Policy 1309) and Specialty Spectacle Lenses (Policy 1330). Billing teams must review the full policy text on the Versant website to understand any changes to coverage criteria, prior authorization requirements, or billing procedures for these vision services.
Action Required
By November 15, 2025: Billing team must obtain and review the complete updated policies for Medically Necessary Contact Lenses (1309) and Specialty Spectacle Lenses (1330) from https://superiorvision.com/legal/. Contact CareSource Provider Services at 1-844-607-2831 (Monday-Friday, 8 a.m.-8 p.m. ET) to clarify any changes to coverage requirements, prior authorization thresholds, or billing procedures. Update billing system rules and provider encounter templates accordingly before the December 1, 2025 effective date. Ensure all staff submitting vision claims understand the new requirements to avoid claim denials.