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Billing Guidance for Eyeglasses - Contact Lenses pdf

Connecticut Medicaid (HUSKY Health)·CT · Ophthalmology, Optometry·Provider Bulletin
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

This policy provides supplemental billing guidance for eyeglasses and contact lens fitting/dispensing fees for all HUSKY (Connecticut Medicaid) members. Key changes include using the order date as the date of service for fitting fees and hardware, requiring reversal of hardware charges within 60 days if items aren't picked up, and implementing a new HUSKY B Vision History Lookup tool to track the $100 biennial eyeglass allowance.

Action Required

Action needed
Immediately: Billing team must update procedures for HUSKY member vision services: 1) Use order date as date of service for fitting fees and eyeglasses/contact lenses, 2) Set up 60-day tracking system to reverse hardware charges if items aren't picked up by patients, 3) Access HUSKY B Vision History Lookup via www.ctdssmap.com secure portal under Claims > Claim History For Specific Services > HUSKY B Vision Services to track $100 biennial allowance, 4) For dates of service prior to October 1, 2020, void unbilled claims electronically through the web portal if eyeglasses/contacts were not dispensed.