MedicaidCoverageMedium impact
Guidance on Coverage of Eyeglasses and Contact Lenses pdf
Connecticut Medicaid (HUSKY Health)·CT · Ophthalmology, Optometry·Provider Bulletin
Effective date
Oct 1, 2020
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) updated their vision coverage policy for eyeglasses and contact lenses, clarifying coverage limits, medical necessity requirements, and billing procedures. This supersedes previous guidance PB 2011-74 and affects providers serving Connecticut Medicaid patients.
Action Required
Immediately: Billing team must verify Connecticut HUSKY Health members haven't received eyeglasses in previous 2 years by checking Claims > Claim History for Specific Services > Eyeglass Vision Services on ctdssmap.com portal before billing. Use code S0580 for polycarbonate lenses (not V2784). Maintain documentation of medical necessity for eyeglasses within 2-year period. Claims without proper verification or documentation will be subject to post-payment audit adjustments.