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Alaska MedicaidMedicaid · Prior Auth · Prior Authorization · AK · Optometry, OphthalmologyMedium impact

Clarification for Vision Service Authorization

Act
immediately
Effective date
Nov 26, 2025
Identified
Jun 21, 2026

Summary

Alaska Medicaid has clarified vision service authorization requirements and provided specific guidance on how to properly complete authorization requests. The policy specifies which vision products require prior authorization and requires providers to indicate the reason for authorization in box 16 of the form.

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What to do

immediately · 5 steps
01Billing team must update vision service authorization request procedures.
02In box 16 of the Vision Service Authorization Request Form, indicate whether authorization is for 'Product needing authorized', 'Override limit', or 'TPL Exhausted' along with diagnosis code and medical justification.
03For high index lenses, use only HCPCS codes V2782 or V2783 with LT/RT modifiers on separate lines.
04For TPL members, obtain EOB before requesting authorization and fax form with EOB to 888.772.3632.
05Requests using incorrect codes or missing required information will be denied.

Codes mentioned

V2755V2710V2715V2718V2700V2730V2744V2745V2770V2782V2783V2025V2627V2199V2299V2399V2499V2799

Original notice

Clarification for Vision Service Authorization
extranet-sp.dhss.alaska.gov · Always check the source before changing claims.
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Related changes

See all Alaska Medicaid changes →
Introduction to Program Changes - VisionHighEffective Mar 3, 2023 · Program UpdateAlaska Medicaid Vision Services Coverage for High Index LensesMediumEffective Sep 1, 2022 · Program UpdateAlaska Medicaid Policy Clarification: Prosthetic Replacement of the Ocular Surface Ecosystem (PROSE) DevicesMediumEffective Sep 7, 2022 · Policy UpdateBrowse every Alaska Medicaid change in the policy list

Related policy hubs

Alaska Medicaid policiesAK policy changesOptometryOphthalmologyCode V2755Code V2710Code V2715Code V2718Code V2700Code V2730Code V2744Code V2745Code V2770Code V2782Code V2783Code V2025Code V2627Code V2199Code V2299Code V2399Code V2499Code V2799

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