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Alaska MedicaidMedicaid · Coverage · Program Update · AK · Optometry, OphthalmologyHigh impact

Introduction to Program Changes - Vision

Act
immediately
Effective date
Mar 3, 2023
Identified
Jun 21, 2026

Summary

Alaska Medicaid has implemented significant changes to vision services coverage effective March 3, 2023, including new prior authorization requirements for 6 specialized lens types, elimination of coverage for 3 variable asphericity lens codes, and reduced eyeglass benefits for adults from yearly to every 2 years. Reimbursement methodology is also changing from flat rates to RBRVS for contact lens fittings and frame repairs.

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What to do

immediately · 6 steps
01Update billing system to require prior authorization for HCPCS codes V2700, V2710, V2715, V2718, V2730, and V2780.
02Stop billing discontinued codes V2410, V2430, and V2499 as Alaska Medicaid no longer covers these services.
03Update adult member eligibility verification to reflect new 2-year eyeglass benefit limit instead of annual.
04Begin billing CPT 99070 for contact lens bandages.
05Ensure medical justification documentation is submitted with all contact lens and fitting claims.
06Contact lens fitting and frame repair reimbursement rates will change to RBRVS methodology - verify new rates on updated Vision Fee Schedule before March 3rd.

Codes mentioned

V2700V2710V2715V2718V2730V2780V2410V2430V249999070

Original notice

Introduction to Program Changes - Vision
extranet-sp.dhss.alaska.gov · Always check the source before changing claims.
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