MedicaidCoverageHigh impact
Introduction to Program Changes - Vision
Alaska Medicaid·AK · Optometry, Ophthalmology·Program Update
Effective date
Mar 3, 2023
We identified it
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.
Action Required
Immediately: Update billing system to require prior authorization for HCPCS codes V2700, V2710, V2715, V2718, V2730, and V2780. Stop billing discontinued codes V2410, V2430, and V2499 as Alaska Medicaid no longer covers these services. Update adult member eligibility verification to reflect new 2-year eyeglass benefit limit instead of annual. Begin billing CPT 99070 for contact lens bandages. Ensure medical justification documentation is submitted with all contact lens and fitting claims. Contact lens fitting and frame repair reimbursement rates will change to RBRVS methodology - verify new rates on updated Vision Fee Schedule before March 3rd.