Guide Vision Care (VIS) Manual

The Vision Care Manual contains the regulations, administrative and billing instructions, and service codes for optometrists, opticians, ocularists, and ophthalmologists (only with respect to the dispensing of ophthalmic materials. (All other vision care services provided by ophthalmologists must by in compliance with the Physician Regulations.) The Executive Office of Health and Human Services (EOHHS) establishes rates for MassHealth services. See 101 CMR 315.00. MassHealth issues transmittal letters to update any part of the provider manual. MassHealth issues provider bulletins to communicate information that is not contained in the provider manual. Each part of the Vision Care Manual is listed below from beginning to end. You can print each part separately (or any individual pages) or print all parts for a complete manual.

Table of Contents

  • Table of contents pages i, ii, ii-a, and iii appear at the beginning of Subchapter 1 below.
  • Table of contents page iv appears at the beginning of Subchapter 4 below.
  • Table of contents page v
  • Table of contents page vi

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Preface

See below for the Vision Care (VIS) Manual Preface.

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Subchapters 1 through 3

Administrative and Billing Regulations (apply to all providers).

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Subchapter 4

See below for the Vision Care (VIS) regulations.

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Subchapter 5

The Administrative and Billing Instructions (Subchapter 5) are divided into seven parts. For instructions for electronic billing, refer to the MassHealth Companion Guides. To request a copy of any of the MassHealth Companion Guides please contact MassHealth Customer Service Center at 1-800-841-2900. For instructions for billing MassHealth using paper claim forms refer to MassHealth Billing Guides for Paper Claim Submitters.

Please see below for Subchapter 5: Administrative and Billing Instructions.

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Subchapter 6

See below for service codes for the Vision Care (VIS) Manual.

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MassHealth Provider Manual Appendices

The MassHealth generic appendices contained in all provider manuals (Appendices A, C, T, U, V, W, X, Y, and Z) and provider-specific manual appendices.

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