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Vision Care Manual for MassHealth Providers

The Vision Care Manual guides vision care providers to the regulations, administrative and billing instructions, and service codes they need.

Administrative regulations and billing regulations apply to all providers and are contained in 130 CMR 450.000. These regulations are reproduced as Subchapters 1, 2, and 3 in this and all other manuals.

Program regulations cover matters that apply specifically to the type of provider for which the manual was prepared. For vision care providers, those matters are covered in 130 CMR 402.000, reproduced as Subchapter 4 in the Vision Care Manual. 

The Executive Office of Health and Human Services (EOHHS) establishes rates for MassHealth services. These rate regulations for vision care services may be found in 101 CMR 315.00

Table of Contents

Subchapters 1 through 3: Administrative and Billing Regulations for all MassHealth Providers

Subchapter 4: Vision Care Providers Regulations

Subchapter 5: Administrative and Billing Instructions for all MassHealth Providers

Subchapter 6: Vision Care Service Codes

Appendices for All MassHealth Providers (includes appendices A, C, T, U, V, W, X, Y, and Z)

Contact

Phone

Open Monday–Friday 8 a.m.–5 p.m.

Open Monday–Friday 8 a.m.–5 p.m.

Fax

(617) 988-8974
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