13 CSR 40-91.030 - Prevention of Blindness Program
(1)
Prevention of Blindness Program. This program meets the cost of eye care for
Missouri residents of all ages who meet visual eligibility requirements
outlined in subsection (1)(A) and financial eligibility requirements outlined
in subsection (1)(B).
(A) Visual Eligibility
Requirements. Visual eligibility for Prevention of Blindness services is based
on examination by an eye-care specialist that establishes one (1) of the
following conditions: a progressive eye disease, a malformation or malfunction
of all or part of an eye, or central visual acuity without correction of
twenty/two hundred (20/200) or less in one (1) eye.
(B) Financial Eligibility Requirements.
Financial eligibility for services is based on financial need as determined by
Rehabilitation Services for the Blind.
(C) Priority of Services. When necessary, due
to limitation of Prevention of Blindness funds, Rehabilitation Services for the
Blind may initiate a priority of services plan, with those persons in need of
emergency eye care or surgical procedures receiving priority.
(D) Prior authorization must be given for any
service involving expenditure of Prevention of Blindness funds.
(E) Fees for Service. Total payment or eye
care authorized by Prevention of Blindness will not exceed fees established by
the Family Support Division.
(F)
Similar Benefits. Prevention of Blindness funds will be used to pay for eye
care only after payment available from other sources has been determined. Other
sources include, but are not limited to: Title XVIII (Medicare), Title XIX
(Medicaid), vocational rehabilitation programs, and other public or private
health care programs.
Notes
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