Wash. Admin. Code § 182-544-0300 - Vision care - Covered eyeglasses (frames and lenses) Clients age twenty and younger

(1) The medicaid agency covers eye-glasses once every twelve months for clients when the following clinical criteria are met:

(a) The client has a stable visual condition;

(b) The client's treatment is stabilized;

(c) The prescription is less than eighteen months old; and

(d) One of the following minimum correction needs in at least one eye is documented in the client's file:

(i) Sphere power equal to, or greater than, plus or minus 0.50 diopter;

(ii) Astigmatism power equal to, or greater than, plus or minus 0.50 diopter; or

(iii) Add power equal to, or greater than, 1.0 diopter for bifocals and trifocals.

(2) If the client has a diagnosis of accommodative esotropia or any strabismus correction, the limitations of subsection (1) of this section do not apply.

(3) The agency covers one pair of backup eyeglasses for clients who wear contact lenses as their primary visual correction aid (see WAC 182-544-0400(1) ) limited to once every two years.

Notes

Wash. Admin. Code § 182-544-0300

Amended by WSR 17-14-067, Filed 6/29/2017, effective 7/30/2017

11-14-075, recodified as §182-544-0300, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090. 11-11-016, § 388-544-0300, filed 5/9/11, effective 6/9/11. Statutory Authority: RCW 74.08.090, 74.09.510, 74.09.520. 08-14-052, § 388-544-0300, filed 6/24/08, effective 7/25/08. Statutory Authority: RCW 74.08.090, 74.09.510, 74.09.520 and 42 C.F.R. 440.120 and 440.225. 05-13-038, § 388-544-0300, filed 6/6/05, effective 7/7/05. Statutory Authority: RCW 74.08.090, 74.09.510 and 74.09.520. 01-01-010, § 388-544-0300, filed 12/6/00, effective 1/6/01.