Provider Notice issued 10/23/12

Chapter O-200, Handbook for Providers of Optometric Services Eyeglasses Limitation for Adults 21 Years of Age and Older

To:​ Participating Optometrists; Physicians; and Optical Companies
​Date: ​October 23, 2012
​Re: Chapter O-200, Handbook for Providers of Optometric Services Eyeglasses Limitation for Adults 21 Years of Age and Older​

Public Act 097-0689(pdf), referred to as the Save Medicaid Access and Resources Together (SMART) Act, mandated a change to the department’s adult eyeglasses benefit.

This bulletin updates the Handbook for Providers of Optometric Services by revising the sections affected by new adult eyeglasses limitations. Effective with dates of service on and after July 1, 2012, participants 21 years of age and older are eligible for eyeglasses once in a two-year period.

The Handbook for Providers of Optometric Services has been updated and is available on the department’s Web site. Printed copies of this bulletin and replacement pages for the handbook are available upon written request. To ensure delivery, specify a physical street address when making a request for a paper copy. Submit your written request or fax to:

Illinois Department of Healthcare and Family Services

Provider Participation Unit

Post Office Box 19114

Springfield, Illinois 62794-9114

Fax Number (217) 557-8800

E-mail the Provider Participation Unit

Any questions regarding this bulletin should be directed to an optometric medical assistance consultant in the Bureau of Comprehensive Health Services at 1-877-782-5565.

Instructions for updating the Handbook for Providers of Optometric Services:

Table of Contents

Remove pages HFS O-200 (i-ii) and insert new pages HFS O-200 (i-ii)

O-211.1 Prior Approval Requests

Remove pages HFS O-211 (1-2) and insert new pages HFS O-211 (1-2)

O-212.71 Adult Services

Remove pages HFS O-212 (3-4) and insert new pages HFS O-212 (3-4)