2022 Session

Budget Amendments - SB30 (Member Request)

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Chief Patron: McClellan
School-Based Mobile Clinic Delivery of Medicaid and FAMIS-Covered Vision Services (language only)

Item 304 #40s

Item 304 #40s

Health and Human Resources
Department of Medical Assistance Services


Page 340, after line 10, insert:

"PPPP.  The Department of Medical Assistance Services shall add a place of service modifier to the procedure code for a non-dilated comprehensive eye exam. The department shall reimburse mobile vision providers for non-dilated comprehensive eye exams conducted by Virginia licensed optometrists and ophthalmologists provided for Medicaid and FAMIS enrolled children in a school setting through Medicaid fee-for-service. This service shall not be covered through Medicaid contracted managed care organizations. Mobile vision providers shall document the school where the exam was conducted as the place of service when submitting a claim for reimbursement. The department shall also reimburse mobile vision providers through fee-for-service for fittings and the acquisition of frames and lenses not donated by a third party.  The department is authorized to submit any necessary state and federal documentation and contract changes to support implementation of this paragraph."


(This amendment directs the Department of Medical Assistance Servcies to add a “place of service” modifier to the procedure code for a non-dilated comprehensive eye exam and directs the agency to reimburse mobile vision clinics through Medicaid fee-for-service when a school is listed as the place of service. This service will be covered through fee-for-service for children enrolled in both Medicaid fee-for-service and managed care.)