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Vision Care Manual

Below are the previous versions of the Vision Care Manual.

Version	Manual Document	Change Notes
2024 - 1 2023 - 1 Archived March 28, 2024	Fee Schedule (XLS 59KB) Procedure Codes (PDF 952KB)
2023 - 3 Archived January 3, 2024	Fee Schedule (XLS 59KB)
2023 - 2 Archived October 2, 2023	Fee Schedule (XLS 59KB)
2022 - 1 Archived May 26, 2023	Procedure Codes (PDF 706KB)
2023 - 1 Archived May 2, 2023	Fee Schedule (XLS 53KB)
2022 - 2 Archived February 1, 2023	Fee Schedule (XLS 53KB)
2021 - 1 2022 - 1 Archived April 19, 2022	Procedure Codes (PDF 810KB) Fee Schedule (XLS 53KB)
2021 - 3 Archived March 11, 2022	Fee Schedule (XLS 53KB)
2021 - 2 Archived July 1, 2021	Fee Schedule (XLS 53KB)
2020 - 1 2021 - 1 Archived April 27, 2021	Procedure Codes (PDF 706KB) Fee Schedule (XLS 60KB)
2020 - 3 Archived January 4, 2021	Fee Schedule (XLS 60KB)
2019 - 1 2020 - 2 Archived August 17, 2020	Procedure Codes (PDF 893KB) Fee Schedule (XLS 60KB)
2020 - 1 Archived April 30, 2020	Fee Schedule (XLS 60KB)
2019 - 1 Archived January 13, 2020	Fee Schedule (XLS 53KB)
2018 - 1 Archived March 22, 2019	Procedure Codes (PDF 533KB)
2018- 1 (1/1/2018) Archived December 27, 2018	Fee Schedule (XLS 53KB)
2016- 1 Archived March 27, 2018	Procedure Codes (PDF 140KB)
2017- 1 (1/1/2017) Archived December 27, 2017	Fee Schedule (XLS 49KB)
2016 - 1 (1/1/2016) Archived December 29, 2016	Fee Schedule (XLS 47KB)
2015 - 1 (4/1/2015) Archived March 30, 2016	Procedure Codes (PDF 152KB)
2015 - 1 (4/1/2015) Archived December 29, 2015	Fee Schedule (XLS 45KB)
2013 - 1 (9/1/2013) 2014 - 1 (4/1/2014) Archived March 31, 2015	Procedure Codes (PDF 210KB) Fee Schedule (XLS 45KB)
2012 - 1 (1/1/2012) Archived April 8, 2014	Fee Schedule (XLS 46KB)
2012 - 1 (1/1/2012) Archived April 8, 2014	Procedure Codes (PDF 140KB)
2010 - 1 (10/10) Archived September 25, 2013	Policy Guidelines (PDF 209KB)
2011 - 1 (04/01/11) Archived April 5, 2012	Procedure Codes (PDF 140KB)
2011 - 2 (04/01/11) Archived April 5, 2012	Fee Schedule (XLS 46KB)
2010 - 1 (11/18/10) Archived June 20, 2011	150003 Billing Guidelines (PDF 3.23MB)
2011 - 1 Archived March 30, 2011	Fee Schedule (XLS 46KB)
2010 - 1 (04/01/10) Archived March 30, 2011	Procedure Codes (PDF 160KB)
2010 - 1 (05/31/10) Archived February 10, 2011	150002 Billing Guidelines (PDF 1.37MB)
2010 - 1 (04/01/10) Archived January 5, 2011	Fee Schedule (XLS 51KB)
2007 - 1 (10/07) Archived October 11, 2010	Policy Guidelines (PDF 263KB)
2009 - 3 (12/01/09) Archived July 19, 2010	Billing Guidelines (PDF 858KB)
2009 - 1 (01/01/09) Archived April 1, 2010	Fee Schedule (XLS 36KB)
2009 - 1 (01/01/09) Archived April 1, 2010	Procedure Codes (PDF 236KB)
2009 - 2 (10/01/09) Archived December 3, 2009	Billing Guidelines (PDF 1.40MB)
2009 - 1 (05/07/09) Archived September 23, 2009	Billing Guidelines (PDF 1.41MB)
2008 - 3 (11/11/08) Archived May 14, 2009	150001 Billing Guidelines (PDF 975KB)
2007 - 1 (04/01/07) Archived April 1, 2009	Procedure Codes (PDF 84KB)
2008 - 2 (06/4/08) Archived December 8, 2008	Billing Guidelines (PDF 427KB)
03/2007 Archived November 25, 2008	Fee Schedule (XLS 36KB)
2008 - 1 (01/02/08) Archived August 4, 2008	Prior Approval Guidelines (PDF 83KB)
2008 - 1 (01/16/08) Archived July 24, 2008	Billing Guidelines (PDF 425KB)
2007 - 1 (06/07/07) Archived January 18, 2008	Billing Guidelines (PDF 429KB)
2006 - 1 (04/06) Archived October 12, 2007	Policy Guidelines (PDF 212KB)	The Vision Care Policy Manual has been updated to include the information provided in the October 2007 Medicaid Update, especially updated prior approval requirements for optical services.
2004 – 1 Archived July 13, 2007	Billing Guidelines (PDF 533KB)
2005 – 1 (04/05) Archived April 13, 2007	Procedure Codes & Fee Schedule (PDF 230KB)
2004 – 1	Policy Guidelines (PDF 287KB)	There was a discrepancy in the previous manual, on page 20 of 29. In this paragraph, the reference to "letter "S'" should actually refer to "number '7'". No other changes were made to this policy section.