130 CMR, § 402.433

Current through Register 1536, December 6, 2024
Section 402.433 - Service Limitations: Contact Lenses
(A) The MassHealth agency pays for hard, soft, or gas-permeable contact lenses if one or more of the following conditions exists:
(1) postoperative cataract extraction;
(2) keratoconus;
(3) anisometropia of more than 3.00D; or
(4) more than 7.00D of myopia or hyperopia.
(B) The MassHealth agency pays for therapeutic contact lenses when medically necessary.
(C) Any condition that warrants the use of hard, soft, gas-permeable or therapeutic contact lenses must be fully documented in the member's medical record.

130 CMR, § 402.433

Amended by Mass Register Issue 1362, eff. 4/6/2018.
Amended by Mass Register Issue 1514, eff. 2/2/2024.