10 Colo. Code Regs. § 2505-10-8.7555

Current through Register Vol. 47, No. 24, December 25, 2024

Section 10 CCR 2505-10-8.7555 - Vision Services

8.7555.AVision Services Eligibility

1. Vision services is available to Members enrolled in one of the following HCBS waivers:

a. Developmental Disabilities Waiver

b. Supported Living Services Waiver

8.7555.BVision Services Inclusions

1. Vision Services is authorized for Organized Health Care Delivery System (OHCDS).

2. HCBS Developmental Disabilities (DD) Waiver; Supported Living Services (SLS) Waiver

a. Vision services include eye exams or diagnosis, glasses, contacts or other medically necessary methods used to improve specific dysfunctions of the vision system when delivered by a licensed optometrist or physician for a Member who is at least twenty-one (21) years of age.

b. Lasik and other similar types of procedures are only allowable when:

i. The procedure is necessary due to the Member's documented specific behavioral complexities that result in other more traditional remedies being impractical or not cost effective, and

ii. Prior authorized in accordance with Department procedures.

10 CCR 2505-10-8.7555

47 CR 03, February 10, 2024, effective 3/16/2024

47 CR 21, November 10, 2024, effective 11/30/2024