N.J. Admin. Code § 10:94-2.3

Current through Register Vol. 56, No. 24, December 18, 2024

Section 10:94-2.3 - Provision of optical aids or devices and ocular prostheses

(a) An optical aid or device shall be deemed to be a lens, lens combination, prism, mirror, or electro-optical instrument, which, by virtue of its optical properties, raises the patient's level of visual performance. Eligibility for an optical aid or device shall be established as specified in N.J.A.C. 10:91-2.1.

(b) Eyeglasses shall be purchased for eligible clients as specified in (a) above. In addition, New Jersey residents who demonstrate financial need and have no other means to purchase corrective eyeglasses and whose corrected visual acuity is 20/70 or less, shall be provided eyeglasses under the follow-up procedures of Project BEST (Better Eye Services and Treatment) (see N.J.A.C. 10:94-3.1(a) ), as long as funds are available.

(c) Wavelength-specific photo-chromatic lenses shall be purchased in cases of severe photophobia and abnormal light/dark adaptation, resulting in cases such as, but not limited to, retinitis pigmentosa, diabetic retinopathy, maculopathies, and uveitis.

(d) Contact lenses, cases for which shall be individually reviewed and approved by the Commission's service center and the Commission's administrative medical consultant, shall be purchased for eligible clients who have:

1. Keratoconus;

2. Monocular aphakia to restore single binocular vision;

3. Binocular aphakia, where employability or other significant factors may be present; and

4. Aphakia or surgical aphakia, when an intraocular lens could not be implanted.

(e) Ocular prostheses, that is, artificial eyes, shall be purchased for eligible clients upon the recommendation of the examining ophthalmologist. Replacement of an ocular prosthesis may be made after a five-year period or sooner, and shall be approved by the Commission's administrative medical consultant.

(f) Payment by the Commission for eyeglasses, contact lenses and/or ocular prostheses shall be made according to the fee schedule amounts specified in N.J.A.C. 10:91-7.1.

N.J. Admin. Code § 10:94-2.3

Amended by 47 N.J.R. 1867(c), effective 7/20/2015