Eyeglasses Exempt From Medicaid Capitation


HB 156 – Eyeglasses Exempt From Medicaid Capitation

Primary Sponsors: Rep. Allen McNeil (R – Moore), Rep. Donny Lambeth (R – Forsyth), Rep. Josh Dobson (R – Avery), Rep. William Brisson (D – Sampson)

If passed, this bill would add an eye glass exemption to the Medicaid Reform packages passed in 2015 and refined in 2016.  The Medicaid capitated contracts that would go into effect in 2019 would not be required to cover the fabrication of eyeglasses including complete eyeglasses, eyeglass lenses, and ophthalmic frames.  This does not necessarily mean that eyeglasses would not be included in the services offered by NC Medicaid, but merely that the statewide plans managing physical health under capitated contracts would not be required to pay for them just as pharmaceuticals, dental and other services are exempted, but still covered.


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