Due to recent change in state law, the Department of Health Care Services will no longer pay for some Medi-Cal benefits for most adults ages 21 and older. This change of law goes into effect on July 1, 2009. Availability of optometric and optician services has changed. Updated information may be found on the Medi-Cal website at http://www.medi-cal.ca.gov
JULY 13, 2010 -- NEWS FLASH --
Optometry Services Reinstated as Medi-Cal Covered Benefit July 7, 2010
On July 1, 2009, the Department of Health Care Services (DHCS) excluded several optional benefits, including optometry services, from coverage for adult beneficiaries under the Medi-Cal program pursuant to Assembly Bill X3 5 (Chapter 20, Statutes of 2009-10, Third Extraordinary Session).
System changes will be implemented July 26, 2010 to reinstate optometry services as a covered benefit for adult beneficiaries under the Medi-Cal program. Optometry services include diagnostic, ancillary and supplemental procedures used for the evaluation of the visual system. Current Optional Benefit Exclusion policy involving services relating to eyeglasses and other eye appliances will remain unchanged with the reinstatement of optometry services, with the exception of bandaged contact lenses HCPCS code V2599, which will be covered for eligible beneficiaries based on medical necessity.