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Northeast Service Area - Vermont Vision Resources


1) Vermont Optometric Association http://www.vtoptometrists.org/

2) There is a preschool vision task force.

3) Department of Aging and Disabilities- Division for the Blind and Visually Impaired http://www.dad.state.vt.us/dbvi/

Schools of Optometry, University Ophthalmology Departments, and Eye Institutes

The University of Vermont Medical College has a division of Ophthalmology.  There is no school of Ophthalmology or Optometry.


State Medicaid Benefits  
                                                

Vermont Medicaid benefits include 1 refractive exam every 2 years for the traditional Medicaid population.  For individuals covered under the Vermont Health Access Plan (the old waiver program), the benefits include 1 refractive exam every 2 years which is only covered under PC Plus.  The reimbursement methodology is fee for service, and there is no co-payment specified.  More information from Kaiser Family Foundation is below:

This State has an approved Section 1115 waiver from CMS under which it created the Global Commitment to Health. The unique provisions of this waiver cap federal Medicaid contributions at a predetermined level in exchange for State flexibility to redesign its public healthcare program. The waiver approves designation of the Office of Vermont Health Access, the Medicaid agency, as a statewide public managed care organization. Services are delivered on a fee for service basis or through the State’s primary care case management model of managed care called Primary Care Plus (PC Plus). Beneficiaries receiving healthcare coverage through the Vermont Health Access Plan (VHAP), created under previous waiver authority, are included under the new waiver with the exception of those receiving long-term care services, who are covered under a second 1115 waiver called Choices for Care. The State’s traditional Medicaid population, including low-income families and caretaker relatives and the aged, blind and disabled, as well as optional and expansion populations of pregnant women with income at or below 200 percent of the federal poverty level (FPL), children under age 18 living in families with income at or below 300 percent of the FPL and the working disabled with net income at or below 250 percent of the FPL receive a more generous benefit package (identified on the tables as “A”) than does the VHAP population (identified on the tables as “B”). The working disabled beneficiaries in the State’s Work Incentives Initiative Program are covered as permitted through the Balanced Budget Act of 1997. The benefit package for the VHAP population is also more generous under PC Plus than under fee for service. Copayments are required for certain services. Income-based premiums are required from some of the expansion populations. In some cases, premiums are reduced if the beneficiaries secure employer-sponsored insurance.

 

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