General Rate Provisions

(1) Rate Determination. The rates for authorized vision care services and ophthalmic materials under 101 CMR 315.00 are the lower of (a) the provider’s usual fee to patients other than publicly aided or industrial accident patients; or (b) the schedule of allowable fees set forth in 101 CMR 315.04. (2) Reimbursement as Full Payment. The rates established by 101 CMR 315.00 are full compensation for vision services provided to publicly aided and industrial-accident patients as well as for any related administrative or supervisory duties in connection with the provision of vision care services without regard to where the services are provided. (3) Bulk Purchase Contract. If the provider is required by the purchasing governmental unit to order material from designated suppliers under a bulk purchase contract, the provider shall bill the purchasing agency only for the relevant dispensing fee.