Maximum Allowable Fees

The Executive Office of Health and Human Services (EOHHS) determines the maximum allowable fees for all vision care services and ophthalmic materials, except for those ophthalmic materials purchased through the optical supplier where the basis for the rates is set by the terms of the contract. Payment is always subject to the conditions, exclusions, and limitations set forth in 130 CMR 402.000 and 130 CMR 450.000: Administrative and Billing Regulations. Payment for vision care services and ophthalmic materials will be made pursuant to 101 CMR 315.00: Rates for Vision Care Services and Ophthalmic Materials.