Service Limitations: Contact Lenses

(A) The MassHealth agency pays for hard, soft, or gas-permeable contact lenses if one or more of the following conditions exists: (1) postoperative cataract extraction; (2) keratoconus; (3) anisometropia of more than 3.00D; or (4) more than 7.00D of myopia or hyperopia. (B) The MassHealth agency pays for therapeutic contact lenses when medically necessary. (C) Any condition that warrants the use of hard, soft, gas-permeable, or therapeutic contact lenses must be fully documented in the member's medical record.