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Optometric parity legislation under Medicare.

N Garland

    Journal of the American Optometric Association
    |June 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Optometrists gained Medicare reimbursement eligibility on April 1, 1987, for state-authorized services. This change expanded provider eligibility without altering existing Medicare coverage rules for optometric care.

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    Area of Science:

    • Healthcare Policy
    • Optometry
    • Medicare Reimbursement

    Background:

    • Optometrists' eligibility for Medicare reimbursement was previously limited.
    • The Omnibus Reconciliation Act of 1986 introduced significant changes to healthcare provider reimbursement.

    Purpose of the Study:

    • To clarify the implications of optometric parity on Medicare reimbursement.
    • To define the conditions under which optometrists can receive Medicare reimbursement.

    Main Methods:

    • Analysis of the Omnibus Reconciliation Act of 1986 provisions.
    • Review of Medicare coverage and state licensure laws relevant to optometry.

    Main Results:

    • Optometrists became eligible for Medicare reimbursement starting April 1, 1987.

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  • Reimbursement is contingent upon the service being Medicare-covered when performed by M.D.s or D.O.s and within the optometrist's state licensure scope.

    • Conclusions:

    • Optometric parity expanded provider eligibility for Medicare reimbursement, not coverage rules.
    • State laws governing optometric practice are crucial for determining Medicare eligibility.