Medicaid / medical glasses
Looking for some advice here - we have a patient on medical (California Medicaid state insurance), which we bill pretty regularly and have quite a bit of experience with, but the PIA system is rejecting it based on prescription strength. The total lens power is nearly 12 diopters with sphere and cylinder and the PIA system is saying it cannot exceed -10 diopters.
I can’t imagine the state would just say “tough luck” to folks with strong rx’s but I don’t know how to solve it. Does anyone know how to bill super strong rx’s with Medicaid / medical?