We are one of the few offices that participate with Medi-Cal (Medicaid) through:
1. VSP's Medi-Cal through Health Plan of San Joaquin
2 Health Net's Envolve.
3. Now accepting "straight" Medi-Cal
1. VSP's Medi-Cal through Health Plan of San Joaquin
2 Health Net's Envolve.
3. Now accepting "straight" Medi-Cal
To Our Most welcome Medi-Cal patients:
Some of you have complained about your frequency of visits. Please note. Again I say: PLEASE NOTE: We gladly accept Medi-Cal recipients. BUT we must adhere to Medi-Cal strict policies. Those policies do not necessarily reflect our policies.
Both Medi-Cal (Medicaid in CA) and Medicare are administrated by CMS. They allow ONLY ONE SERVICE PER VISIT. Yes, on many occasions we could easily provide more than one service and do for private patients.
We have, against advice, included Medi-Cal coverage. Kindly respect our dedication and realize we must adhere to CMS guidelines.
Some of you have complained about your frequency of visits. Please note. Again I say: PLEASE NOTE: We gladly accept Medi-Cal recipients. BUT we must adhere to Medi-Cal strict policies. Those policies do not necessarily reflect our policies.
Both Medi-Cal (Medicaid in CA) and Medicare are administrated by CMS. They allow ONLY ONE SERVICE PER VISIT. Yes, on many occasions we could easily provide more than one service and do for private patients.
We have, against advice, included Medi-Cal coverage. Kindly respect our dedication and realize we must adhere to CMS guidelines.
|
More Good News to each of our adult Medi-Cal patients. |
|
|
Department of Healthcare Services Medi-Cal
Optician Services Restored as Medi-Cal Benefits Effective for dates of service on or after January 1, 2020, optician services (eyeglasses) previously eliminated (2009)are reinstated as Medi-Cal benefits for Medi-Cal recipients 21 years of age or older |
|
And now the bad news!
It is taking the State lab (in our prison system) way too long to manufacture your glasses. Six week waits are common. We have called (they won't answer anymore). The governor granted adults eyeglasses benefit again (a good benefit for adult recipients), but did not add extra labs to meet the demand it created. Previously they added private labs to reduce the first back log. But once they caught up, they ended the private labs. So here we are again! They are blaming COVID, which seems like a stretch of the truth and an excuse. |
|
|
Please, we have done all we can to motivate the lab. We have to follow Medi-Cal regulations and Glasses must be ordered from the state lab. The delay has nothing to do with us. There is one thing that may help. All of us need more than one pair of glasses in case of breakage. Our labs are on schedule(within 10 days). May we suggest a second pair. We even have a value plan to help your finances, where you can get an entire pair of quality glasses at a large discount.
|