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    v1.0.28
    OpenPayerPolicy UpdatesOphthalmology/OptometryMissouri Medicaid Optical Prior Auth | OpenPayer
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    CurrentMissouri Department of Social ServicesPolicy N/A

    Optical Pre-Certification Criteria

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    This document presents Missouri Department of Social Services optical pre-certification criteria. The available content identifies an associated fillable PDF but does not provide substantive eligibility, coverage, coding, or clinical criteria.

    Policy Summary
    PayerMissouri Department of Social Services
    PolicyOptical Pre-Certification Criteria
    Policy CodePolicy N/A
    Change TypeNo material change
    Effective DateN/A
    Next Review DateN/A
    Key ActionDownload the fillable PDF and complete its form fields using the default browser.
    SourceLink
    POLICY UPDATE CHANGES

    No material clinical or coverage changes in this revision.

    Complete the Downloaded Fillable PDF

    Documentation Required

    Complete the downloaded fillable PDF

    To utilize the full functionality of the fillable PDF file, you must download the form and fill in the form fields using your default browser.

    Policy Summary
    PayerMissouri Department of Social Services
    PolicyOptical Pre-Certification Criteria
    Policy CodePolicy N/A
    Change TypeNo material change
    Effective DateN/A
    Next Review DateN/A
    Key ActionDownload the fillable PDF and complete its form fields using the default browser.
    SourceLink
    On This Page
    Complete the Downloaded Fillable PDF

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