From the American Academy of Ophthalmology

The Obama Administration last week released a proposed rule to clarify that medically necessary services for Medicaid-eligible individuals who are 21 or younger – including pediatric vision care – must meet Medicaid Early Periodic Screening, Diagnosis, and Treatment program requirements.

The rule establishes that regardless of coverage set for plans participating in state insurance exchanges initiated by the health care reform law, EPSDT program requirements must be met for these Medicaid-eligible individuals.