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NC Division of Medical Assistance
Special Ophthalmological Services Medicaid and Health Choice
Clinical Coverage Policy No: 1T2
Amended Date: October 1, 2015Table of Contents
1.0Description of the
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How to fill out special ophthalmological services

How to fill out special ophthalmological services:
01
Start by gathering all necessary documents and information required for the service. This may include medical history, insurance information, and any referral forms or prescriptions from your healthcare provider.
02
Contact the ophthalmology service provider or clinic to schedule an appointment. Ensure that you have all the necessary details such as date, time, and location of the appointment.
03
Arrive at the designated time for your appointment and check in with the receptionist or front desk staff. They may ask for your personal information and verify your insurance coverage.
04
During the appointment, the ophthalmologist or eye care professional will perform various examinations and tests to assess your vision and eye health. These may include visual acuity tests, dilated eye exams, intraocular pressure measurements, or specialized tests based on your specific needs.
05
Be prepared to discuss any symptoms, concerns, or medical conditions related to your eyes or vision. It is important to communicate your thoughts and questions effectively to the healthcare provider.
06
After the examination, the ophthalmologist will provide a diagnosis and recommend the appropriate treatment or management plan. It could involve prescribing corrective lenses, medication, or further diagnostic procedures.
07
If necessary, the provider will complete any required forms or documentation for special ophthalmological services, such as for insurance claims or referrals to other specialists.
08
Before leaving the appointment, ensure that you have all the necessary information, such as follow-up instructions, prescriptions, or any next steps recommended by the provider.
09
If you have any questions or require further clarification, don't hesitate to ask the healthcare provider or the clinic's staff for assistance.
Who needs special ophthalmological services:
01
Individuals with eye-related conditions such as cataracts, glaucoma, macular degeneration, diabetic retinopathy, or other vision-threatening diseases.
02
People experiencing symptoms like blurred vision, double vision, eye pain, redness, or eye strain.
03
Individuals with a family history of eye diseases or genetic predispositions to certain eye conditions.
04
Those in need of routine eye examinations for preventative care, including individuals with existing eye conditions or those at high risk due to age or health factors.
05
Individuals with vision impairments or low vision who may require specialized aids or devices to enhance their vision and improve quality of life.
06
Patients referred by primary care physicians or other healthcare providers for specific ophthalmological evaluations or consultations.
07
Individuals seeking specialized eye care services such as contact lens fittings, LASIK evaluations, or cosmetic eye procedures.
08
People who have suffered eye injuries or trauma and require immediate ophthalmological attention for diagnosis and treatment.
09
Patients undergoing post-operative care following eye surgery, requiring regular follow-ups and monitoring to ensure proper healing and recovery.
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What is special ophthalmological services?
Special ophthalmological services refer to specialized medical care related to the eyes and vision.
Who is required to file special ophthalmological services?
Ophthalmologists or medical professionals providing special ophthalmological services are required to file the necessary reports.
How to fill out special ophthalmological services?
Special ophthalmological services should be filled out with accurate and detailed information about the patient, diagnosis, treatment provided, and any follow-up care recommended.
What is the purpose of special ophthalmological services?
The purpose of special ophthalmological services is to diagnose, treat, and manage eye-related conditions to improve and maintain patients' eye health and vision.
What information must be reported on special ophthalmological services?
Information such as patient details, medical history, examination findings, diagnosis, treatment plan, and any necessary follow-up care must be reported on special ophthalmological services.
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