{"component": "clause", "props": {"groups": [{"size": 47, "snippet": "We do not Cover the examination or fitting of eyeglasses or contact lenses.", "snippet_links": [{"key": "we-do-not-cover", "type": "clause", "offset": [0, 15]}, {"key": "the-examination", "type": "clause", "offset": [16, 31]}, {"key": "eyeglasses-or-contact-lenses", "type": "clause", "offset": [46, 74]}], "samples": [{"hash": "1ZRhh95KUq2", "uri": "/contracts/1ZRhh95KUq2#vision-services", "label": "Preferred Provider Organization Contract", "score": 26.880903244, "published": true}, {"hash": "5CUimBgTgNv", "uri": "/contracts/5CUimBgTgNv#vision-services", "label": "Preferred Provider Organization Contract", "score": 26.835729599, "published": true}, {"hash": "lr3zcQpjHwn", "uri": "/contracts/lr3zcQpjHwn#vision-services", "label": "Preferred Provider Organization Insurance Contract", "score": 26.6591377258, "published": true}], "hash": "0ba8d40971596de3a3147edd7aa1af15", "id": 1}, {"size": 13, "snippet": "The Contractor will allow its Enrollees to self-refer to any participating provider of vision services (optometrist or ophthalmologist) for refractive vision services. (See Appendix K).", "snippet_links": [{"key": "the-contractor-will", "type": "clause", "offset": [0, 19]}, {"key": "refer-to", "type": "definition", "offset": [48, 56]}, {"key": "participating-provider", "type": "definition", "offset": [61, 83]}, {"key": "appendix-k", "type": "clause", "offset": [173, 183]}], "samples": [{"hash": "qf2e11qEpm", "uri": "/contracts/qf2e11qEpm#vision-services", "label": "Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)", "score": 18.0, "published": true}, {"hash": "jJdMBFDLwzc", "uri": "/contracts/jJdMBFDLwzc#vision-services", "label": "Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)", "score": 18.0, "published": true}, {"hash": "gzAx8oHFo1j", "uri": "/contracts/gzAx8oHFo1j#vision-services", "label": "Medicaid Managed Care Model Contract (Wellcare Health Plans, Inc.)", "score": 18.0, "published": true}], "hash": "84ba50404b9c680bf3351d5cd229a4b3", "id": 2}, {"size": 8, "snippet": "a. Evaluation and assessment of visual functioning, including the diagnosis and appraisal of specific visual disorders, delays, and abilities; referral for medical or other professional services necessary for the habilitation or rehabilitation of visual functioning disorders or both; and communication skills training, orientation, and mobility training for all environments, visual training, independent living skills training, and additional training necessary to activate visual motor abilities.\nb. Vision services must be provided by a Teacher of the Visually Impaired certified by the Texas State Board of Education.\nc. Orientation and mobility services are provided by an Orientation and Mobility Specialist certified by the Academy for Certification of Vision Rehabilitation and Education Professionals.", "snippet_links": [{"key": "evaluation-and-assessment", "type": "clause", "offset": [3, 28]}, {"key": "other-professional-services", "type": "definition", "offset": [167, 194]}, {"key": "necessary-for", "type": "definition", "offset": [195, 208]}, {"key": "rehabilitation-of", "type": "clause", "offset": [229, 246]}, {"key": "communication-skills", "type": "definition", "offset": [289, 309]}, {"key": "mobility-training", "type": "definition", "offset": [337, 354]}, {"key": "independent-living-skills-training", "type": "definition", "offset": [394, 428]}, {"key": "additional-training", "type": "definition", "offset": [434, 453]}, {"key": "to-activate", "type": "definition", "offset": [464, 475]}, {"key": "a-teacher", "type": "clause", "offset": [539, 548]}, {"key": "visually-impaired", "type": "clause", "offset": [556, 573]}, {"key": "certified-by", "type": "definition", "offset": [574, 586]}, {"key": "state-board-of-education", "type": "clause", "offset": [597, 621]}, {"key": "services-are-provided", "type": "clause", "offset": [651, 672]}, {"key": "orientation-and-mobility-specialist", "type": "clause", "offset": [679, 714]}, {"key": "the-academy", "type": "clause", "offset": [728, 739]}, {"key": "certification-of", "type": "clause", "offset": [744, 760]}, {"key": "vision-rehabilitation", "type": "definition", "offset": [761, 782]}], "samples": [{"hash": "94lipN9yHjc", "uri": "/contracts/94lipN9yHjc#vision-services", "label": "Amendment", "score": 33.6328697205, "published": true}, {"hash": "4Tlapp6iVfL", "uri": "/contracts/4Tlapp6iVfL#vision-services", "label": "Early Childhood Intervention Services Grant Program Contract", "score": 32.8824196202, "published": true}, {"hash": "snZELaEOOk", "uri": "/contracts/snZELaEOOk#vision-services", "label": "Early Childhood Intervention Services Grant Program Contract", "score": 32.5981750488, "published": true}], "hash": "4e34f973344bdabd40bbba971b896289", "id": 3}, {"size": 8, "snippet": "Any eye surgery solely for the purpose of correcting refractive defects of the eye, such as myopia, hyperopia or astigmatism (for example: radial keratotomy, photo-refractive keratectomy and similar procedures.", "snippet_links": [{"key": "for-the-purpose-of", "type": "definition", "offset": [23, 41]}, {"key": "for-example", "type": "clause", "offset": [126, 137]}], "samples": [{"hash": "1srKH5RszZm", "uri": "/contracts/1srKH5RszZm#vision-services", "label": "Group Agreement", "score": 36.02135849, "published": true}, {"hash": "gSAaMsi4ED2", "uri": "/contracts/gSAaMsi4ED2#vision-services", "label": "Group Agreement", "score": 32.5900154114, "published": true}, {"hash": "fvuvaDGdmsk", "uri": "/contracts/fvuvaDGdmsk#vision-services", "label": "Group Agreement", "score": 31.3171386719, "published": true}], "hash": "1a06a975f0a49bd949aff6d572ac3891", "id": 4}, {"size": 2, "snippet": "Medically necessary eye examinations, eyeglass repairs and adjustments. Eyeglass frames are limited to one pair every two years. Prior authorization is required for a second pair every two years, and eyeglass frames within the two-year period and also for a second pair of lenses within a 365 day period. Such services must be provided in accordance with the policy and service provisions specified in the Medicaid Vision Services Coverage and Limitations Handbook, and must be provided by providers licensed under Chapter 484, Part I, or 463, F.S.", "snippet_links": [{"key": "medically-necessary", "type": "clause", "offset": [0, 19]}, {"key": "eye-examinations", "type": "clause", "offset": [20, 36]}, {"key": "repairs-and-adjustments", "type": "clause", "offset": [47, 70]}, {"key": "two-years", "type": "clause", "offset": [118, 127]}, {"key": "prior-authorization", "type": "definition", "offset": [129, 148]}, {"key": "year-period", "type": "definition", "offset": [231, 242]}, {"key": "day-period", "type": "clause", "offset": [293, 303]}, {"key": "in-accordance-with", "type": "definition", "offset": [336, 354]}, {"key": "the-policy", "type": "clause", "offset": [355, 365]}, {"key": "service-provisions", "type": "clause", "offset": [370, 388]}, {"key": "coverage-and-limitations-handbook", "type": "clause", "offset": [431, 464]}], "samples": [{"hash": "9Iano6PJTpQ", "uri": "/contracts/9Iano6PJTpQ#vision-services", "label": "Standard Contract (Wellcare Health Plans, Inc.)", "score": 21.5297737122, "published": true}, {"hash": "P2wxbfOoPX", "uri": "/contracts/P2wxbfOoPX#vision-services", "label": "Long Term Care Community Diversion Pilot Project Contract", "score": 20.8548946381, "published": true}], "hash": "86f392fd4b098a84626be70eb916aa7b", "id": 5}, {"size": 2, "snippet": "Medical Treatment We will provide coverage for Medically Necessary treatment for diseases of or injuries to the eye. Such treatment shall be covered to the same extent as for other Medically Necessary treatments for illness or injury. Eye Exams We cover routine and necessary eye exams, including: 1. Routine tests such as eye health and glaucoma tests; and 2. Refraction exams to determine the need for vision correction and to provide a prescription for corrective lenses. Pediatric Eye Exams We cover the following for children until the end of the month in which the child turns age 19: 1. One (1) routine eye exam per year, including:", "snippet_links": [{"key": "medical-treatment", "type": "definition", "offset": [0, 17]}, {"key": "will-provide", "type": "clause", "offset": [21, 33]}, {"key": "coverage-for", "type": "clause", "offset": [34, 46]}, {"key": "medically-necessary-treatment", "type": "definition", "offset": [47, 76]}, {"key": "to-the-same-extent", "type": "definition", "offset": [149, 167]}, {"key": "illness-or-injury", "type": "clause", "offset": [216, 233]}, {"key": "eye-exams", "type": "clause", "offset": [235, 244]}, {"key": "we-cover", "type": "clause", "offset": [245, 253]}, {"key": "routine-tests", "type": "clause", "offset": [301, 314]}, {"key": "health-and", "type": "clause", "offset": [327, 337]}, {"key": "determine-the", "type": "clause", "offset": [381, 394]}, {"key": "provide-a", "type": "definition", "offset": [429, 438]}, {"key": "corrective-lenses", "type": "definition", "offset": [456, 473]}, {"key": "for-children", "type": "clause", "offset": [518, 530]}, {"key": "the-child", "type": "clause", "offset": [567, 576]}, {"key": "per-year", "type": "definition", "offset": [619, 627]}], "samples": [{"hash": "cl1aqggl16R", "uri": "/contracts/cl1aqggl16R#vision-services", "label": "Group Agreement", "score": 26.5852165222, "published": true}, {"hash": "64WIaQFXtzZ", "uri": "/contracts/64WIaQFXtzZ#vision-services", "label": "Group Agreement", "score": 26.5852165222, "published": true}], "hash": "61c9fd4992887f38f6a0ac9831fad7de", "id": 6}, {"size": 2, "snippet": "At a minimum, include diagnosis and treatment for defects in vision, including eyeglasses. Vision screening in an infant means, at a minimum, eye examination and observation of responses to visual stimuli. In an older child, screening for distant visual acuity and ocular alignment shall be done for each child beginning at age three.", "snippet_links": [{"key": "diagnosis-and-treatment", "type": "clause", "offset": [22, 45]}, {"key": "eye-examination", "type": "definition", "offset": [142, 157]}, {"key": "older-child", "type": "definition", "offset": [212, 223]}, {"key": "visual-acuity", "type": "definition", "offset": [247, 260]}, {"key": "age-three", "type": "definition", "offset": [324, 333]}], "samples": [{"hash": "kzHkpJrSlyT", "uri": "/contracts/kzHkpJrSlyT#vision-services", "label": "Contract to Provide Services (Amerigroup Corp)", "score": 18.0, "published": true}, {"hash": "bytvGgaSGDy", "uri": "/contracts/bytvGgaSGDy#vision-services", "label": "Contract to Provide Services (Centene Corp)", "score": 18.0, "published": true}], "hash": "02319f9bbeb51b5f1abcc08f0c9384cf", "id": 7}, {"size": 1, "snippet": "The benefit package includes vision services as set forth in MAD Program Manual Section MAD-715, VISION CARE SERVICES.", "snippet_links": [{"key": "benefit-package", "type": "definition", "offset": [4, 19]}, {"key": "program-manual", "type": "definition", "offset": [65, 79]}, {"key": "vision-care-services", "type": "clause", "offset": [97, 117]}], "samples": [{"hash": "bEY8ianIVfR", "uri": "/contracts/bEY8ianIVfR#vision-services", "label": "Medicaid Managed Care Services Agreement (Molina Healthcare Inc)", "score": 21.0, "published": true}], "hash": "ed58584d0eb1b4c2fe1e8c77bbe3edeb", "id": 8}, {"size": 1, "snippet": "Customer has requested, and DST will provide Vision Services as one of the Digital Solutions Services pursuant to the terms of the Services Agreement and Schedule B for DST Digital Solutions Services (the \u201cAgreement\u201d) between Customer and DST. The Vision Services (the \u201cVision Services\u201d) consist of the services provided by DST utilizing FAN\u00ae, the Vision Web Site, the Distribution Support Services Web Site, the Internet, and other systems provided by DST and telecommunications carriers, whereby Users may view account information related to a Customer\u2019s Financial Products or submit Transaction requests directly to the Financial Product\u2019s transfer agent via the Internet, as described further in this Service Exhibit.", "snippet_links": [{"key": "will-provide", "type": "clause", "offset": [32, 44]}, {"key": "digital-solutions-services", "type": "definition", "offset": [75, 101]}, {"key": "the-services-agreement", "type": "clause", "offset": [127, 149]}, {"key": "schedule-b", "type": "clause", "offset": [154, 164]}, {"key": "the-vision", "type": "clause", "offset": [244, 254]}, {"key": "consist-of", "type": "clause", "offset": [288, 298]}, {"key": "services-provided-by", "type": "clause", "offset": [303, 323]}, {"key": "vision-web-site", "type": "definition", "offset": [348, 363]}, {"key": "distribution-support-services-web-site", "type": "definition", "offset": [369, 407]}, {"key": "the-internet", "type": "clause", "offset": [409, 421]}, {"key": "other-systems", "type": "definition", "offset": [427, 440]}, {"key": "telecommunications-carriers", "type": "definition", "offset": [461, 488]}, {"key": "account-information", "type": "clause", "offset": [513, 532]}, {"key": "related-to", "type": "definition", "offset": [533, 543]}, {"key": "financial-products", "type": "definition", "offset": [557, 575]}, {"key": "transaction-requests", "type": "definition", "offset": [586, 606]}, {"key": "the-financial", "type": "clause", "offset": [619, 632]}, {"key": "transfer-agent", "type": "definition", "offset": [643, 657]}, {"key": "service-exhibit", "type": "clause", "offset": [705, 720]}], "samples": [{"hash": "3kfKtPS8Heh", "uri": "/contracts/3kfKtPS8Heh#vision-services", "label": "Services Agreement (Oaktree Strategic Credit Fund)", "score": 30.9671459198, "published": true}], "hash": "8a959bca96a9e823d94a45e4d7e07402", "id": 9}, {"size": 1, "snippet": "Medical Treatment Eye Exams", "snippet_links": [{"key": "medical-treatment", "type": "definition", "offset": [0, 17]}, {"key": "eye-exams", "type": "clause", "offset": [18, 27]}], "samples": [{"hash": "4HFUIKW43Ou", "uri": "/contracts/4HFUIKW43Ou#vision-services", "label": "Group Agreement", "score": 26.1704311371, "published": true}], "hash": "298406b0eb897d3228ce0998a12ffcc7", "id": 10}], "next_curs": "ClgSUmoVc35sYXdpbnNpZGVyY29udHJhY3RzcjQLEhZDbGF1c2VTbmlwcGV0R3JvdXBfdjU2Ihh2aXNpb24tc2VydmljZXMjMDAwMDAwMGEMogECZW4YACAA", "clause": {"parents": [["out-of-network-benefits", "Out-of-Network Benefits"], ["miscellaneous-provisions", "MISCELLANEOUS PROVISIONS"], ["eci-services", "ECI Services"], ["definitions", "DEFINITIONS"], ["termination-of-agreement", "TERMINATION OF AGREEMENT"]], "children": [["", ""], ["be-shortened", "Be shortened"], ["riot", "Riot;"], ["telephone-number", "- Telephone number"], ["discussion", "Discussion"]], "size": 86, "title": "Vision Services", "id": "vision-services", "related": [["education-services", "Education services", "Education services"], ["hospice-services", "Hospice Services", "Hospice Services"], ["vision-care-services", "Vision Care Services", "Vision Care Services"], ["cloud-services", "Cloud Services", "Cloud Services"], ["autism-services", "Autism Services", "Autism Services"]], "related_snippets": [], "updated": "2025-07-23T06:00:56+00:00"}, "json": true, "cursor": ""}}