Learn more on DMAP's EDI 5010 page.


Are you ready for ICD-10?

Learn the steps to ICD-10 readiness

Visit DMAP's ICD-10 page for more information

See also:

Visual Services rulebook history

Ancillary Services Criteria

Tools for providers

 

DMAP administrative rules and other information for:

Visual services program

Receive Visual Services program updates by e-mail

Rulebook

December 6, 2011 (pdf) (Current administrative rules. See below for archived rules.)

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Supplemental information

Visual Services Supplemental Information (pdf) - Updated 1/7/11 - Includes information about prior authorization, billing instructions and forms, and the visual materials contractor.

Covered/Non-Covered Services (pdf) - Effective 1/1/10 - This document provides information about changes to vision benefits for non-pregnant OHP Plus adults.

Forms

EDMS Coversheet (pdf) - Use this form whenever you fax documentation for prior authorization requests, provider enrollment requests, or claims to DMAP.

DHS Prior Authorization Request Form - Use this form to submit faxed PA requests to DMAP. Click here for instructions. You can also submit the same information using the Provider Web Portal. Read the handbook or view the tutorial for more information about submitting PA requests on the Web.

Who to call for help

Provider Services 800-336-6016 or e-mail us
Address and telephone contacts