Section 75 Vision Services Rate Update, CR 109436 

Effective May 3, 2022, we have updated the rates in MIHMS for MaineCare Benefits Manual, Section 75: Vision Services retroactively to January 1, 2022. 

See the table below for the new rates or the fee schedule for more detail. 

Procedure Code 

Procedure Code Modifier 

Rate = $ 

67820 

  

$18.36 

76512 

  

$45.62 

76512 

TC 

$16.07 

92250 

  

$35.11 

We will reprocess claims billed at an incorrect rate for dates of service between January 1, 2022, and May 3, 2022, and no provider action is needed. 

Please note that this change does not impact reimbursement changes that went into effect on July 1, 2022. For information about the changes and rates that went into effect July 1, 2022, see the June 10, 2022, notice regarding MaineCare Cost-of-Living Adjustments (COLA) and Medicare Standardization Adjustments.  

Please contact your Provider Relations Specialist with questions. 

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