(a) At a minimum, vision services include diagnosis and treatment for defects in vision, including eyeglasses once each 12 months.  In addition, payment is made for glasses for children with congenital aphakia or following cataract removal (refer to OAC 317:30-5-2 (b)(5) for amount, duration and scope).  The following schedule outlines the services required for vision services adopted by the OHCA.

• (1) Each newborn should have an assessment of the anatomy of the lids, alignment of the eyes and clarity of the ocular media with particular attention to documenting the presence of a normal red reflex.  The history should document either a normal birth or other condition such as prematurity.
• (2) Red reflex and external appearance should be repeated and recorded on infants between one and four months of age.
• (3) At six months of age, repeat red reflex and external exam and add an evaluation of ocular alignment with a corneal light reflex test.
• (4) One screen should occur between nine and 12 months to mirror the six month screening.
• (5) One screening from age three to five including alignment and an acuity test e.g., Allen Cards, Snellen chart or HOTV Test in each eye.
• (6) Objective visual acuity testing should be provided at ages five through ten, and once during ages 11 through 18.  All other years are subjective by history.

(b) Interperiodic vision examinations are allowed at intervals outside the periodicity schedule when a vision condition is suspected.