Log Of Incurred Medical Expenses (Page 2 of 2) in pdf

The following deduction amounts outlined replace amounts determined in 1989:

1. Eyeglasses

Not otherwise covered by the Medicaid program, not to exceed a total of $108.00 per occurrence for

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lenses, frames and dispensing fee; and

A licensed optometrist or ophthalmologist must certify the necessity for eyeglasses.

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2. Dentures

• A one-time expense;

• Not to exceed $651.00 per plate or $1320.00 for one full pair of dentures; and

• A licensed dental practitioner must certify necessity.

• An expense for more than one (1) pair of dentures must be prior approved by State Office.

3. Denture Repair

• Not to exceed $77.00 per occurrence; and

• A licensed dental practitioner must certify the necessity for denture repair.

4. Physician and other medical practitioner visits that exceed the yearly limit

• Not to exceed $69.00 per visit.

5. Hearing Aids

• A one-time expense;

• Not to exceed $1000.00 for one or $2000.00 for both; and

• A licensed practitioner must certify the necessity for hearing aids.

• An expense for more than one hearing aid must be prior approved by State Office.

6. The deduction for medical and remedial care expenses that were incurred as the result of imposition of a

transfer of assets penalty is limited to zero.

7. Other non-covered medical expenses which are recognized by State Law but not covered by Medicaid,

or any other third party, not to exceed $20.00 per item/service. These non-covered medical expenses

must be prescribed by a licensed practitioner.

Items/services presented by the beneficiary for deductions which require prior approval or are questionable

should be submitted to the Division of Medicaid Policy and Planning. The request for prior approval should be

made on the SCDHHS Form 235 and should be mailed to:

South Carolina Department of Health and Human Services

Division of Medicaid Policy and Planning

Post Office Box 8206

Columbia, South Carolina 29202-8206

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Log Of Incurred Medical Expenses Page 2