Ordering Eyeglasses with VSP Medicaid

VSP Medicaid plans may require you to add modifier codes and dispensing fees to your order. Some orders may also need to be routed to a particular lab. For specific information, refer to the VSP Medicaid Provider Reference Manual on VSPOnline at eyefinity.com.

If you have questions or are not enrolled and licensed by Medicaid, email VSP Provider Network Development at providernetworkdevelopment@vsp.com.

The following dispensing fees are required for some VSP Medicaid orders. We recommend you set up and price them in Other Items Setup for each of your offices:

* Sv Dispensing Fee
* Bf Dispensing Fee
* MF Dispensing Fee

To order eyeglasses with VSP Medicaid:

  1. Start the eyeglass order, and select a Medicaid contracted lab.
  2. In the Pricing screen, add VSP Medicaid as the Primary Insurance.
  3. Click Calculate Benefits.
  4. Click Override, if necessary, to edit the amounts.
  5. Enter the Patient Responsibility and Patient Copay.
  6. Enter the Insurance Reimbursement amount.

    7. If you leave the Insurance Reimbursement amount at $0.00, the claim will be marked Non-Receivable.

  7. Click Save.
  8. Click the Add/Review link.

    The Add Modifiers and Dispensing Fee window opens.

  9. Select up to four Modifier Codes for each item, if necessary.
  10. Select the Dispensing Fee, if necessary.
  11. Enter an amount for the dispensing fee, if necessary.
  12. Select up to four Modifier Codes for the dispensing fee, if necessary.
  13. Click Save.
  14. Complete the order as you normally would.