State of Alabama

10/01/2026 | Press release | Distributed by Public on 10/01/2026 09:28

Removal of Medicare and TPL Exemption

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TO: Optometrists and Opticians

RE: Removal of Medicare and TPL Exemption

Effective for dates of service October 1, 2026 or after, Optometrists and Opticians must file claims with the beneficiary's primary insurance, including Medicare, before filing with Medicaid.

Additional claim filing instructions can be found in the Alabama Medicaid Provider Billing Manual, Chapter 5: Filing Claims.

Providers with billing questions may contact the Gainwell Technologies Provider Assistance Center at 1-800-688-7989.

The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 20 26 American Medical Association
and © 20
25 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.

State of Alabama published this content on October 01, 2026, and is solely responsible for the information contained herein. Distributed via Public Technologies (PUBT), unedited and unaltered, on October 01, 2026 at 15:28 UTC. If you believe the information included in the content is inaccurate or outdated and requires editing or removal, please contact us at [email protected]