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