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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 © 2026 American Medical Association
and © 2025 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.