Am I contracted to provide non-routine eye care to patients covered by OptiCare?
It depends on two (2) factors: 1. First you need to know what OptiCare’s agreement with a specific health plan covers. If the agreement covers both routine vision and medical eye care then the answer is maybe. 2. If the answer to 1 is yes, then you would need to verify that your credentialing status with OptiCare is for “full scope of practice”. Drs w/out DEA or CDS are not credentialed for full scope and as a result are eligible only for delivery of routine vision care to covered enrollees. If you aren’t sure what your status is, please contact OptiCare Provider Relations.
