Effective Date - January 1, 2009

1802               "Give One Day" Eye Care Program

N/A

A.    Purpose:
The "Give One Day" Eye Care program was implemented by DFS in October, 1986.  This program is a cooperative effort between the Wyoming Optometric Association (WOA) and DFS to provide eye care services to low income individuals in need.

B.    Eligibility:

Require the individual:

1.    To be employed; and

2.    Not to have had an eye examination in the last two years; and

3.    To be authorized for SNAP; or

4.    To be identified by the DFS-FO, DFS-SO, WDH (Diabetes Program) or Optometric Association as truly in need.

C.   Services:
Understand the WOA provider has agreed to:

1.    Provide the examination and materials for 12 qualified patients (one per month) over the course of one year at no charge;

2.    Make their own arrangements with suppliers and laboratories which have agreed to donate or discount materials or services;

3.    Notify the WOA in writing if they wish to discontinue participation;

4.    Complete a utilization report for each client and submit to the WOA office.

D.   Specific services:

Understand the services are as follows:

1.    The client will receive this service one-time only and it must be provided by the optometrist designated by DFS-FO;

2.    The services do not include contact lenses, photogray, tinted lenses or prescription sunglasses;

3.     The optometrist will select the frames and there is no option to upgrade.

E. Established procedures:

1.    Assure each participating optometrist receives only one referral each month;

2.    Determine client priority when several individuals are found eligible at the same time;

3.    Cycle qualified patients evenly among participating optometrists in each community;

4.    Coordinate all publicity of the program through the WOA office.  (Any individual or local publicity must be approved in advance by the WOA.)

F.    Processing benefits:

1.    Select an individual for services;

2.    Schedule the appointment at the convenience of the optometrist;

3.    Inform the client:

a.    The authorization is voided if the appointment is not met;

b.    The optometrist may ask for proof of identity;

c.    The final decision to provide services will be made by the optometrist.

4.    Complete the DFS 416 to notify the client of the date and time of the appointment and provide information about service limitations and requirements.

5.    Document in the case record the client has been referred to the program.

G.   Administrative hearing:
DO NOT apply the administrative hearing process to this program as the decision of the DFS-FO is final.