[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR436.531]



[Page 197]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 436_ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS--

 

       Subpart F_Categorical Requirements for Medicaid Eligibility

 

Sec.  436.531  Determination of blindness.



    In determining blindness--

    (a) A physician skilled in the diseases of the eye or an 

optometrist, whichever the individual selects, must examine him, unless 

both of the applicant's eyes are missing;

    (b) The examiner must submit a report of examination to the Medicaid 

agency; and

    (c) A physician skilled in the diseases of the eye (for example, an 

ophthalmologist or an eye, ear, nose, and throat specialist) must review 

the report and determine on behalf of the agency--

    (1) Whether the individual meets the definition of blindness; and

    (2) Whether and when reexaminations are necessary for periodic 

redeterminations of eligibility, as required under Sec.  435.916 of this 

subchapter. Blindness is considered to continue until the reviewing 

physician determines that the recipient's vision no longer meets the 

definition.



[43 FR 45218, Sept. 29, 1978, as amended at 44 FR 17939, Mar. 23, 1979]



                               Disability