Common Contracts
1 similar Attachment 3 contracts
Low Vision Examination and Low Vision Prescription Services Non-Contract Provider Authorization AgreementAttachment 3 • October 27th, 2020
Low Vision Examination and Low Vision Prescription Services, as outlined in the New York State Commission for the Blind (NYSCB) Low Vision Guidelines, can be performed under contract or as a non-contract provider. Non-contract providers are permitted to provide services as specified within the NYSCB Low Vision Examination and Low Vision Prescription Services Guidelines up to discretionary limits (currently set at $49,999) over the period from first date of service to last date of service during the 5/01/2021 - 4/30/2026 contract terms and will be paid through a Consumer Information System (CIS) authorization*. To become authorized as a non-contract provider please complete this form. Services cannot be performed under the non-contract provider authorization agreement until it has been reviewed and approved by NYSCB. The NYSCB Low Vision Guidelines, can be found at: http://ocfs.ny.gov/main/cb/provider_info.asp
