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  Home >> Defendants in Custody and Prisoner Management >> Prisoner Health Care >> Prisoner Health Care Standards

  Prisoner Health Care Standards

 

I. Reasonable and Medically Necessary Care

II. Conditions Requiring Treatment

III.  Non-authorized Medical Interventions/ Procedures

A. Allergy/Clinical Immunology

B. Cardiology

C. Dental/Oral Surgery

D. Digestive System

E. Ear, Nose and Throat

F. Endocrinology

G. Genital System (Male)

H. Hearing

I. Hemic and Lymphatic System

J. Integumentary System (Skin, Subcutaneous and Areolar Tissue, Breast) 

K. Nervous System

L. Obstetrics/ Gynecology 

M. Orthopedics/ Rehabilitation

N. Psychology/ Psychiatry

O. Urinary System

P. Vision 

Q. Surgery

R. Prostheses

S. General Medicine/ Laboratory 

T. Radiology 

U. Pharmacy

V. Investigational (Experimental) Drugs, Devices and Procedures

W. Other

IV. Appeals/Denials Process


 
III. NON-AUTHORIZED MEDICAL INTERVENTIONS/PROCEDURES

The following medical interventions and procedures are not authorized for payment by the USMS, unless ordered by the court:

P. VISION (EYE) – NOT COVERED

Eyeglasses, except in cases in which the detainee was taken into custody with eyeglasses and they are broken while he or she is in custody. Then, only one replacement pair is authorized. No designer frames are authorized. The least expensive pair of clear prescription glasses is authorized.

Sunglasses, unless ordered by a physician or mid-level provider certifying the medical necessity of such glasses for a medical condition such as photophobia. Then, only one replacement pair is authorized. No designer frames are authorized. The least expensive pair of sunglasses is authorized.

Blepharoptosis repair

Botulinum injection for strabismus

Canthoplasty

Cataract removal

Chemodenervation of extraocular muscle

Closure of lacrimal punctum

Conjunctivodacryocystotomy

Conjunctivorhinostomy

Contact lenses

Corneal tattoo

Corneal wedge resection

Corneal relaxing incision

Correction of everted punctum

Correction of lid retraction

Epikeratoplasty

Injection of contrast medium for dacryocystography

Keratomileusis

Keratophakia

Keratoprosthesis

Modification of ocular implant

Orthoptic or pleoptic training

Photorefractive keratectomy

Plastic repair of canaliculi

Probing of nasolacrimal duct

Radial keratotomy

Reconstruction of eyelid

Reduction of overcorrection of ptosis

Refractions, including lens prescription, unless clinically indicated

Release of extensive scar tissue

Removal or revision of orbital implant

Strabismus surgery

Transposition of extraocular muscle

Visual training exercises

 

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