Speaker's Corner by ProQuest


Despite the best efforts of the Centers for Medicare and Medicaid Services (CMS) with regard to the field of visual impairment and blindness, and despite the concerted efforts of the members of the field to make the most of the Medicare Low Vision Rehabilitation Demonstration Project, there are intrinsic flaws in scope and design of the project that preclude its successful implementation and may even undermine the services that have been extended by Medicare to beneficiaries with visual impairments in the last decade. Following this approach, as noted earlier, by May 2002, Medicare carriers in at least 26 states were providing Medicare reimbursement for rehabilitation services for beneficiaries with visual impairments on the same basis as for rehabilitation for any other impairment.\n The acuity, field parameters, contrast sensitivity, scotoma size and position, and preferred retinal locus position with respect to the scotoma are all necessary information gleaned from a low vision evaluation and provided to the therapist.

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