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Wisconsin Medicaid Vision Care Services Handbook, Part R

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Page 1: Wisconsin Medicaid Vision Care Services Handbook, Part R

ARCHIVAL USE ONLY Refer to the Online Handbook

for current policy

Page 2: Wisconsin Medicaid Vision Care Services Handbook, Part R

ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

Page 3: Wisconsin Medicaid Vision Care Services Handbook, Part R

ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

Page 4: Wisconsin Medicaid Vision Care Services Handbook, Part R

ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

Page 5: Wisconsin Medicaid Vision Care Services Handbook, Part R

ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

Page 6: Wisconsin Medicaid Vision Care Services Handbook, Part R

ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

Page 7: Wisconsin Medicaid Vision Care Services Handbook, Part R

ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

Page 8: Wisconsin Medicaid Vision Care Services Handbook, Part R

ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

Page 9: Wisconsin Medicaid Vision Care Services Handbook, Part R

ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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Page 67: Wisconsin Medicaid Vision Care Services Handbook, Part R

ARCHIVAL USE ONLY: Refer to the Online Handbook for current policy

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