I am told that there is a way to get Medicaid to pay for the refraction portion of the exam IF Medicare pays on the exam portion. However, I cannot figure out what the trick is to getting these paid. Every time I call Medicaid regarding a claim that has cross overed from Medicare they tell me that refractions are only covered if Medicare pays on the exam but they are unable to tell me what I need to do to get it paid. It keeps being denied, saying that the refraction can not be billed on the same day as an exam. Has anybody figured out how to bill these refractions to Medicaid to receive payment on them? As of right now we end up writing off every refraction for Medicaid patients. Thanks in advance!