Medicaid Services for the Deaf and Hard of Hearing

Under the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) component, the national Medicaid program requires all state Medicaid agencies to provide certain hearing-related coverage for Medicaid beneficiaries younger than 21 years old. This EPSDT-mandated coverage for children at risk of hearing impairment includes audiological assessments, hearing aid evaluation and medically necessary hearing aids and related services and accessories.

Although federal Medicaid rules do not require individual states to cover hearing products and services for adult beneficiaries who are deaf or hard of hearing, many states choose to provide some form of coverage. In states that do provide hearing coverage for adults, certain limitations generally apply. At minimum, any services must be deemed medically necessary and prescribed by a physician or licensed practitioner. 

Some states have very specific rules and guidelines, including:

A minimum extent of hearing loss to qualify for coverage eligibility.
Prior authorization for hearing aid purchases and repairs. 
Limited options for hearing aid products.
Annual limits on covered products or services, such as hearing aid evaluations or batteries.
Warranty-related rules and restrictions.
A limited range of acceptable hearing aid vendors.

Other restrictions may apply. Below is a list of U.S. states and some of the hearing aid products and related services that each state currently covers for Medicaid beneficiaries. The services listed are not exhaustive, and states often change their Medicaid benefits, so interested candidates may wish to check with the state Medicaid agency.

State

Services Covered

Alabama

Not covered

Alaska

Audiology, hearing aids, hearing item repairs, diagnostic testing, hearing therapy and rehabilitative therapy

Arizona

Not covered

Arkansas

Not covered

California

Hearing aids, hearing exams, hearing aid repairs, hearing aid part replacements, ear molds, cochlear implant services

Colorado

Not covered

Connecticut

Hearing aids

Delaware

Not covered

District of Columbia

Not covered

Florida

Cochlear implant services, hearing aids, hearing evaluations, hearing aid repairs and accessories, hearing aid fitting and dispensing, diagnostic audiological testing

Georgia

Not covered

Hawaii

Hearing aid examination and selection, hearing aid check, hearing aids, hearing aid repairs not covered by warranty

Idaho

Doctor-ordered exam and testing, hearing aids and hearing services for children younger than 21

Illinois

Basic and advanced hearing tests, hearing aid testing and evaluation, hearing aid fitting, hearing aid part replacement, hearing aid repairs, hearing aid accessories

Indiana

Purchase, repair and replacement of hearing aids

Iowa

Hearing evaluation, hearing aid selection and purchase, ear molds, hearing aid maintenance, hearing aid replacement

Kansas

Trial hearing aid rental, hearing aid batteries, cochlear implant batteries, audiological testing, ear examinations, hearing aid repair

Kentucky

Not covered

Louisiana

Not covered

Maine

Not covered

Maryland

Not covered

Massachusetts

Hearing aids, replacements and repairs covered by some plans

Michigan

Not covered, unless authorized before 06/30/2009

Minnesota

Hearing aids, ear molds, hearing aid checks, hearing aid repairs, batteries, hearing aid part replacements

Mississippi

Not covered

Missouri

Hearing aids and related services for pregnant beneficiaries, blind beneficiaries and beneficiaries who are residents of nursing homes

Montana

Audiology services, hearing aids and hearing aid repairs

Nebraska

Hearing aids, hearing aid repairs, hearing aid rentals, assistive listening devices

Nevada

Hearing aids, hearing aid batteries, audiological testing, replacement hearing aids, hearing aid supplies and accessories, ear molds, hearing aid fittings, some services for cochlear implants

New Hampshire

Hearing aid evaluation and consultation, ear molds, hearing aids, hearing aid fitting, audiogram, hearing aid batteries, hearing aid replacement and repair

New Jersey

Hearing exams, hearing aids, hearing aid repairs and replacements, hearing aid batteries (services covered under certain plans only)

New Mexico

Audiology screening and services, hearing aids purchase, hearing aid rentals, hearing aid repairs and replacements, hearing aid accessories, hearing aid insurance

New York

Hearing exams, hearing aid repair and replacements, ear molds

North Carolina

Not covered

North Dakota

Hearing aids, replacements, ear molds, batteries

Ohio

Conventional hearing aids, replacements, ear molds, batteries

Oklahoma

Not covered

Oregon

Audiologic assessment, hearing aid evaluation and selection, electroacoustic evaluation for hearing aid, repair of hearing aids

Pennsylvania

Not covered

Rhode Island

Hearing aids and replacements

South Carolina

Not covered

South Dakota

Hearing aids and replacements, ear mold, hearing aid fitting and cleaning

Tennessee

Not covered

Texas

Audiology and audiometry services, hearing aids, hearing aid accessories and repairs, ear impressions and ear molds, hearing aid batteries, cochlear implants, auditory brainstem implants, bone anchored hearing devices

Utah

Not covered

Vermont

Audiological examinations, hearing aids, hearing screening and assessments, hearing aid replacements and repairs, ear molds, hearing aid checks

Virginia

Not covered

Washington

Audiology exams, medical ear treatments

West Virginia

Not covered

Wisconsin

Certain types of hearing aids

Wyoming

Audiologic assessment, hearing aid evaluation, hearing aids, hearing aid replacement and repair

 


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