Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.2

Audiologists

Last amended: 2025Year: 2025Length: 192 wordsOfficial source
10.2.3.2 – Audiologists (Rev. 13355; Issued: 08-13-25; Effective: 05-05-25; Implementation: 05-05-25) Section 1861(ll)(3)(B) of the Social Security Act and Pub. 100-02, chapter 15, section 80.3.1 state that a qualified audiologist means an individual with a master’s or doctoral degree in audiology who: 1. Is licensed as an audiologist by the state in which the individual furnishes such services; or 2. In the case of an individual who furnishes services in a state that does not license audiologists, has: • Successfully completed 350 clock hours of supervised clinical practicum (or is in the process of accumulating such supervised clinical experience), and • Performed not less than 9 months of supervised full-time audiology services after obtaining a master’s or doctoral degree in audiology or a related field, and • Successfully completed a national examination in audiology approved by the Secretary. Given these requirements (and as stated in the aforementioned section 80.3.1), a Doctor of Audiology (AuD) 4th year student with a provisional license from a state does not qualify unless the individual also holds a master’s or doctoral degree in audiology. See Pub. 100-04, chapter 12, section 30.3 for further information regarding audiologist billing.
Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.2.3.2: Audiologists | Justis AI