405 IAC 5-19-14 Hearing aids; maintenance and repair

Sec. 14. Medicaid reimbursement is available for the maintenance or repair of hearing aids under the following conditions: (1) Repairs for hearing aids and ear molds do not require prior authorization; however, reimbursement for such repairs shall not be made more often than once every twelve (12) months. Repairs may be prior authorized more frequently for members under twenty-one (21) years of age if circumstances are documented justifying need. (2) Batteries, sound hooks, tubing, and cords do not require prior authorization. (3) Medicaid payment is not available for repair of hearing aids still under warranty. (4) Routine servicing of functioning hearing aids is not covered by Medicaid. (5) No payment shall be made for repair or replacement of hearing aids necessitated by member misuse or abuse whether intentional or unintentional.