Provider Eligibility

(A) In State. The following requirements apply when the practice is located in Massachusetts. (1) Independent Hearing Instrument Specialist. An independent hearing instrument specialist engaged in private practice in Massachusetts is eligible to participate in MassHealth only if the individual is licensed by the Commonwealth of Massachusetts, Division of Professional Licensure, Board of Registration of Hearing Instrument Specialists. (2) Acute Hospital Outpatient Department, Hospital-Licensed Health Center, or Other Satellite Clinic. An acute hospital’s outpatient department, hospital-licensed health center, or other satellite clinic that participates in MassHealth pursuant to the Executive Office of Health and Human Services (EOHHS) Acute Hospital Request for Applications (RFA) and contract is eligible to provide services designated as hearing aid services in Subchapter 6 of the MassHealth Hearing Instrument Specialist Manual for providers under 130 CMR 416.000. (B) Out of State. To participate in MassHealth, an independent hearing instrument specialist practicing outside of Massachusetts must: (1) be certified by the National Board for Certification in Hearing Instrument Sciences; (2) be licensed by the appropriate licensing agency in its own state (as applicable); and (3) participate in the medical assistance program in its own state.