Hearing Aids

Medicaid provides for medically necessary hearing aid services for eligible recipients such as hearing aid dispensing, replacement, and repairs exceeding $100. Prior approval is required for hearing aids.

Request hearing aids on forms MAD 303 and ISD 394 (Hearing Aid Evaluation form). The MAD 303 must indicate which ear the hearing aid is being requested for, along with the specific hearing aid make and model information. A physician's signature must be present, indicating that the recipient is a suitable candidate. If the recipient is institutionalized, there must be a physician's statement to the effect that the recipient will derive some significant benefit in terms of quality of life; and, the provider will need to indicate whether the recipient will be responsible for caring for the hearing aid or if the facility will assist with the care of the hearing aid.

icon PDF Mad 303

icon PDF Mad 394


icon PDF Adobe Acrobat Reader is required to view the file(s) above. Download a free version.