Transcription of NEW YORK STATE MEDICAID PROGRAM HEARING AID/ …
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NEW YORK STATE MEDICAID PROGRAM HEARING AID/ AUDIOLOGY SERVICES POLICY GUIDELINES HEARING Aid/Audiology Services Policy Guidelines _____ Version 2022 (04/01/2022) Page 1 of 17 Contents Section 1: Requirements For Participation in MEDICAID ---------------------------------------- -------------------- 2 Section 2: HEARING Aid/Audiology Services ---------------------------------------- ------------------------------------- 3 Section 3: HEARING Aid Recommendation Requirements ---------------------------------------- ------------------ 4 Section 4: Coverage Criteria/Documentation Requirements ---------------------------------------- -------------- 5 Section 5: Statements Required/ Record Keeping ---------------------------------------- --------------------------- 8 Section 6- Prior Authorization/Prior Approval Requirements ---------------------------------------- ------------- 9 Section 7- Who May Dispense ---------------------------------------- ---------------------------------------- ------------- 10
history of hearing aid repair 7. If hearing aid is lost, provide letter from member or care-giver describing circumstances of the loss and the specific steps to be taken with the replacement aid to avoid future loss. 8. If hearing aid is less than 5 years old, indicate why the request is for replacement rather than repair. 9. Repair Requests i.
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