[Provider] Adopted Rules and Billing Codes for Hearing Aids and Services

[Provider Notification]

ATTENTION:  All MaineCare Providers of Section 35 Services

 

The adopted rules for Hearing Aids and Services, Section 35, are
effective December 1, 2008 and reflect the current practice of only
allowing members under age 21 to receive this service.  In addition:

 

*         Prior Authorization has been eliminated for all but one code  

*         Updated criteria for medical evaluation and testing were added


*         Audiologists were added as hearing aid dispensers to conform
to a change in their scope of practice  

*         Terminology, such as using MaineCare instead of Medicaid and
member instead of recipient, is also updated 

*         Chapter III establishes new billing codes based on HIPAA
compliant coding as indicated in the attached file.

 

Please contact the MaineCare Provider Relations office at
1-800-321-5557, Option 8 for further assistance.

 

 

This is a one-way communication.  Please do not respond to this message.

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