Medicaid Coverage for Adults
Medicaid coverage of hearing aids and services for adults varies from state to state. Some states offer full or partial assistance with hearing aids and/or various other services such as hearing tests and exams, hearing aid repair or replacement, and accessories such as batteries. Contact your state’s Medicaid office to find out if any assistance is available for hearing aids or other hearing services.
Medicaid Coverage for Children
The Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program is the child health component under Medicaid. EPSDT services are mandated for children from birth through age 21. A state must provide to Medicaid beneficiaries under age 21 hearing services, including appropriate screening, diagnostic, and treatment, including hearing aids. Specifically, EPSDT covers the following medically necessary audiological services for children who are at risk for hearing impairment:
- Audiological assessments;
- Hearing aid evaluation; and
- Medically necessary hearing aid services, including hearing aids and hearing aid accessories and services.
These hearing services must be provided periodically at intervals that meet reasonable standards of medical practice.