Section 182-547-0100 - General(1) The medicaid agency covers the hearing aids listed in this chapter, according to agency rules and subject to the limitations and requirements in this chapter. See also WAC 182-531-0375 audiology services.(2) The agency pays for hearing aids when: (b) Within the scope of an eligible client's medical care program;(c) Medically necessary as defined under WAC 182-500-0070;(d) Authorized, as required within this chapter, chapters 182-501 and 182-502 WAC, and the agency's published billing instructions and provider notices;(e) Billed according to this chapter, chapters 182-501 and 182-502 WAC, and the agency's published billing instructions and provider notices;(f) The client completes a hearing evaluation, including an audiogram or developmentally appropriate diagnostic physiologic test, that is administered by and the results interpreted by a hearing health care professional; and(g) The licensed audiologist, hearing aid specialist, oto-laryngologist, or otologist concludes that the client may benefit from a hearing aid.Wash. Admin. Code § 182-547-0100
Amended by WSR 19-20-043, Filed 9/25/2019, effective 11/1/2019Statutory Authority: RCW 41.05.021. WSR 13-20-013, 182-547-0100, filed 9/20/13, effective 10/21/13. WSR 11-14-075, recodified as 182-547-0100, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090. WSR 11-11-015, 388-547-0100, filed 5/9/11, effective 6/9/11. Statutory Authority: RCW 74.08.090 and 74.09.530. WSR 09-12-034, 388-547-0100, filed 5/27/09, effective 7/1/09. WSR 13-20-001, § 182-547-0100, filed 9/18/2013, effective 10/19/2013