MedicaidCoverageMedium impact
MMP 25-43: Updates to Conventional Hearing Aid Battery Coverage and Reimbursement Rates
Michigan Medicaid - MDHHS·MI · Audiology, ENT (Ear, Nose & Throat)·Claims & Billing
Effective date
Nov 1, 2025
We identified it
Jun 20, 2026
Summary
Michigan Medicaid has updated hearing aid battery coverage to allow up to 144 batteries per year per aid without requiring physician orders, increased reimbursement to $1.42 per unit, and raised the prior authorization threshold to 72 batteries per dispensing. This removes administrative barriers and improves access for Medicaid beneficiaries.
Action Required
Before November 1, 2025: Billing team must update reimbursement rate for HCPCS code V5266 to $1.42 per unit in billing system. Remove physician order requirements for hearing aid batteries unless required by supplier policy. Update prior authorization triggers to activate only when quantities exceed 144 batteries per year per aid or 72 batteries per dispensing. Ensure LT/RT modifiers are used with V5266 claims.