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MMP 25-43: Updates to Conventional Hearing Aid Battery Coverage and Reimbursement Rates
Effective date
Nov 1, 2025
Identified
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.
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What to do
Action · 4 steps
01Before November 1, 2025: Billing team must update reimbursement rate for HCPCS code V5266 to $1.42 per unit in billing system.
02Remove physician order requirements for hearing aid batteries unless required by supplier policy.
03Update prior authorization triggers to activate only when quantities exceed 144 batteries per year per aid or 72 batteries per dispensing.
04Ensure LT/RT modifiers are used with V5266 claims.
Codes mentioned
V5266
Original notice
MMP 25-43: Updates to Conventional Hearing Aid Battery Coverage and Reimbursement Rates
michigan.gov · Always check the source before changing claims.