MedicaidReimbursementMedium impact
MMP 23-01
Michigan Medicaid - MDHHS·MI · Audiology, ENT (Ear, Nose & Throat)·Provider Bulletin
Effective date
Feb 1, 2023
We identified it
Jun 20, 2026
Summary
Michigan Medicaid has revised what services are included in the hearing aid dispensing fee, now covering a comprehensive 90-day package including delivery, fitting, education, batteries, and trial period. The dispensing fee rates have also been updated with new reimbursement amounts.
Action Required
By February 1, 2023: Hearing aid providers must update billing practices to use appropriate monaural or binaural HCPCS dispensing fee codes that reflect the hearing aid model dispensed. Stop billing V5011 (fitting/checking services) within 90 days of dispensing date as these are now included in the dispensing fee. Update billing system to prevent separate billing of individual dispensing fee components. Review updated fee schedule at michigan.gov/medicaidproviders for current reimbursement rates.