MedicaidReimbursementHigh impact
EPSDT: Audiology Services Regulation Amendments
Maryland Medicaid·MD · Audiology·Audiology
Effective date
Jul 18, 2005
We identified it
Jun 20, 2026
Summary
Maryland Medicaid changed reimbursement for hearing aids and equipment from list price to actual invoice cost minus discounts, effective July 18, 2005. Providers must now attach manufacturer invoices to claims and bill actual acquisition costs rather than retail prices.
Action Required
Immediately for Maryland Medicaid audiology claims: Billing team must update procedures to bill actual invoice cost for hearing aids and equipment (not retail price), attach manufacturer invoices to all claims, and itemize shipping/handling costs separately using assigned procedure codes. Claims without proper invoice documentation may be denied.