MedicaidPrior AuthMedium impact
EPSDT: Audiology Procedure Code and Fee Schedule
Maryland Medicaid·MD · Audiology·Audiology
Effective date
Mar 1, 2005
We identified it
Jun 20, 2026
Summary
Maryland Medicaid has removed preauthorization requirements for multiple audiology procedure codes (hearing aids and supplies) effective March 1, 2005. Providers can now bill these codes directly, with some requiring attached audiology reports and others billed at acquisition cost.
Action Required
Maryland Medicaid providers: Stop obtaining preauthorization for listed audiology codes. Update billing workflow to bill V5170, V5180, V5210, V5220, V5246, V5247, and V5267 at acquisition cost. For codes requiring 'by report' billing, attach audiology report, audiogram, physician medical clearance, and invoice to claims. Update fee schedule from state website.