MedicaidPrior AuthMedium impact
Prior Approval for Binaural Hearing Aids
Illinois Medicaid - HFS·IL · Audiology, ENT (Ear, Nose & Throat)·Provider Notice
Effective date
Feb 11, 2014
We identified it
Jun 20, 2026
Summary
Illinois Medicaid now requires prior approval for all binaural (two) hearing aids. Providers must submit specific documentation including medical orders, testing information, and a completed questionnaire before dispensing binaural hearing aids.
Action Required
Immediately: Audiologists and DME providers must obtain prior approval before dispensing binaural hearing aids to Illinois Medicaid patients. Submit HFS 1409 Prior Approval Request Form, medical order signed within 12 months, testing information, letter of medical necessity, and HFS 3701I Binaural Hearing Aid Questionnaire to fax 217-524-0099. Claims for binaural hearing aids without prior approval will be denied.