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23.3.2 Hearing Aid Instrument
Medicaid reimbursement for hearing aid instruments is limited to eligible clients, 21 years of age and older, whose air conduction puretone average in the better ear is 45 dB or greater. The client must have medical necessity for a hearing aid instrument and have no medical contraindications for using a hearing aid. Each client must be offered an appropriate new hearing aid instrument within the Medicaid allowable fee schedule. Hearing aid(s) are considered for reimbursement once every six years.
Important: TMHP may refer people to the Texas Rehabilitation Commission whose jobs are contingent on possession of a hearing aid as well as people appearing to have vocational potential and who need a hearing aid.
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