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Hearing aids covered for clients age 21 and older beginning January 1, 2019.
The Washington State Legislature passed ESSB 5179 that requires Apple Health (Medicaid) to cover hearing instruments (hearing aids) when medically necessary.
Under the legislation, clients age 21 and older who meet specific hearing loss criteria may be eligible for the following:
This page will be regularly updated. Hearing providers interested in providing health care services to Apple Health clients should bookmark this page for reference.
The adult hearing benefit fee schedule is currently being developed and will be posted here when complete. However, it will be nearly identical to the benefits for clients age 20 and younger found in the current hearing hardware fee schedule.
HCA uses two systems to manage accounts and deliver information directly to providers.
ProviderOne is the billing system that eligible Apple Health providers use to submit claims, request prior authorizations, and receive payment. To receive notifications through ProviderOne:
GovDelivery is a free subscription email service that allows HCA to communicate directly to its providers. Visit the GovDelivery signup page to create a new account if you are not already registered, and to choose which topics you would like to stay informed on.
To sign up for hearing provider alerts:
