Traditional MedicareBilling CodesMedium impact
Changes to Claim Submission of Select Hearing Aid Codes for Clients with Medicare Part B pdf
Connecticut Medicaid (HUSKY Health)·CT · ENT (Ear, Nose & Throat)·Coding
We identified it
Jun 20, 2026
Summary
For dual eligible members with Medicare Part B, DME hearing aid providers can now bill specified hearing aid codes (V-codes) directly to Medicaid instead of going through Medicare first, since these services are excluded from Original Medicare benefits. Medicare Advantage plans require annual benefit exclusion documentation.
Action Required
Immediately: DME hearing aid providers must update billing workflows to submit specified V-codes directly to Medicaid for dual eligible members with Original Medicare Part B. For Medicare Advantage dual eligibles, obtain and file annual benefit exclusion documentation before billing Medicaid directly. Update billing system to identify dual eligible status and route hearing aid claims appropriately to avoid recoupment.