MaineCare requires prior authorization for hearing aids, and the Office of MaineCare Services publishes a two-page form that sets out the clinical criteria and submission routes. Audiologists, hearing aid dealers and ordering providers meet it when a member needs a monaural or binaural aid. Requests are reviewed under MaineCare Benefits Manual Chapter II, Section 60, which covers medical supplies and durable medical equipment.
The audiologist or ordering provider prepares the request and documents the criteria: an otologic evaluation by a primary care provider or otolaryngologist and a clinical audiology evaluation showing the need for amplification. The member completes nothing.
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Hearing Aids Prior Authorization Form
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For members 21 and over, MaineCare requires documented moderate to severe hearing loss of 41 to 90 dB HL in each ear for which prior authorization is requested. The member also needs an otologic evaluation by a primary care provider or otolaryngologist and a clinical audiology evaluation.
The form lists four routes: the Health PAS Online Portal (Provider Web Portal), telephone, fax, or mail to the Prior Authorization Unit at the Office of MaineCare Services. If the hearing aid has no MaineCare fee schedule rate, add the Supplemental DME Prior Authorization Form, MA56.