This is a reminder that Prior Authorization (PA) is required if a member has received a hearing aid within the last five (5) years. Please remember that a PA is approved for the provider that requests the PA using the requesting provider’s MassHealth provider ID or National Provider Identifier (NPI). When submitting hearing aid claims, please ensure that the PA’s requesting provider ID or NPI matches the rendering/servicing provider ID or NPI on the PA. If the provider ID or NPI on the PA does not match the rendering/servicing provider ID or NPI on the claim, the claim will deny.
If you have questions, please contract MassHealth at (800) 841-2900 or provider@masshealthquestions.com.