Contact: Melysa Johnson
Created: 02/18/2026
Date Emailed to Staff: 02/20/2026
Effective Date: 02/18/2026
Summary of Changes
As of 1/1/26, new CPT codes were issued for hearing aid benefits but Medicaid has not included them in the fee schedule. Until they are added to the fee schedule (estimated date of 7/1/26), authorize at 60% of the submitted charge (quote) if the item is under $1,200 and 70% of the submitted charge (quote) if the item is over $1,200.
Forms - New or Revised
None
QE2 Update
None
To Do
N/A
Team Communication
Fiscal associates should be aware of the policy changes regarding authorizations for the new CPT codes.
VRIS Posting
https://webforms.nebraska.gov/program_manual_chapters/1264
Monitoring Requirements
None
Training Dates
This information was provided to the fiscal associates on 2/12/26.