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Medicaid Payment and Procedures Policy

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.

 





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