New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 64 - HEARING AID SERVICES
Subchapter 2 - PROVISIONS OF SERVICES
Section 10:64-2.5 - Policies on replacement of a hearing aid
Universal Citation: NJ Admin Code 10:64-2.5
Current through Register Vol. 56, No. 18, September 16, 2024
(a) The original hearing aid shall be replaced by a provider only under the following conditions:
1. The aid is lost or stolen or
broken. There shall be reasonable expectation that a replacement aid is not
likely to be lost, stolen or broken;
2. The aid is malfunctioning and the cost of
repairing the aid is 50 percent or more of its replacement cost to the
Medicaid/NJ FamilyCare program; or
3. The hearing loss for which the original
aid was prescribed has changed such that the original aid no longer is
appropriate and the examinations prescribed in
10:64-2.1(b)
have determined that a new aid should be prescribed.
(b) In those situations in which a replacement aid is repeatedly provided and these services do not reflect the normal use of an aid by a beneficiary, the provider shall contact the Medical Assistance Customer Center for consultation.
(c) Reconditioned hearing aids are not eligible for Medicaid/NJ FamilyCare coverage.
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