W.S. 1-8 - Payment

(a) Payment shall be made pursuant to the provider manual for this Program.

(b) This Program must not exceed Medicaid reimbursement and additional per person limits established by the Department.

(c) Reimbursement for an individual shall be limited to three thousand dollars ($3,000.00) for both ears in a 5-year period. Additionally, the following limitations shall apply to hearing aids:

(i) Up to one (1) hearing aid per ear at a cost of not more than the rate paid for hearing aids under the Wyoming Medical Assistance and Services Act and including hearing aid insurance for loss or damage;

(ii) A hearing aid fitting at a cost of not more than the rate paid under the Wyoming Medical Assistance and Services Act; and

(iii) An initial set of ear molds at a cost of not more than the rate paid under the Wyoming Medical Assistance and Services Act.

(d) Hearing aid services provider must accept payment made pursuant to these rules as payment in full for hearing aid services. No further reimbursement or cost sharing may be sought from the eligible individual.

(e) Cost limits shall be regularly revisited by the Program to ensure medically appropriate equipment can be purchased within the cost limit established by the Department.

Notes

W.S. 1-8

Adopted, Eff. 4/10/2025.