Service Report: Hearing Aids - DHHS Open Window

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Service Summary Fact Sheets

Details for Service Hearing Aids

Service Name

Hearing Aids

Program Name

At-Risk Family Health and Safety Benefits

Goal

Provide outreach, support and services to individuals and families identified as being at risk of compromised health and safety to eliminate or reduce those risks.

Objective

Assure that families at risk of economic challenges receive health and safety benefits to mitigate those risks.

Division

Division of Health Benefits

Service Description

Hearing aids are provided for Medicaid recipients who are less than 21 years of age. The person must receive medical clearance from a physician. Hearing aids must be prior approved; an audiogram evaluation report and hearing aid manufacturer’s warranty information is required as a part of the prior approval process. There are no copayments for hearing aids, hearing aid accessories or hearing aid services.

Hearing Aid services are optional services. Medicaid's Early Periodic Screening, Diagnosis and Treatment (EPSDT) program requires that states offer these services, if medically necessary, to children up to age 21.

Web Site

http://www.ncdhhs.gov/dma/

Year First Initiated

1976

Available State Wide

Yes

Geographic Area Served

Grants Provided

Competitive Bidding

Competitive Bidding Details

Waiting List

Waiting List Start Date

Number Waiting

Waiting List Details

Income Eligibility

Income Eligibility	Yes
Income Eligibility Method	Eligibility for Medicaid is determined by the county departments of social services (DSS) and the Social Security Administration (SSA) for Supplemental Security Income (SSI) recipients. 200% FPL - MIC children under age 6 185% FPL - MPW 133% FPL - MIC children age 1-5 100% FPL - MIC children 6-18, MAD, MAA, MAB 150% FPL -HCWD MAF-CN, HSF Categorically Needy: 1 person - $362 2 - $472 3 - $544 4 - $594 5 - $648 MAF, MAD, MAA, MAB Medically Needy: 1 person - $242 2 - $317 3 - $367 4 - $400 5 - $433
Income Eligibility Type	Earned income such as: wages, self-employment Unearned income such as: RSDI, unemployment, VA, retirement, child/spousal support, worker's compensation, etc.
Whose Income Eligibility	Individual on the Medicaid case + financially responsible individuals in the home - (Parent for child under age 21 or spouse).
Income Disregard	Yes
Income Disregard Desc	Earned Income Disregards: MAA, MAD, MAB: $65 + 1/2 remainder MAF-C - 27-1/2% MAF-N/M, MIC, MPW, HSF: $90 + child/adult care up to $175/200 Unearned income disregards: MAA, MAD, MAB: $20 general exclusion, 1/3 child support MAF, MIC, MPW, HSF: $50 of child/spousal support Work expense exclusion for the blind: MAB, HCWD Impairment related work expense for the disabled - MAD, MAB, HCWD
Income Verified	Yes
Income Verified Method	Electronic match with ESC, SSA, wage stubs, verification from source of income, such as VA, employer, award letter, self-employment records
Income Criteria	Federal and State Statutes are used as a base for setting income levels.
Income Eligibility Change	1/1/2006
Income Eligibility Method Prior To Change	185% MIC children less than 1 133% MIC children 1-5
Income Eligibility Other

Target Population

Age Range Start	Age Range End
0	20

Legal Authority

Authorization Level	Authorization Type	Citation
State	Administrative Rules	10A NCAC 22O .0109.
Federal	Public Law	State Plan Attachment 3.1-A.1, 4.b. (Page 7a) TN No. 06-013, Attachment 4.19-B, Section 4, (Page 2) TN No. 92-14.

Budget Information

State Fiscal Year (SFY)

As of the month of

	Authorized Budget Fiscal Year 2024	SFY 2023-2024 Year To Date Expenditures	Balance
Salary and Fringes (1X)	0	0	0
Salary Other (1X)	0	0	0
Operating (2X-5X)	0	0	0
Contracts/Allocations (6X)	0	0	0
Reserves (7X)	0	0	0
Transfers (8X)	0	0	0

Total Requirements	0	0	0
Receipts-Federal	0	0	0
Receipts- Local receipts	0	0	0
Receipts- Other receipts	0	0	0

Total Receipts	0	0	0
General Fund Appropriations	0	0	0

Match
State	Local	Other
0	0	0

MOE
State	Local
0	0

FTEs

0.00

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