Changes to Prior Authorization Requirement for Dispensing of Ear Molds

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To: Health Plan of San Joaquin (HPSJ) Audiologists, Speech Pathologists and
Hearing Aid Dispensing Providers
From: Provider Services Department
Subject: Changes to Prior Authorization Requirement for Dispensing of Ear Molds
Business: Medi-Cal

Effective: Retroactively to January 1, 2014
Code V5264 used for ear molds, which are needed in conjunction with hearing aids, no longer require Prior Authorization. 

  • Prior Authorization continues to be a requirement for hearing aids. 
  • Denied ear mold services for the period starting January 1, 2014 will be adjusted for payment.

Please direct any questions to our Provider Services Department at (209) 942-6340.

Posted on December 30th, 2015 and last modified on September 9th, 2022.

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