Update: Process Change for HearingUSA Services
Beginning August 1, 2025, contracted providers with WellCare will submit claims forhearing and hearing aid-related services directly to WellCare, instead of HearUSA.
Currently, CPT codes on the hearing aid fee schedule are configured to deny for in-network providers. On August 1, this configuration will be updated to allow processing of the following codes:
Approved CPT Codes:
V5014, V5050, V5060, V5090, V5110, V5130, V5240, V5241, V5264, V5160, V5266,V5267, V5274, V5299
Please note:
- Prior authorization is required for all hearing aid-related CPT codes.
- For members under age 21, hearing aid coverage is a core Medicaid benefit.
For members age 21 and older, hearing aid coverage is available every two years ifmedically necessary and is considered a Value-Added Benefit (VAB).
For any questions or further assistance, please contact your Provider Experience Representativeor email: ncproviderrelations@wellcare.com