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Area of Science:

  • Public Health
  • Health Policy
  • Audiology

Background:

  • Hearing loss affects millions of adults.
  • Access to hearing aids is crucial for quality of life.
  • Medicaid coverage for hearing aids in adults is inconsistent nationwide.

Purpose of the Study:

  • To examine state-level Medicaid hearing aid coverage for adults (21+).
  • To estimate national coverage rates and identify demographic variations.
  • To inform policy improvements for hearing aid access.

Main Methods:

  • Policy surveillance of state Medicaid hearing aid coverage (as of Dec 31, 2023).
  • Cross-sectional data compilation from 50 states and D.C.
  • Merging policy data with American Community Survey individual-level data.

Main Results:

  • 32 states provide Medicaid hearing aid coverage for adults.
  • Approximately 70% of eligible Medicaid beneficiaries resided in a state with coverage.
  • Coverage policies exhibited substantial variability in features.
  • Certain demographics (women, working-age, Black adults) had lower coverage odds; Hispanic/Latino and other/multiple race beneficiaries had higher odds.

Conclusions:

  • Significant disparities exist in Medicaid hearing aid coverage for adults.
  • Policy expansion and standardization are needed to improve access and utilization.
  • Addressing coverage gaps can enhance health outcomes for Medicaid beneficiaries.