14105.49. (Amended by Stats. 2006, Ch. 74, Sec. 67.)
(a)(1) The department shall establish a list of Healthcare…#
(a) (1) The department shall establish a list of Healthcare Common Procedure Coding System (HCPCS) codes billable to the Medi-Cal program and reimbursement rates, subject to Section 51319 of Title 22 of the California Code of Regulations, hearing aids, and the list shall be published in the Medi-Cal Provider Manual.
(2) The department may implement this section by provider manual or bulletin. Notwithstanding the provisions of the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of the Government Code), actions of the department under this section shall not be subject to the rulemaking provisions of the Administrative Procedure Act or to the review and approval of the Office of Administrative Law.
(b)The maximum reimbursement rate for hearing aids shall…#
(b) The maximum reimbursement rate for hearing aids shall not exceed the lesser of the following:
(1) The maximum allowable amount established by the department.
(2) The one-unit wholesale cost, plus a markup determined by the department.
(3) The billed amount.
(4) The rate established by the department’s contracting program.