Attn: Children's Hearing Aid Program
5211 US Hwy 19, Ste 200
New Port Richey, FL 34652
Applications can be accessed at www.familyhearinghelp.org/chap (this page) for a live application that can be completed and signed digitally. You may also download a copy that can be filled out by hand. An application can also be requested by emailing CHAP@familyhearinghelp.org or by calling our office at (727) 312-3881.
Sertoma has the eligibility prerequisites displayed listed at the top of this page. Still have questions about eligibilty? Live chat with us during normal business hours with the blue chat button on the bottom right of your screen.
Applications online can be turned in automatically by clicking “finish” and “Submit”. Applications can also be downloaded and submitted by emailing to CHAP@familyhearinghelp.org, faxing to (727) 807-6172, or by mailing to:
Sertoma Speech & Hearing Foundation
Attn: Children's Hearing Aid Program
5211 US Hwy 19, Ste 200
New Port Richey, FL 34652
While Sertoma does not handle insurance through CHAP, insurance coverage will be applied to the devices cost and the CHAP funding will cover the difference.
Patients who have CHIP/KidCare and/or Medicaid are not eligible to recieve assistance through CHAP.
The most recently filed tax return filed by the parent/guardian's who have custody of the child. If the family did not file a tax return, our staff will work with you to determine what documents are needed.
A clear copy of the identification for one of the parent(s)/guardian(s) listed on page 3 of the application is required to verify Florida residency.
This proof must be in the format of:
Sertoma is required to verify the individual receiving assistance under CHAP is younger than 18. Proof can be the child's birth certificate, or their photo ID.
This program only pays for the cost of the hearing device. Any additional costs or fees, such as those for testing and fitting are determined between the patient and the provider.
Unfortunatley, Sertoma is unable to assist with the cost for service fees, or any other fees outside of the hearing device, at this time.
If you feel you have been billed incorrectly for your hearing device covered by this program, please call or email us as soon as you are able.
We are here to help! Our contact information is below. Our office is open Monday to Friday from 8am to 4:30pm, and closed on most federal holidays.
Phone: 727-312-3881
Email: CHAP@familyhearinghelp.org
Live Chat: During office hours, click the "Live chat with our team!" button on the bottom right corner of this page.
Fax: 727-807-6172
Mail:
Sertoma Speech & Hearing Foundation
Attn: Children's Hearing Aid Program
5211 US Hwy 19, Ste 200
New Port Richey, FL 34652
For audiologists:
The listed pricing would be the reimbursement amount your clinic will receive for each individual device. Email CHAP@familyhearinghelp.org if you need an additional copy of the device and pricing list.
The original manufacturer’s warranty as your office purchases it from the manufacturer applies. CHAP is not able to authorize additional hearing aids until the warranty of the original hearing aid is either expired or used entirely.
Any audiologist, as long they are licensed and listed on the MOU.
Absolutely, the current list of active providers participating in the program can be found by clicking here.
An Exhibit B form (found in the executed MOU) will be submitted by the audiologist stating the patient to be fit and with which device. We will then send over an approval or denial for the device. After the patient is fit with their approved device, the provider will send in an Exhibit A form (found in the executed MOU) confirming the patient was fit along with an invoice for the devices.
Once the invoice and all required documentation is received, payment will be submitted to the provider within 60 days.
That is between the patient and the provider. CHAP is unable to set the rates at which services are billed at this time.
Both! Any patient a provider has that can take advantage of CHAP is encouraged to have the child apply and can see the approved provider that referred them. Any patients that are eligible for CHAP funding will be paired with a suggested approved provider in their area or they can choose from our list of approved providers.
Sertoma has an approved devices list that can be provided by contacting CHAP staff at CHAP@familyhearinghelp.org or by calling our office at (727) 312-3881. Any suggestions for hearing device models that can be fitted that are not on the approved devices list can be submitted to CHAP staff for approval using the same contact methods.
The practice will handle all ordering and inventory of the devices they are fitting.
Each provider will be offered available patients in their area. It is at the provider's discretion to accept or deny seeing the patient as they see fit.
E-Verify is an internet-based employment eligibility verification administered by the Department of Homeland Security. Data collected on the I-9 form is entered into E-Verify, verifying employment in the United States. The State of Florida requires all providers receiving funding from the state to be processed through E-Verify.
To find the contractor E-Verify number navigate to the visit the E-Verify website, log-in, and select My Company Account. Your contractor number will be a 7 digit number, consisting of numbers only.
The maximum reimbursement rate for each product is listed on the approved devices list.
CHAP is unable to set or offer suggestions for rates for services.
All entities receiving funding from the State of Florida are required to have staff working under the program undergo drug screenigs and background checks.
The expense for the drug screening and background check is required to be paid by the practice through the vendor of their choice.
The program only covers Cochlear Implant processors at this time.
While Sertoma does not handle insurance through CHAP, insurance coverage will be applied to the device's cost and the CHAP funding will cover the difference.
The insurance coverage will be applied to the devices' cost and the CHAP funding will cover the difference, based on the amount outlined in the approved device list.
We are here to help! Our contact information is below. Our office is open Monday to Friday from 8am to 4:30pm, and closed on most federal holidays.
Phone: 727-312-3881
Email: CHAP@familyhearinghelp.org
Live Chat: During office hours, click the "Live chat with our team!" button on the bottom right corner of this page.
Fax: 727-807-6172
Mail:
Sertoma Speech & Hearing Foundation
Attn: Children's Hearing Aid Program
5211 US Hwy 19, Ste 200
New Port Richey, FL 34652
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Sertoma Speech & Hearing Foundation of Florida, Inc.
5211 US Hwy 19, Ste 200, New Port Richey, Florida 34652
Phone: (727) 312-3881 | General Fax: (727) 807-6172