How to Apply

Please see below for more information about how to apply for HAAPI. This program covers hearing aids for Indiana children ages 3-21 who have not graduated from high school.


1. Find a Participating Audiologist

Talk with your child’s audiologist to see if s/he participates in the Hearing Aid Assistance Program of Indiana (HAAPI). If so, s/he will be able to assist you with the application process. If your audiologist wants to register as a Participating Audiologist, please ask him or her to contact the HAAPI administrator. Alternatively, you may choose a provider from the list of Participating Audiologists. If you need assistance, please contact us at 317-828-0211 or by email at

2. Fill out the Application.

The electronic application has two separate sections, one for the parent to fill out and one for the audiologist to fill out. This allows each part to be filled out independently or together depending on what makes the most sense for each child.

HAAPI Electronic Application: Parent Section

HAAPI Electronic Application: Audiologist Section

To fill out the paper application, please click below.

The paper application has sections for both the parent and audiologist to sign.

HAAPI Paper Application

3. Necessary Documentation

Please note that in addition to the completed application (with both parent signature and audiologist signature) the following documentation must be submitted:

  1. Medical Clearance for Hearing Aids (dated and completed within 6 months and signed by a medical doctor (M.D.) or Doctor of Osteopathy (D.O.)
  2. Recent Audiogram (within the last 6 months)
  3. Proof of Age/School Enrollment: birth certificate for children not yet in kindergarten or IEP, report card from current school year, or letter from school stating enrollment for school-age children. 4. Income Documentation: Three consecutive pay stubs for all working adults in the household. If self-employed, most recent tax return will be accepted.

4. Submit All Paperwork

The forms must be filled out entirely and emailed, mailed, or faxed with supporting documentation to:

Attn: Hear Indiana, Program Administrator
4740 Kingsway Drive
Indianapolis, IN 46205
Ph: (317) 828-0211
Fax: (888) 887-0932

5. Timeline once application is complete.

Applications will not be considered complete until all documentation has been received by HAAPI and a Participating Audiologist has been chosen. If assistance is needed obtaining any documents, please ask a Participating Audiologist or contact HAAPI at 317-828-0211. Once eligibility has been determined, HAAPI will notify the family of the status of the application. Once payment has been received, HAAPI will notify the Participating Audiologist with ordering details. The approval process may take up to 4 weeks once complete.

6. Submit Cost Participation Payment

After your application has been approved, you will receive an approval letter and invoice with the level of cost participation you owe. This amount can range from $100 to $500 per hearing aid. Please click here to view the cost participation scale. Payments can be made online at or by mailing a check in the return envelope provided by HAAPI administrators. Further instructions for payment will be included on the invoice. Payments must be received within thirty days of receiving the invoice or the application will be closed. Applicants covered by Children’s Special Health Care Services (CSHCS) with hearing loss as their eligible condition have the option to submit their ID card with their application to have cost participation covered.

7. After Payment and Approval

The Participating Audiologist will order the hearing aid(s) and earmold(s) or softband from the manufacturer and earmold manufacturer after approval has occurred and payment has been received. Hearing aids will be shipped directly to the audiologist, who will fit them at his/her clinic. There is no fee for the initial fitting. Note to all awardees: Each audiologist has different fees for follow-up appointments. You should ask your audiologist about how subsequent appointments will be scheduled and billed. There is no fee for the initial fitting or annual follow-up appointments. 

8. If Closed or Denied

If application is denied: If your application for hearing aid assistance through HAAPI is denied, you will have the right to appeal this decision. You will receive a denial letter in the mail from the Indiana State Department of Health (Center for Deaf and Hard of Hearing Education) detailing the appeals process.

Click here to read our Frequently Asked Questions (FAQ). Please contact HAAPI administrative staff if you have further questions regarding patient qualifications or benefits. We encourage the referral of all patients between the ages of 3 and 21 who are unable to obtain hearing aids. You may call 317-828-0211 or email

A list of outside resources is available here.