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I don't think medicaid people can make the determination if you qualified for Cochlear Implant or not as far as how well you can communicate with speech. I think your ENT and cochlear implant team make that determination if you qualify or not. Then they will talk to medicaid about it if you are a candidate (if they feel you can do better without cochlear implant, they will let you know). We all can fake good communication but it is still hard work.we have to concentrate twice as hard to get good communication so that's why I said Medicaid can not make that determination by talking to you.