# COMAR Title 10 — Maryland Department of Health

## Subtitle 09 — Medical Care Programs

### Chapter 51 — Audiology Services

#### Regulation .04 Covered Services.

*COMAR 10.09.51.04*

The Program covers the following medically necessary services:

A. Audiology services, as follows:

  (1) For participants who are at risk for or have a hearing impairment, audiology assessments using procedures appropriate for the participant’s developmental age and abilities; and

  (2) Hearing aid evaluations and routine follow-up for participants with an identified hearing impairment, who currently use or are being considered for hearing aids; and

B. Hearing amplification services, as follows:

  (1) Unilateral or bilateral hearing aids which are medically necessary and are:

    (a) Not used or rebuilt, and which meet the current standards set forth in 21 CFR §§801.420 and 801.421, which are incorporated by reference;

    (b) Recommended and fitted by an audiologist in conjunction with written medical clearance from a physician who has performed a medical examination within the past 6 months;

    (c) Sold on a 30-day trial basis; and

    (d) Fully covered by a manufacturer’s warranty for a minimum of 2 years, at no cost to the Program;

  (2) Hearing aid accessories and services, as listed below:

    (a) Ear molds;

    (b) Batteries;

    (c) Routine follow-ups and adjustments;

    (d) Repairs after all warranties have expired;

    (e) Replacement of unilateral or bilateral hearing aids every 5 years when determined to be medically necessary; and

    (f) Other hearing aid accessories determined to be medically necessary;

  (3) Cochlear implants and related services, as listed below:

    (a) Unilateral or bilateral implantation of cochlear implant or implants which are medically necessary including the cost of the device;

    (b) Post-operative evaluation and programming of the cochlear implant or implants;

    (c) Aural rehabilitation services; and

    (d) Repair or replacement of cochlear implant device components subject to the limitations in Regulation .05 of this chapter; and

  (4) Auditory osseointegrated device or devices and related services, as listed below:

    (a) Unilateral or bilateral implantation of auditory osseointegrated devices which are medically necessary including the cost of the device;

    (b) Non-implantable or softband device or devices which are medically necessary;

    (c) Evaluation and programming of the auditory osseointegrated device or devices; and

    (d) Repair or replacement, or both, of auditory osseointegrated device components subject to the limitations in Regulation .05 of this chapter.