<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.09.51.04" title_num="10" subtitle_num="09" chapter_num="51" heading="Covered Services.">
  <text>The Program covers the following medically necessary services:</text>
  <paragraph num="A.">
    <text>Audiology services, as follows:</text>
    <paragraph num="(1)">
      <text>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</text>
    </paragraph>
    <paragraph num="(2)">
      <text>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</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Hearing amplification services, as follows:</text>
    <paragraph num="(1)">
      <text>Unilateral or bilateral hearing aids which are medically necessary and are:</text>
      <paragraph num="(a)">
        <text>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;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>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;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Sold on a 30-day trial basis; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Fully covered by a manufacturer’s warranty for a minimum of 2 years, at no cost to the Program;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Hearing aid accessories and services, as listed below:</text>
      <paragraph num="(a)">
        <text>Ear molds;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Batteries;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Routine follow-ups and adjustments;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Repairs after all warranties have expired;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Replacement of unilateral or bilateral hearing aids every 5 years when determined to be medically necessary; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Other hearing aid accessories determined to be medically necessary;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Cochlear implants and related services, as listed below:</text>
      <paragraph num="(a)">
        <text>Unilateral or bilateral implantation of cochlear implant or implants which are medically necessary including the cost of the device;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Post-operative evaluation and programming of the cochlear implant or implants;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Aural rehabilitation services; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Repair or replacement of cochlear implant device components subject to the limitations in Regulation .05 of this chapter; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Auditory osseointegrated device or devices and related services, as listed below:</text>
      <paragraph num="(a)">
        <text>Unilateral or bilateral implantation of auditory osseointegrated devices which are medically necessary including the cost of the device;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Non-implantable or softband device or devices which are medically necessary;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Evaluation and programming of the auditory osseointegrated device or devices; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Repair or replacement, or both, of auditory osseointegrated device components subject to the limitations in Regulation .05 of this chapter.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>