Covered audiology services, including hearing aids, cochlear implants, and auditory osseointegrated devices are limited to: Unless the time limitation is waived by the Program, one audiology assessment per year; The initial coverage of unilateral or bilateral hearing aids, cochlear implants, or auditory osseointegrated devices when the Department’s medical necessity criteria have been met; One replacement of unilateral or bilateral hearing aids: Every 5 years for participants younger than 21 years old, unless the Program approves more frequent replacement; or Every 5 years for participants 21 years old or older, unless the Program approves more frequent replacement, but no more than 1 replacement extraneous to the devices’ warranty; Replacement of hearing aids, cochlear implants and auditory osseointegrated device components that have been lost, stolen, or damaged beyond repair, after all warranties have expired; Repairs and replacements that take place after all warranties have expired; A maximum of 76 batteries per participant per 12-month period for a unilateral hearing aid or osseointegrated devices, or 152 batteries per participant per 12-month period for bilateral hearing aids or osseointegrated devices purchased from the Department not more frequently than every 6 months, and in quantities of 38 or fewer for a unilateral hearing aid, or 76 or fewer for a bilateral hearing aid; A maximum of 238 disposable batteries for a unilateral cochlear implant per participant per 12-month period or 476 disposable batteries per 12-month period for a bilateral cochlear implant purchased not more frequently than every 6 months, and in quantities of 119 or fewer for a unilateral cochlear implant, or 238 or fewer for a bilateral cochlear implant; Four replacement cochlear implant component rechargeable batteries per 12-month period for bilateral cochlear implants, and a maximum of two replacement rechargeable batteries for a unilateral cochlear implant per 12-month period; Two cochlear implant replacement transmitter cables per 12-month period for bilateral cochlear implants, and a maximum of one replacement transmitter cable for a unilateral cochlear implant per 12-month period; Two cochlear implant replacement headset cables per 12-month period for bilateral cochlear implants, and a maximum of one replacement headset cable for a unilateral cochlear implant per 12-month period; Two replacement cochlear implant transmitting coils per 12-month period for bilateral cochlear implants, and a maximum of one replacement transmitting coil for a unilateral cochlear implant per 12-month period; Charges for routine follow-ups and adjustments which occur more than 60 days after the dispensing of a new hearing aid; and A maximum of two unilateral earmolds or four bilateral earmolds per 12-month period unless a larger number is determined to be medically necessary. Services which are not covered are: Services not medically necessary; Hearing aids and accessories not medically necessary; Cochlear implant services and external components not medically necessary; Cochlear implant services and external components provided less than 90 days after the surgery which are covered through the initial reimbursement; Spare or backup cochlear implant components; Spare or back-up auditory osseointegrated device components; Replacement of hearing aids, equipment, cochlear implant components, and auditory osseointegrated device components if the existing devices are functional, repairable, and appropriately correct or ameliorate the problem or condition; Spare or backup hearing aids, equipment, or supplies; Repairs to spare or backup hearing aids, cochlear implants, auditory osseointegrated devices, equipment, or supplies; Investigational or experimental services or devices, or both; Replacement of improperly fitted earmold or earmolds unless the: Replacement service is administered by someone other than the original provider; and Replacement service has not been claimed before; Additional professional fees and overhead charges for a new hearing aid when a dispensing fee claim has been made to the Program; and Loaner hearing aids.