<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.09.51.06" title_num="10" subtitle_num="09" chapter_num="51" heading="Preauthorization Requirements.">
  <paragraph num="A.">
    <text>The Department requires preauthorization for the following services:</text>
    <paragraph num="(1)">
      <text>All hearing aids;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Certain hearing aid accessories;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>All cochlear implant devices and replacement components except microphone, transmitter cables, and transmitting coils;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>All auditory osseointegrated devices; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Repairs for hearing aids, cochlear implants, and auditory osseointegrated components exceeding $500.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Preauthorization is valid:</text>
    <paragraph num="(1)">
      <text>For services rendered or initiated within 6 months from the date the preauthorization was issued; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>If the patient is an eligible participant at the time the service is rendered.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The following written documentation shall be submitted by the provider to the Department or its designee with each request or preauthorization of hearing aids, cochlear implants, or auditory osseointegrated devices:</text>
    <paragraph num="(1)">
      <text>Audiology report documenting medical necessity of the hearing aids, cochlear implants or auditory osseointegrated devices;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Interpretation of the audiogram; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Medical evaluation by a physician supporting the medical necessity of the initial hearing aids, cochlear implants, or auditory osseointegrated devices within 6 months of the preauthorization request.</text>
    </paragraph>
  </paragraph>
</regulation>