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(d) For a recipient 21 years of age or older, the department will pay

(1) separately for no more than two ear mold impressions and two ear molds, per ear, per three calendar years;

(2) no more than two repairs of a hearing aid if

(A) the hearing aid warranty is no longer in effect; and

(B) the hearing services provider has not already been paid a dispensing fee under (b)(4) of this section;

(3) no more than one replacement of a lost hearing aid if

(A) the hearing aid warranty is no longer in effect;

(B) the hearing aid was lost no more than three years after the original date of purchase; and

(C) a written explanation of how the hearing aid was lost is submitted by the hearing services provider with the provider’s claim for payment; the written explanation must be signed by the recipient;

(4) for no more than one replacement of a broken hearing aid if

(A) the hearing aid warranty is no longer in effect;

(B) the hearing aid was broken no more than three years after the original date of purchase; and

(C) the hearing services provider has certified in writing that the hearing aid cannot be repaired or that the cost of repairs would exceed the maximum payment rate for repairing the hearing aid. (e) If the department is paying for the replacement of a hearing aid under this section and the hearing aid manufacturer’s warranty is in effect, the department will pay the deductible fee up to the maximum amount set in 7 AAC 145.340. The hearing services provider must submit a copy of the manufacturer’s warranty with each claim to document the amount of the deductible. (f) The department will pay a hearing services provider for any type of monaural or binaural hearing aid that is worn in or behind the ear. (g) The department will pay for batteries, subject to the following limits:

(1) 20 hearing aid batteries per month up to 160 per year, per recipient; if the batteries are for a recipient’s hearing aid that the department did not purchase, the hearing services provider must record in the recipient’s record the manufacturer’s serial number and the purchase date of the hearing aid;

(2) 30 cochlear implant alkaline batteries per month;