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(3) is not covered by a manufacturer’s warranty and is determined to be damaged as the result of a manufacturing defect or owner’s negligence. (e) The department will review a request for prior authorization on an individual basis. Using the data available from an auditory assessment of the recipient, the department will consider the

(1) degree of the recipient’s hearing loss;

(2) type of recipient’s hearing loss;

(3) configuration of the recipient’s hearing loss; and

(4) management and treatment plan prepared. (f) In this section, “miscellaneous” means a hearing item or hearing service listed in the Healthcare Common Procedure Coding System (HCPCS), adopted by reference in 7 AAC 160.900, that is

(1) described as “miscellaneous,” “not otherwise classified,” or “not otherwise specified”; or

(2) without a specific description or identifier. (Eff. 2/1/2010, Register 193) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 Editor’s note: The certificate of medical necessity referred to in 7 AAC 115.540(b) may be obtained from the Department of Health, Division of Health Care Services, 4501 Business Park Boulevard, Suite 24, Anchorage, Alaska 99503-7167; Internet address: http://www.hss.state.ak.us/dhcs. 7 AAC 115.549. Definitions. In 7 AAC 115.500 — 7 AAC 115.549,

(1) “customized hearing aid” means a hearing aid that is uniquely constructed or substantially modified to fit the anatomy of a specific recipient;

(2) “hearing aid” has the meaning given in AS 08.55.200;