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(c) Approval shall be required to obtain contact lenses, subnormal visual aids costing more than $50, and to replace glasses or contact lenses within two years, and shall include one or more of the following (1) The date and circumstances of loss; (2) The date the previous glasses were made; (3) The visual acuity without and with correction; or (4) The refractive prescription and the previous prescription, if a change is being requested.

(d) Bifocal lenses do not require authorization but claims for these lenses for persons under forty years of age shall include adequate medical justification.

(e) Excluded services and materials shall be: (1) Visual training and exercise lessons; (2) Tinted or absorptive lenses except as stated in subsection (b)(2)(C)(ii); (3) Oversize lenses except for replacement of lenses only; (4) Contact lenses for cosmetic purposes; (5) Bifocal contact lenses; (6) Blended bifocals; and (7) All services or materials not in compliance with the preceding restrictions. [Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: 42 C.F.R. §§440.120, 440.230, 441.30)

§17-1737-77 Speech, hearing and language disorders. (a) Services for individuals with speech, hearing, and language disorders means diagnostic, screening, preventive, or corrective services provided by, or under the direction of, a speech pathologist or audiologist, to whom a patient is referred by a physician. Necessary supplies and equipment shall be included.

(b) A physician may prescribe services for patients with speech, hearing, or language disorders who are expected to improve in a reasonable period of time with therapy.

(c) All recommended speech, hearing, and language evaluations shall require prior authorization by the