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UNOFFICIAL 1737-90 department's medical consultants according to the following procedures: (1) For evaluation, information indicating diagnosis, age, and duration of the clinical condition; and (2) For therapy, information indicating: (A) The evaluation and results of standardized objective tests; and (B) A plan of therapy with goals and time frames.

(d) If a reasonable doubt exists that an individual requires therapy or continuation of therapy, a board of experienced therapists may be asked to review the medical consultants' findings and make recommendations to the department's medical consultants. [Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: 42 C.F.R. §§440.110, 440.230)

§17-1737-78 Hearing evaluations and devices. (a) All hearing aid rentals, purchases, or repairs shall require medical approval by the department.

(b) Persons requesting hearing aids shall have a hearing evaluation by a physician who is an ear, nose, and throat specialist who concurs with the need for a hearing aid.

(c) The following conditions and limitations shall apply: (1) A hearing evaluation may be permissible every twelve months; (2) Hearing aids purchased by the medicaid program shall be of the unilateral type. Miniaturized or "all in the ear" hearing aids are excluded. Special models or modifications shall require justification with documentation of medical necessity; (3) Hearing aid purchase requests shall be approved initially for one month of rental at $25 per month to determine the appropriateness of the hearing aid; (4) Purchase of the hearing aid may be recommended based on the evaluation of the rental period of paragraph (1). A new authorization form shall be submitted showing the model and serial number of the hearing aid; (5) If the hearing aid purchase is not recommended, a factory reconditioning charge of no more than $50 may be paid when