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UNOFFICIAL 1737-91 supported by a copy of the manufacturer's invoice; (6) Repair of hearing aids shall be itemized; (7) Hearing aid replacements may be purchased every two years with justification; (8) Ear plugs may be purchased for individuals with recurrent middle ear infections on

recommendation by a physician who is an ear, nose and throat specialist. Only one set of

ear plugs every twelve months shall be allowed; and (9) Insurance premiums to cover hearing aid losses or repair shall be a coverage only for children under twelve years of age.

(d) Eligible children may be referred to the department of health for hearing evaluations and services. [Eff 08/01/94 ] (Auth: HRS §346-14) (Imp: 42 C.F.R. §§431.10, 440.110, 440.220)

§17-1737-79 Physical therapy and occupational therapy services. (a) Physical therapy means services prescribed by a physician that are provided to a recipient by a qualified physical therapist licensed by the state and certified by the medicaid program to provide services. Necessary supplies and equipment shall be included as part of this service.

(b) Occupational therapy means services prescribed by a physician provided to a recipient by a qualified occupational therapist who has been certified by the American Occupational Therapy Association and approved by the medicaid program to provide services. Necessary supplies and equipment shall be included as part of the service.

(c) Physical and occupational therapy may be prescribed by a physician when medically necessary and when the following conditions are met: (1) The services are considered under accepted standards of medical practice, to be a specific and effective treatment for the patient's condition; (2) The services or patient's condition is of a level of complexity requiring services that can be safely and effectively performed only by a qualified therapist. Maintenance therapy which does not require the performance and supervision of a therapist shall be considered as nursing rather than therapy services for separate billing, even if performed or supervised by a therapist;