3701-45-04 Requirements for audiologists and hearing aid dealers and fitters participating in the Ohio hearing aid assistance program.

(A) An audiologist or hearing aid dealer and fitter requesting financial assistance on behalf of a family shall submit an application package in the manner and format prescribed by the director.

(B) The application package shall minimally include:

(1) An application from the eligible family meeting the requirements set forth in rule 3701-45-03 of the Administrative Code.

(2) A provider form as prescribed by the director that includes the following:

(a) Audiology or hearing aid dealer and fitter practice information;

(b) Specific hearing aid or aids to be purchased;

(c) Audiogram and other diagnostic audiology test results for the child; and

(d) The signature of the audiologist or hearing aid dealer and fitter.

(e) A written statement signed by a licensed physician that states the eligible child's hearing loss has been medically evaluated and the patient may be considered a candidate for a hearing aid. The medical evaluation must have take place within the preceding six months.

(C) Participating audiologists shall:

(1) Follow the standards of audiology pursuant to Chapter 4753. of the Revised Code and agency 4753 of the Administrative Code;

(2) Follow the standards for appropriate clinical practice as outlined in "American Academy of Audiology Clinical Practice Guidelines, Pediatric Amplification," June 2013 issue. This document is available at http://www.audiology.org/resources/documentlibrary/Documents/PediatricAmplificationGuidelines

(3) Charge their usual and customary fees for audiology/hearing services to eligible families;

(4) Accept the program payment plus a co-payment, if any, based upon program guidelines found athttp://www.odh.ohio.gov/odhprograms/cmh/hearaidasst/Hearing%20Aid%20Assistance%20Program as payment in full for the audiology services; and

(5) Agree that any payments made for the cost of treatment, materials, and hearing aids under this program shall be in excess of and secondary to payments of any third-party payor, and therefore any program payments for costs shall be made after all third-party payment sources are exhausted.

(D) Participating hearing aid dealers and fitters shall:

(1) Follow the standards of practice for hearing aid dealers and fitters pursuant to Chapter 4747. of the Revised Code and agency 4747 of the Administrative Code except all eligible families must present a written statement signed by a licensed physician that states that the individual's hearing loss has been medically evaluated and the individual may be considered a candidate for a hearing aid. The medical evaluation must have taken place within the preceding six months.;

(2) Be an approved BCMH provider;

(3) Charge their ususal and customary fees for hearing services to eligible families;

(4) Accept the program payment plus a co-payment, if any, based upon program guidelines found athttp://www.odh.ohio.gov/odhprograms/cmh/hearaidasst/Hearing%20Aid%20Assistance%20Program as payment in full for the services provided to eligible families;

(5) Agree that any payments made for the cost of treatment, materials, and hearing aids under this program shall be in excess of and secondary to payments of any third-party payor, and therefore any program payments for costs shall be made after all third-party payment sources are exhausted.

Effective: 05/15/2014
R.C. 119.032 review dates: 05/15/2019
Promulgated Under: 119.03
Statutory Authority: Am. Sub. H.B. 59 of the 130th G.A.
Rule Amplifies: Am. Sub. H.B.59ofthe 130th G.A.