Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1737 - SCOPE AND CONTENTS OF THE FEE FOR SERVICE MEDICAL ASSISTANCE PROGRAM
Subchapter 7 - ANCILLARY MEDICAL SERVICES
Section 17-1737-77 - Speech, hearing and language disorders

Universal Citation: HI Admin Rules 17-1737-77

Current through February, 2024

(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 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.

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