Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.51 - Audiology Services
Section 10.09.51.01 - Definitions
Universal Citation: MD Code Reg 10.09.51.01
Current through Register Vol. 51, No. 19, September 20, 2024
A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Audiologist" means a professional who is
licensed in accordance with Regulation .02 of this chapter who treats hearing
disorders and communication problems.
(2) "Audiology assessment" means procedures performed
by an audiologist to evaluate and monitor the status of the peripheral auditory
system, auditory nerve, and central auditory system, or to establish the site
of the auditory disorder by using procedures to quantify and qualify hearing
loss by site of lesion, on the basis of perceptual, physiological, or
electrophysiological responses to acoustic stimuli, and to describe any
communicative disorders.
(3)
Audiology Center.
(a) 'Audiology center"
means a multispecialty setting with all necessary equipment for audiology
services that operates for the purpose of providing preventive, diagnostic,
therapeutic, and rehabilitative audiology services, and other multispecialty
services by or under the direction of a licensed physician or
audiologist.
(b) "Audiology center"
does not include the office of one or more private audiologists.
(4) "Audiology services" means
services delivered by an audiologist to eligible participants in order to
diagnose and treat hearing problems.
(5) "Auditory osseointegrated device" means a
device implanted in the skull that replaces the function of the middle ear and
provides mechanical energy to the cochlea via a mechanical
transducer.
(6) "Bilateral" means
relating to or involving both ears.
(7) "Cochlear implant" means a device that is
implanted under the skin that picks up sounds and converts them to impulses
transmitted to electrodes placed in the cochlea, restoring some hearing to
people with a hearing impairment.
(8) "Department" means the Maryland
Department of Health, the single State agency designated to administer the
Medical Assistance Program under Title XIX of the Social Security Act,
42 U.S.C § 1396 et seq.
(9) "Designee " means any entity designated
to act on behalf of the Department.
(10) "Early and Periodic Screening,
Diagnosis, and Treatment (EPSDT)" means the provision of preventive health care
under 42 CFR § 441.50 et seq., including medical and dental
services, in order to assess growth and development and to detect and treat
health problems in Medical Assistance eligible individuals under 21 years
old.
(11) "EPSDT screening
provider" means a physician, audiologist, or an authorized practitioner under
Health Occupations Article, Annotated Code of Maryland.
(12) "Hearing aid" means an instrument or
device that is designed for improving or correcting impaired human hearing, or
any part or accessory of the instrument or device.
(13) "Hearing aid dispenser" means a person
who is licensed in accordance with Regulation .02 of this chapter to sell
hearing aids or provide other hearing aid services.
(14) "Hearing aid evaluation" means services
provided to a participant by an audiologist for determining the benefit of
hearing aids and, upon the audiologist's recommendation, the dispensing of
hearing aids.
(15) "Maryland
Medical Assistance Program(Program)" means the program of comprehensive medical
and other health-related care for indigent and medically indigent individuals.
(16) "Medically necessary" means
that the service or benefit is:
(a) Directly
related to diagnostic, preventive, curative, palliative, rehabilitative, or
ameliorative treatment of an illness, injury, disability, or health
condition;
(b) Consistent with
currently accepted standards of good medical practice;
(c) The most cost efficient service that can
be provided without sacrificing effectiveness or access to care; and
(d) Not primarily for the convenience of the
consumer, family, or provider.
(17) "Participant" means an individual who is
enrolled with the Department to receive Medical Assistance services.
(18) "Program" has the meaning stated in
COMAR 10.09.36.01.
(19) "Provider"
means an audiologist, audiology center, or hearing aid dispenser that is
licensed and that, through an agreement with the Department, has been
identified as a Program provider by the issuance of a provider number.
(20) "Unilateral" means relating
to, involving, or affecting one ear.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
