Code of Massachusetts Regulations
265 CMR - BOARD OF REGISTRATION OF HEARING INSTRUMENT SPECIALISTS
Title 265 CMR 6.00 - Standards of Practice
Section 6.01 - Minimal Procedures and Equipment
Universal Citation: 265 MA Code of Regs 265.6
Current through Register 1531, September 27, 2024
(1) The following minimum procedures shall be used in the fitting and selling of hearing instruments:
(a) pure tone audiometric testing by air and
bone conduction pathways through a calibrated system in the appropriate
environment to determine the type and degree of hearing deficiency;
(b) effective masking when
indicated;
(c) appropriate testing
using a calibrated system or other acceptable verification technique in the
appropriate environment to determine client's hearing ability, as measured by
the percentage words the client is able to repeat correctly, the client's
ability to discriminate speech, the client's most comfortable and uncomfortable
loudness levels in decibels, and the best fitting arrangement for maximum
hearing aid benefit;
(d) otoscopic
inspection of the outer ear;
(e) a
pertinent case history; and
(f) a
final fitting ensuring physical and operational comfort of the hearing
aid.
(2) Mandatory Disclosure. Any person with a 15 dB or greater difference between air conduction and bone conduction hearing, at three frequencies of 500hz, 1000hz, and 2000hz in either ear, must be advised of the possibility of medical correction.
(3) At a minimum, the following required equipment shall be used:
(a) a wide-range
audiometer which meets the specifications of the American National Standards
Institute for diagnostic audiometers;
(b) a speech audiometer or a master hearing
aid in order to determine the most comfortable listening level and speech
discrimination.
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