Oregon Administrative Rules
Chapter 410 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: MEDICAL ASSISTANCE PROGRAMS
Division 129 - SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY AND HEARING AID SERVICES
Section 410-129-0070 - Limitations
Universal Citation: OR Admin Rules 410-129-0070
Current through Register Vol. 63, No. 9, September 1, 2024
(1) Speech Language Pathology (SLP) services:
(a) Shall be
provided by a practitioner as described in OAR
410-129-0065;
(b) Requirements for rehabilitative and
habilitative therapy treatment:
(A) Require
Prior Authorization (PA) when it exceeds one hour per day each for a group or
individual;
(B) Shall be either
group or individual and may not be combined in the authorization period;
and
(C) Require PA after thirty
(30) habilitative and thirty (30) rehabilitative visits per calendar
year.
(c) The following
SLP services are not subject to prepayment review (PPR) and do not require PA
but are limited to:
(A) Two SLP evaluations
in a 12-month period;
(B) Two
evaluations for dysphagia in a 12-month period;
(C) Up to four re-evaluations in a 12-month
period;
(D) One evaluation for
speech-generating/augmentative communication system or device (SGD) shall be
reimbursed per recipient in a 12-month period;
(E) One evaluation for voice prosthesis or
artificial larynx shall be reimbursed in a 12-month period;
(F) Purchase, repair, or modification of
electrolarynx;
(G) Supplies for
speech therapy shall be reimbursed up to two times in a 12-month period, not to
exceed five dollars each.
(d) The purchase, rental, repair, or
modification of a SGD requires PA. Rental of a SGD is limited to one month. All
rental fees shall be applied to the purchase price.
(2) Audiology and hearing aid services:
(a) All hearing services shall be performed
by a licensed physician, audiologist, or hearing aid specialist;
(b) Binaural hearing aids shall be reimbursed
no more frequently than every five (5) years for individuals age 21 and older
who meet the following criteria and medical necessity: Loss of 35 decibel (dB)
hearing level or greater in two or more of the following frequencies: 1000,
2000, 3000, and 4000 Hertz (Hz);
(c) Binaural hearing aids shall be reimbursed
no more frequently than every three (3) years for children, birth through age
20, who meet the following criteria:
(A) Pure
tone average of 25dB for the frequencies of 500Hz, 1000Hz, and 2000Hz;
or
(B) High frequency average of
35dB for the frequencies of 3000Hz, 4000Hz, and 6000Hz.
(d) An assistive listening device may be
authorized for individuals aged 21 or over who are unable to wear or who cannot
benefit from a hearing aid. An assistive listening device is defined as a
simple amplification device designed to help the individual hear in a listening
situation. It is restricted to a hand-held amplifier and headphones;
(e) The following services do not require PA:
(A) One basic audiologic assessment in a
12-month period;
(B) One basic
comprehensive audiometry (audiologic evaluation) in a 12-month
period;
(C) One hearing aid
examination and selection in a 12-month period;
(D) One pure tone audiometry (threshold)
test; air and bone in a 12-month period;
(E) One electroacoustic evaluation for
hearing aid; monaural in a 12-month period;
(F) One electroacoustic evaluation for
hearing aid; binaural in a 12-month period;
(G) Hearing aid batteries - maximum of 60
individual batteries in a 12-month period. Clients shall meet the criteria for
a hearing aid.
(f) The
following services require PA:
(A) Hearing
aids;
(B) Repair of hearing aids,
including ear mold replacement;
(C)
Hearing aid dispensing and fitting fees;
(D) Assistive listening devices;
(E) Cochlear implant batteries:
(F) Bone anchored hearing aid (BAHA)
replacement components.
(g) The following services require PA and
must meet medical necessity and medical appropriateness under Early and
Periodic Screening, Diagnostic and Treatment (EPSDT):
(A) FM systems;
(B) Vibro-tactile aids;
(C) Earplugs;
(h) Services not covered:
(A) Adjustment of hearing aids are included
in the fitting and dispensing fee and is not reimbursable separately;
(B) Aural rehabilitation therapy is included
in the fitting and dispensing fee and is not reimbursable separately;
(C) Tinnitus masker.
Statutory/Other Authority: ORS 413.042 & ORS 414.065
Statutes/Other Implemented: ORS 414.065 & ORS 414.025
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