Section 641.3.18. Covered services.

         3.18(1) Funding does not cover either the surgical costs associated with a cochlear or Baha implant or the cost of the devices.

         3.18(2) Funding does not pay for services covered by insurance.

         3.18(3) The following hearing aids and audiologic services may be provided through the hearing aids and audiologic services funding program:

            1.      Repair/modification of hearing aid

            2.      Hearing aid, monaural, behind the ear

            3.      Hearing aid dispensing fee, monaural

            4.      Hearing aid, binaural, in the ear

            5.      Hearing aid, binaural, behind the ear

            6.      Hearing aid dispensing fee, binaural

            7.      Hearing aid, bicros, glasses

            8.      Ear mold/insert, not disposable, any type

            9.      Battery for use in hearing aid

            10.     Hearing aid supplies, accessories

            11.     Assistive listening device, not otherwise specified

            12.     Assistive listening device, dispensing

            13.     Service handling charge

            14.     Service charge, ear mold

            15.     Annual charge, ear mold

            16.     Pure tone audiometry, air only

            17.     Pure tone audiometry, air and speech audiometry threshold

            18.     Speech audiometry threshold

            19.     Speech audiometry threshold with speech

            20.     Comprehensive audiometry threshold evaluation

            21.     Tympanometry (impedance testing)

            22.     Conditioning play audiometry

            23.     Auditory-evoked potentials for evoked response audiometry, comprehensive

            24.     Auditory-evoked potentials for evoked response audiometry, limited

            25.     Visual reinforcement audiometry

            26.     Evoked otoacoustic emissions, limited

            27.     Hearing aid examination and selection, monaural

            28.     Hearing aid examination and selection, binaural

            29.     Hearing aid check, monaural

            30.     Hearing aid check, binaural

            31.     Electroacoustic evaluation for hearing aid, monaural

            32.     Electroacoustic evaluation for hearing aid, binaural

            33.     Office/outpatient visit related to audiologic services

            34.     Consultations related to audiologic services

         3.18(4) The department may elect to cover additional services not otherwise restricted in these rules.

[ARC 8232B, IAB 10/7/09, effective 11/11/09; ARC 2290C, IAB 12/9/15, effective 1/13/16]