CSHCN Services Program 2010 > Hearing Services > Benefits, Limitations, and Authorization Requirements

19.2 Benefits, Limitations, and Authorization Requirements

The following hearing services are benefits for CSHCN Services Program clients of any age:

Services	Provider Type
Audiology and audiometry evaluation and diagnostic services for suspected and confirmed hearing loss including, but not limited to, the following: •Hearing screening •Audiological assessment •Otological examination •Hearing aid evaluation	Audiologists and physicians
Hearing aid devices and accessories, fitting and dispensing visits, and revisits including, but not limited to, the following: •Ear mold and second ear mold •Hearing aid device Hearing aid fitting •Follow-up visits at 30 days (first follow-up) and 60 days (second follow-up) •Hearing aid repair •Refit and evaluation after repair •Hearing aid batteries and supplies	Hearing aid fitters and dispensers
Note: CSHCN Services Program clients who are 17 years of age or older who are legal residents of the state of Texas, and who are employable, maybe eligible for assistance from DARS. The CSHCN Services Program may request that clients who meet these requirements apply to DARS, as the CSHCN Services Program is the payor of last resort.

All services provided to CSHCN Services Program clients must be medically necessary. Unless otherwise specified, services may be reimbursed without prior authorization within the set limitations. Providers must request prior authorization for medically necessary services that exceed benefit limitations and for those services for which prior authorization is required.