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19.2.4.1 Prior Authorization Requirements
Prior authorization is required for a BAHA. Prior authorization consideration will be given if the client is 5 years of age or older and all of the following documentation is provided:
• Previous attempts at hearing aids and why these devices are inadequate or have failed.
•Scores on hearing tests for bone conduction thresholds and on maximum speech discrimination.
•Audiological testing showing good inner ear function.
•Assessment that shows the client is motivated, is able to follow given instructions, and is willing to participate in follow-up therapy.
•Appropriate diagnosis including, but not limited to, the following:
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