Section 143.04. Administrative procedures.

  For the administration of medical care and audiological assessment:

(1)  The results and recommendations of the physician's examination shall be forwarded to the CSHCN program clinical audiologist.

(2)  The results and recommendations of the assessment by the clinical audiologist shall be forwarded to the CSHCN program clinical audiologist.

(3)  The results and recommendations of the assessment by the clinical audiologist, including pertinent information regarding the fitting of the hearing aid, shall also be shared with the hearing aid specialist.

(4)  The parent of the child shall designate the hearing aid specialist who will fit the hearing aid.

(5)  The hearing aid specialist shall be licensed to dispense hearing aids in the state of Wisconsin. The hearing aid specialist shall also follow the rules for financial involvement in the purchase of hearing aids.

(6)  If the CSHCN program pays the full cost of the hearing aid or accessory, the designated hearing aid specialist shall not charge any additional amount. In those cases where a percentage of the cost for any hearing aid or accessory is paid by the CSHCN program, the designated hearing aid specialist shall only charge the recipient of services the remaining amount of the standard fee determined by the CSHCN program.

(7)  The parent receiving aid for payment of services shall have the child return to the clinical audiologist for a final check of the hearing aid before any monies are paid. In the event the parent is unwilling or unable to return the child to the clinical audiologist following the fitting of the hearing aid, consultation with the CSHCN program audiologist shall be required.

(8)  The hearing aid specialist shall confer with the clinical audiologist concerning any modification in the fitting of the hearing aid.

(9)  A financial eligibility form shall be submitted to the CSHSN program and written approval shall be received by the parent prior to rendering of and payment for any services.

(10)  Reimbursement shall be made only to the provider of care and not to the recipient of service. Where there is medical insurance coverage, the provider shall submit the claim and the CSHCN program will pay the amount not covered by insurance.

History: Cr. Register, September, 1975, No. 237 , eff. 10-1-75.