Proposed revisions to prior authorizations, audiology services, and client coverage



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Washington State Department of Social & Health Services

Aging and Long-Term?Support Administration





*September 13, 2023*




"*Image and Date Description*: Image:?""Solid dark blue background. At left: white line drawings of two adults and a child. White text: "Washington State Department of Social & Health Services, Transforming Lives" At right is white text: "Aging and Long-Term Support Administration" Date: S""olid green background. At left: Date in black text"

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*?A Message from the Office of the Deaf and Hard of Hearing*

"Serving the Deaf, DeafBlind, DeafDisabled, Hard of Hearing, Late Deafened, and Speech Disabled Community"

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Washington State HCA Review: Adult Cochlear Implants. Comments due September 27, 2023

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Washington State Health Care Authority [ [link removed] ]
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*Open for comments:*

Washington Health Care Authority is amending these rules to include coverage for adult Cochlear Implants for Apple Health (Medicaid) clients.


* WAC 182-531-0200 [ [link removed] ]: *Physician-related and health care professional services requiring prior?**authorization.*
* Prior authorization (inclusive of expedited prior authorization) is required for cochlear implant devices.
* Prior authorization is required for removal or repair of previously implanted BAHA or cochlear implant devices. ?

* WAC 182-531-037 [ [link removed] ]5: *Audiology services*
* The agency covers with prior authorization, cochlear implant devices.
* The agency covers BAHAs for clients 20 years of age and younger with prior authorization.
* The agency covers replacement parts and batteries for BAHAs and cochlear implant devices.
* The agency considers requests for removal or repair of previously implanted BAHAs and cochlear implant devices for clients 21 years of age and older only when medically necessary. Prior authorization from the agency is required.

* WAC 182-547-0850 [ [link removed] ]: *adds Cochlear Implant coverage for clients aged 21 and older.*
* The agency covers cochlear implant devices and external sound processors.

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* *Return comments on proposed rules* to Brian Jensen <[email protected]>, Rules and Publications Program Manager.?
* *Direct policy questions* to Korrina Dalke <[email protected]>, Clinical Quality and Care Transformation (cc. Brian Jensen <[email protected]>)

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*Who We Are*
The Office of the Deaf and Hard of Hearing (ODHH) provides programs and services for Deaf, DeafBlind, DeafDisabled, Hard of Hearing, Late Deafened, and Speech Disabled individuals, their families, and service providers in Washington State. ODHH works to ensure that services and resources are accessible and inclusive to all Washingtonians.

*What We Do*
ODHH operates under the Department of Social and Health Services (DSHS) and is entrusted with fulfilling its legislative mandate outlined in RCW 43.20A.725.
ODHH?s work includes:

Advocacy: ODHH advocates for the rights, interests, and needs of individuals who are Deaf, DeafBlind, Deaf Disabled, Hard of Hearing, Late Deafened, and Speech Disabled. The Office works to eliminate communication barriers and promote equal opportunities in various service areas, including training, consultation, contract management, information and referrals, and resources to promote communication equity.

Coordination: ODHH is a centralized resource. The Office collaborates with governmental, business, and community stakeholders to develop and implement policies, programs, and initiatives that address and ensure that state services and resources are accessible and inclusive to all Washingtonians.

*Contact Us!*
800-422-7930 Voice
360-339-7382 VP
[email protected]




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