Current through 2024-51, December 18, 2024
Subsection 144-101-II-109.02 - DEFINITIONS109.02-1Audiology Services means those services requiring the application of theories, principles and procedures related to hearing and hearing disorders for the purpose of assessment and treatment.109.02-2Augmentative and Alternative Communication Devices (AACD) are electronic or non-electronic aids, devices, or systems and related components, accessories and supplies that assist in overcoming or ameliorating the communication limitations that preclude or interfere with meaningful participation in current and projected daily activities.109.02-3Augmentative and Alternative Communication Services (AACS) are services provided to assist the individual in meeting the full range of his/her communication needs. The goal of AACS is to overcome or ameliorate the communication limitations that preclude or interfere with meaningful participation in current and projected daily activities.109.02-4Hearing Aid Services : The hearing aid benefit is described in Chapter II, Section 60, "Medical Supplies and Durable Medical Equipment".109.02-5Practitioner of the Healing Arts : physicians and all others registered or licensed in the healing arts, including, but not limited to, nurse practitioners, podiatrists, optometrists, chiropractors, physical therapists, occupational therapists, speech therapists, dentists, psychologists and physicians' assistants.109.02-6Rehabilitation Potential is a documented expectation by the member's physician or PCP (Primary Care Provider for members receiving MaineCare Primary Care Case Management Services) that the member's condition will improve significantly in a reasonable predictable period of time as a result of the prescribed treatment plan. The physician or PCP's documentation of rehabilitation potential must include the reasons used to support the physician or PCP's expectation.109.02-7Speech and Hearing Agency is a facility that offers, at a minimum, both speech-language pathology services and audiology services by qualified professional staff who are employees of the speech and hearing agency. Contracted staff are not considered employees.109.02-8Speech-Language Pathology Services are those services requiring the application of theories, principles and procedures related to the development and disorders of speech, voice, language, and oral pharyngeal and related functions, for purposes of assessment and treatment. C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-109, subsec. 144-101-II-109.02