Code of Massachusetts Regulations › 130 CMR - DIVISION OF MEDICAL ASSISTANCE › Title 130 CMR 413.000 - Speech And Hearing Center Services › Section 413.402 - Definitions

Current through Register 1525, July 5, 2024
The following terms used in
				130 CMR 413.000 have the
				meanings given in 130 CMR 413.402, unless the context clearly requires a
				different meaning. The reimbursability of services defined in
				130 CMR 413.000 is not
				determined by these definitions, but by application of regulations elsewhere in
				130 CMR
				403.000 and in
				130 CMR 450.000.
Audiological Services
- these services
				include, but are not limited to, testing related to the determination of
				hearing loss, evaluation of hearingaids, prescription of hearingaid devices,
				and aural rehabilitation.
Audiologist
- a person licensed by the
				Massachusetts Division of Registration in Speech Language Pathology and
				Audiology and certified by the American Speech-Language-Hearing Association
				(ASHA).
Auditory Training
- the training of
				the auditory modality to improve understanding of the speech or language of
				other speakers. Auditory training is one of the components of aural
				rehabilitation.
Aural Rehabilitation
- therapy,
				including, but not limited to, speech reading and auditory training, provided
				by a licensed certified audiologist or a licensed certified speech therapist
				either in a group or individually.
Complete Audiological Evaluation
- an
				evaluation that includes a routine audiological examination (air and bone
				conduction, spondee thresholds, and word-discrimination testing) and
				site-of-lesion testing (middle-ear testing or recruitment testing, or both,
				with analysis) as recommended by a physician.
Comprehensive Evaluation
- an in-depth
				assessment of a member's medical condition, disability, and level of
				functioning to determine the need for treatment and, when treatment is
				indicated, to develop a treatment plan.
Group Therapy
- therapeutic services
				provided to more than one patient but less than seven patients in a single
				encounter, using group participation as a treatment technique.
Hearing Aid Evaluation
- a procedure
				conducted by an audiologist that may include:
(1) an assessment of the member's performance by appropriate
				tests (functional gain or real ear measurements, or both);
(2) if a hearing aid is prescribed, a recheck of the member and
				hearing aid after the prescribed hearing aid has been fitted; and
(3) if a hearing aid is prescribed, counseling related to the
				member's adjustment to the use of the hearing aid.
Maintenance Program
- repetitive
				services, required to maintain or prevent the worsening of function, that do
				not require the judgment and skill of a licensed therapist for safety and
				effectiveness.
Routine Audiological Evaluation
- a
				procedure that includes:
(1) a pure-tone audiogram, by air and bone conduction testing;
				and
(2) speech threshold and discrimination testing.
Speech and Language Pathology Services
- the evaluation and treatment of communicative disorders with regard to the
				functions of articulation (including apraxia and dysarthria), language, voice,
				and fluency.
Speech Reading
- the training of the
				visual modality to improve the understanding of the speech or language of other
				speakers. Speech reading is one of the components of aural
				rehabilitation.
Speech Therapist
- a person currently
				licensed by the Massachusetts Division of Registration in Speech/Language
				Pathology and Audiology with a Certificate of Clinical Competence from the
				American Speech Language Hearing Association (ASHA).
Speech/Language Therapy
- therapy
				services, including diagnostic evaluation and therapeutic intervention, that
				are designed to improve, develop, correct, rehabilitate, or prevent the
				worsening of speech/language communication and swallowing disorders that have
				been lost, impaired, or reduced as a result of acute or chronic medical
				conditions, congenital anomalies, or injuries. Speech and language disorders
				are those that affect articulation of speech, sounds, fluency, voice,
				swallowing (regardless of presence of a communication disability), and those
				that impair comprehension, spoken, written, or other symbol systems used for
				communication.