Document ID: chunk:federal_register_of_legislation:F2024N00985:clause:1_44
Version: federal_register_of_legislation:F2024N00985
Segment Type: clause
Provision Reference: sch 1 cl 44
Character Range: 88168–89851

44  Requirements for Claiming Initial Fittings and Subsequent Initial Fittings items
     (1)        Only one Initial Fitting item can be claimed for each client and no previous fittings through the program must have occurred.
     (2)        Any Refitting within 12 months of the Initial Fitting is considered part of the original Hearing Rehabilitation Program and cannot be claimed.
     (3)        Where a client receives a Monaural Initial Fitting, an Initial Fitting to the other ear must be claimed as a Subsequent Initial Fitting (items 760, 761, 770, 771).
     (4)        Subsequent Initial Fittings with a Maintenance Agreement (item 760 and761) can only be claimed where the client has a current Monaural Maintenance Agreement.
     (5)        A Subsequent Initial Fitting item can be claimed once only for a previously monaurally fitted client.
     (6)        If the client has a private device maintained through the program, their first program fitting must be claimed as an Initial Fitting.
     (7)        If a client is fitted on one voucher, and the follow up occurs on a new voucher, the date of fitting can be on the previous voucher and the date of service can be on the new voucher.
     (8)        Except for non-follow up services, a claim must not be submitted until the fitting is considered successful and the client has accepted the device.
     (9)        The date of service is the date of the follow up except for non-follow up fittings.
     (10)   Where attempts have been made to contact the client and a follow up is not completed, or the follow up is sooner than seven calendar days after the fitting, a non-follow up claim must be submitted.