Document ID: chunk:federal_register_of_legislation:F2024N00985:clause:1_55
Version: federal_register_of_legislation:F2024N00985
Segment Type: clause
Provision Reference: sch 1 cl 55
Character Range: 109677–111598

55  Evidence Requirements for Assistive Listening Device Refitting services
      1.         Evidence kept on the client record to substantiate the ALD Refitting service must include:
         (a)   the practitioner's full name; and
         (b)   the supervisor's full name where applicable; and
         (c)    the date of service; and
         (d)   the Claim for Payment form; and
         (e)   evidence MHLT exemption criteria have been met (where required); and
         (f)     ECR number, reason for the refit and evidence required by the ECR; and
         (g)   device quote signed and dated by client or their POA, legal guardian or equivalent; and
         (h)   file notes of the goals to be addressed by the ALD and Refitting outcomes evaluated at follow up service (if follow up is claimed); and
         (i)      dated file notes to support completion of a follow up appointment (if follow up claimed); and
         (j)      ALD serial number and device code; and
         (k)    documentation that the device was check for comfort and issues/concerns have been addressed; and
         (l)      documentation that the client/carer was counselled on management of ALD and support/referral provided as necessary; and
         (m) the Maintenance Agreement discussed (including a copy of the agreement and receipt for Client Co-payment where applicable); and
         (n)   a record of strategies/tactics discussion to help manage hearing loss.

Maintenance and Relocated maintenance
700 - Maintenance and Battery Supply – Monaural
710 - Maintenance and Battery Supply – Binaural
711 - Relocated Maintenance and Battery Supply – Monaural
722 - Relocated Maintenance and Battery Supply – Binaural
777 - Client Co-payment for Maintenance and Batteries - DVA eligible clients
790 - Maintenance and Battery Supply (Private Devices) – Monaural
791 - Maintenance and Battery Supply (Private Devices) – Binaural