Document ID: chunk:federal_register_of_legislation:F2024N00985:clause:1_15:p2
Version: federal_register_of_legislation:F2024N00985
Segment Type: clause
Provision Reference: sch 1 cl 15 (pt 2/2)
Character Range: 34521–36923

compared to clients with mild hearing loss and good vision, and may benefit from receiving a device. Documented evidence that amplification improves speech audibility must be kept on the client's file. Clients with more serious visual impairments should continue to be identified as clients who are eligible for Specialist Services; or
            4.   Client has previously been fitted under the program and can demonstrate consistent use of the previously fitted hearing device (includes Assistive Listening Device). Documented evidence of consistent device use must be kept on the client's file, and may come from sources such as data logging reports, repeated supply of replacement batteries and on-going minor repairs. Evidence of benefit and satisfaction from the use of a device may be provided through responses to self-report outcomes questionnaires and/or file notes from Client Review
     1.    Wishes and Needs Tool
        1.    The WANT is a client self-report questionnaire, consisting of two questions, to be administered prior to each MHLT fitting.
        2.    Each client must complete the questions without assistance or prompting from the practitioner or others.
        3.     If a client indicates they are not ready for devices or indicates minimal communication difficulties, a fitting must not proceed.
        4.    The client must score at least 2 or more for each question and a total score of 5 or more to be considered to have an acceptable attitude and motivation for a fitting.
        5.    No information should be provided to the client to influence their responses.
       The WANT must be signed and dated by the client and kept on the client's file. A new WANT should be completed prior to each MHLT fitting.
     1.    Asymmetrical Hearing Loss
        1.    If a client has a hearing loss in one ear that cannot be aided due to the severity of the loss or ear health, the other ear can be fitted with a CROS/BiCROS device without meeting the MHLT guidelines.
     1.    Claiming for MHLT
        1.    Clients with 3FAHL must be recorded on claim forms and 23.3dB must be rounded to 23dB.
        2.    Documented evidence to justify clients meeting the MHLT exemption criteria be kept on the client file.
        3.     Evidence supporting fittings under the MHLT exemption criteria and any associated claim forms may be requested by the program at any time.