Document ID: chunk:federal_register_of_legislation:F2024N00985:clause:1_49
Version: federal_register_of_legislation:F2024N00985
Segment Type: clause
Provision Reference: sch 1 cl 49
Character Range: 98821–101893

49  Evidence Requirements for Refitting services
  (1) Evidence kept on the client record to substantiate the refitting service must include:
          1.    the practitioner's full name; and
          2.    the Supervisor's full name (where applicable); and
          3.     the date of service; and
          4.    the Claim for Payment form; and
          5.    evidence that MHLT exemption criteria has been met (where required); and
          6.      the ECR number, reason for the Refitting and evidence required by the ECR; and
          7.    the device quote signed and dated by client or their POA, legal guardian or equivalent; and
          8.    otoscopy results at time of fitting or the reason the practitioner determines otoscopy is not required; and
          9.       the correct device details (serial numbers and device codes) and details of the accessories associated with the device; and
         10.       the device programming, with responses verified against a prescriptive target.(e.g. REM, LSM, 2cc Coupler Measurement, etc.). If a poor match to target, document potential reason and attempt to match; and
         11.     a record that the device was optimised to the client needs and preferences; and
         12.       documentation that the Refitting was checked for comfort, feedback, occlusion, MPO, etc; and
         13.  documentation that the client/carer was counselled on management of devices (device/battery insertion, volume control, cleaning, wax management, program switching, phone use, etc); and
         14.    the Maintenance Agreement discussed with the client (including a copy of the agreement and receipt for Client Co-payment where applicable); and
         15.    documentation of strategies/tactics discussion to help manage hearing loss and device use; and
         16.    notes on client issues and/or concerns that have been addressed, documentation on the reason why the issues/concerns were not able to be addressed and support and/or referral provided as necessary; and
         17.    a record of the review of device use (including data logging where available); and
         18.      a record of the adjustments, modifications or program changes made at a follow up appointment (where required); and
         19.     a record of the aided speech testing undertaken in relation to the client (at either fitting or follow up); and
         20.      a record of the review and assessment of hearing goals at follow up; and
         21.    evidence that the client is satisfied with the outcomes of services provided; and
         22.     for non-follow up claims, evidence of attempts to contact the client; and
         23.   a copy of the client's receipt if payment was required for a partially subsidised device.

Assistive Listening Device Initial Fittings
635 – ALD: Initial fitting with Maintenance Agreement
636– ALD: Initial fitting with Maintenance Agreement – Non Follow up
655 – ALD: Initial fitting (no Maintenance Agreement)
656 – ALD: Initial fitting (no Maintenance Agreement) – Non Follow up