DHS 107.24(4)(g)1.1. For recipients under age 18: 3 earmolds per hearing aid, 2 single cords per hearing aid and 2 Y-cords per recipient per year; DHS 107.24(4)(g)2.2. For recipients over age 18: one earmold per hearing aid, one single cord per hearing aid and one Y-cord per recipient per year; and DHS 107.24(4)(g)3.3. For all recipients: one harness, one contralateral routing of signals (CROS) fitting, one new receiver per hearing aid and one bone-conduction receiver with headband per recipient per year. DHS 107.24(4)(h)(h) If a prior authorization request is approved, the person shall be eligible for MA reimbursement for the service on the date the final ear mold is taken. DHS 107.24(4)(i)(i) Reimbursement for complex rehabilitation technology is limited to qualified complex rehabilitation technology suppliers. DHS 107.24(4)(j)(j) The cost of mailing or delivery, such as shipping and handling charges and fees, of diagnostic tools or equipment needed to assess, diagnose, repair or setup medical supplies, hearing aids, cochlear implants, or other equipment cannot be billed to the recipient. DHS 107.24(5)(5) Non-covered services. The following services are not covered services: DHS 107.24(5)(a)(a) Foot orthoses or orthopedic or corrective shoes for the following conditions: DHS 107.24(5)(a)2.2. Incomplete dislocation or subluxation metatarsalgia with no associated deformities; DHS 107.24(5)(b)(b) Services denied by both Medicare and MA for lack of medical necessity. DHS 107.24(5)(c)(c) Items which are not primarily medical in nature, such as dehumidifiers and air conditioners; DHS 107.24(5)(d)(d) Items which are not appropriate for home usage, such as oscillating beds; DHS 107.24(5)(e)(e) Items which are not generally accepted by the medical profession as being therapeutically effective, such as a heat and massage foam cushion pad; DHS 107.24(5)(f)(f) Items which are for comfort and convenience, such as cushion lift power seats or elevators, or luxury features which do not contribute to the improvement of the recipient’s medical condition; DHS 107.24(5)(g)(g) Repair, maintenance or modification of rented durable medical equipment; DHS 107.24(5)(h)(h) Delivery or set-up charges for equipment as a separate service; DHS 107.24(5)(i)(i) Fitting, adapting, adjusting or modifying a prosthetic or orthotic device or corrective or orthopedic shoes as a separate service; DHS 107.24(5)(j)(j) All repairs of a hearing aid or other assistive listening device performed by a dealer within 12 months after the purchase of the hearing aid or other assistive listening device. These are included in the purchase payment and are not separately reimbursable; DHS 107.24(5)(k)(k) Hearing aid or other assistive listening device batteries which are provided in excess of the guidelines enumerated in the MA speech and hearing provider handbook; DHS 107.24(5)(L)(L) Items that are provided for the purpose of enhancing the prospects of fertility in males or females; DHS 107.24(5)(m)(m) Impotence devices, including but not limited to penile prostheses; DHS 107.24 HistoryHistory: Cr. Register, February, 1986, No. 362, eff. 3-1-86; emerg. r. and recr. (3) (h) 1. and 2., eff. 7-1-89; am. (2) (d) 6., (3) (e), (h) 4., (4) (c) 2., (5) (j) and (k), r. and recr. (3) (h) (intro.), 1. and 2. and (4) (g), cr. (4) (h), Register, May, 1990, No. 413, eff. 6-1-90; r. and recr. (4) (a), Register, September, 1991, No. 429, eff. 10-1-91; am. (5) (j) to (k), cr. (5) (L) to (p), Register, January, 1997, No. 493, eff. 2-1-97; correction in (4) (b) made under s. 13.93 (2m) (b) 7., Stats., Register February 2002 No. 554; CR 03-033: am. (2) (a), (3) (h) 1. (intro.), 2., and (5) (j) Register December 2003 No. 576, eff. 1-1-04; CR 20-012: renum. (1) to (1) (intro.) and am., cr. (1) (b), am. (2) (a), cr. (2) (a) 2., am. (2) (c) 1., 4., 6., cr. (2) (c) 9., am. (3) (intro.), (a) to (g), (h) 1. to 3., cr. (3) (i), (j), (4) (i), am. (5) (b) Register October 2021 No. 790, eff. 11-1-21; correction in (3) (g) made under s. 35.17, Stats., Register October 2021 No. 790; CR 20-039: am. (2) (c) 1., 4. to 6. Register October 2021 No. 790, eff. 11-1-21; merger of (2) (c) 1., 4., 6. treatments by CR 20-012 and CR 20-039 made under s. 13.92 (4) (bm), Stats., Register October 2021 No. 790; correction in (2) (a) 1. made under s. 35.17, Stats., Register December 2021, No. 792; CR 22-043: Register May 2023 No. 809, eff. 6-1-23; CR 23-005: am. (4) (c) 1., renum. (4) (c) 2. to (4) (c) 2. (intro.) and am., cr. (4) (c) 2. a. to c., r. (4) (c) 3. Register April 2024 No. 820, eff. 5-1-24; merger of (2) (c) 1., 4., 6. treatments by CR 20-012 and CR 23-046 and merger of (2) (c) 1., 4. to 6. treatments by CR 20-012, CR 20-039, and CR 23-046 made under s. 13.92 (4) (bm), Stats., Register April 2024 No. 820.