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§ 41518. Diseases of the Ear and Mastoid Process.

22 CA ADC § 41518BARCLAYS OFFICIAL CALIFORNIA CODE OF REGULATIONS

Barclays Official California Code of Regulations Currentness
Title 22. Social Security
Division 2. Department of Social Services -Department of Health Services
Subdivision 7. California Children's Services
Chapter 3. Client Application and Eligibility Requirements
Article 2. Medical Eligibility
22 CCR § 41518
§ 41518. Diseases of the Ear and Mastoid Process.
(a) CCS applicants shall be eligible for participation in the CCS program for diagnostic services to determine the presence of a hearing loss when the applicant:
(1) Fails two pure tone audiometric hearing screening tests performed at least six weeks apart at levels not to exceed 25 decibels and at the minimum number of frequencies of 1000, 2000 and 4000 Hertz; or
(2) Fails to have normal auditory brain stem evoked response; or
(3) Fails otoacoustic emission or behavioral responses to auditory stimuli as determined by two tests performed at least six weeks apart; or
(4) Fails to pass hearing screening provided through the Newborn and Infant Hearing Screening, Tracking and Intervention Program, pursuant to Health and Safety Code Sections 123975 and 124115 through 124120.5; or
(5) Exhibits symptoms that may indicate a hearing loss such as poor speech for age or delay in age-appropriate behavioral milestones; or
(6) Has documentation of one of the risk factors associated with a sensorineural hearing or conductive hearing loss such as:
(A) A family history of congenital or childhood onset of hearing impairment.
(B) Congenital infection known or suspected to be associated with hearing loss.
(C) Craniofacial anomalies.
(D) Hyperbilirubinemia at a level exceeding the indication for an exchange transfusion.
(E) Ototoxic medications used for more than five days.
(F) Bacterial meningitis.
(G) Severe depression at birth, defined as:
1. Apgar score of three or less;
2. Failure to initiate spontaneous respirations by ten minutes of age; or
3. Hypotonia persisting to two hours of age.
(H) Prolonged mechanical ventilation for a duration of at least five days.
(I) Findings of a syndrome known to be associated with hearing loss.
(b) If either of the tests referenced in (a)(1) and (3) above are performed by an audiologist or otolaryngologist, only one exam shall be required for eligibility for diagnostic testing.
(c) CCS applicants shall be eligible for participating in the CCS program for treatment services when there is a hearing loss present as defined by the following criteria:
(1) In children over five years of age, a pure tone audiometric loss of 30 decibels or greater at two or more frequencies in the same ear tested at 500, 1000, 2000, 3000, 4000, 6000, 8000 Hertz or a loss of 40 decibels or greater at any one frequency between and including 500 through 8000 Hertz;
(2) In children from three to five years of age, a pure tone audiometric loss of 30 decibels or greater at any frequency tested at 500, 1000, 2000, 3000, 4000, 6000, 8000 Hertz; or
(3) In children unable to complete a pure tone audiometric test and whose auditory brain stem evoked response, or otoacoustic emission, or behavioral responses to auditory stimuli indicate hearing loss of 30 decibels or greater.
(d) CCS applicants shall be eligible for participation in the CCS program for treatment services when there is:
(1) Perforation of the tympanic membrane that requires tympanoplasty; or
(2) Mastoiditis; or
(3) Cholesteatoma.
(e) Congenital anomalies of the ear and mastoid process that meet the criteria of section 41518.8.
Note: Authority cited: Sections 20 and 100275, Health and Safety Code. Reference: Sections 123830, 123835, and 123975, Health and Safety Code.
HISTORY
1. New section filed 12-31-90; operative 1-30-91 (Register 91, No. 8).
2. Change without regulatory effect renumbering former section 41518 to new section 41452 and renumbering former section 41839 to section 41518, including amendment of subsections (a)(4) and (e) and Note, filed 1-28-2009 pursuant to section 100, title 1, California Code of Regulations (Register 2009, No. 5).
This database is current through 7/29/22 Register 2022, No. 30
22 CCR § 41518, 22 CA ADC § 41518
End of Document