# COMAR 10.09.51.05: COMAR 10.09.51.05. Limitations > Maryland · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_51_05 ## Section - **Citation:** COMAR 10.09.51.05 - **Heading:** COMAR 10.09.51.05. Limitations - **Jurisdiction:** Maryland - **Kind:** Regulations - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** Code of Maryland Regulations / Title 10 MARYLAND DEPARTMENT OF HEALTH / Subtitle 09 MEDICAL CARE PROGRAMS / Chapter 51 Audiology Services / COMAR 10.09.51.05 ## Text A. Covered audiology services, including hearing aids, cochlear implants, and auditory osseointegrated devices are limited to: (1) Unless the time limitation is waived by the Program, one audiology assessment per year; (2) The initial coverage of unilateral or bilateral hearing aids, cochlear implants, or auditory osseointegrated devices when the Department’s medical necessity criteria have been met; (3) One replacement of unilateral or bilateral hearing aids: (a) Every 5 years for participants younger than 21 years old, unless the Program approves more frequent replacement; or (b) Every 5 years for participants 21 years old or older, unless the Program approves more frequent replacement, but no more than 1 replacement extraneous to the devices’ warranty; (4) Replacement of hearing aids, cochlear implants and auditory osseointegrated device components that have been lost, stolen, or damaged beyond repair, after all warranties have expired; (5) Repairs and replacements that take place after all warranties have expired; (6) A maximum of 76 batteries per participant per 12-month period for a unilateral hearing aid or osseointegrated devices, or 152 batteries per participant per 12-month period for bilateral hearing aids or osseointegrated devices purchased from the Department not more frequently than every 6 months, and in quantities of 38 or fewer for a unilateral hearing aid, or 76 or fewer for a bilateral hearing aid; (7) A maximum of 238 disposable batteries for a unilateral cochlear implant per participant per 12-month period or 476 disposable batteries per 12-month period for a bilateral cochlear implant purchased not more frequently than every 6 months, and in quantities of 119 or fewer for a unilateral cochlear implant, or 238 or fewer for a bilateral cochlear implant; (8) Four replacement cochlear implant component rechargeable batteries per 12-month period for bilateral cochlear implants, and a maximum of two replacement rechargeable batteries for a unilateral cochlear implant per 12-month period; hased not more frequently than every 6 months, and in quantities of 119 or fewer for a unilateral cochlear implant, or 238 or fewer for a bilateral cochlear implant; (8) Four replacement cochlear implant component rechargeable batteries per 12-month period for bilateral cochlear implants, and a maximum of two replacement rechargeable batteries for a unilateral cochlear implant per 12-month period; (9) Two cochlear implant replacement transmitter cables per 12-month period for bilateral cochlear implants, and a maximum of one replacement transmitter cable for a unilateral cochlear implant per 12-month period; (10) Two cochlear implant replacement headset cables per 12-month period for bilateral cochlear implants, and a maximum of one replacement headset cable for a unilateral cochlear implant per 12-month period; (11) Two replacement cochlear implant transmitting coils per 12-month period for bilateral cochlear implants, and a maximum of one replacement transmitting coil for a unilateral cochlear implant per 12-month period; (12) Charges for routine follow-ups and adjustments which occur more than 60 days after the dispensing of a new hearing aid; and (13) A maximum of two unilateral earmolds or four bilateral earmolds per 12-month period unless a larger number is determined to be medically necessary. B. Services which are not covered are: (1) Services not medically necessary; (2) Hearing aids and accessories not medically necessary; (3) Cochlear implant services and external components not medically necessary; (4) Cochlear implant services and external components provided less than 90 days after the surgery which are covered through the initial reimbursement; (5) Spare or backup cochlear implant components; (6) Spare or back-up auditory osseointegrated device components; (7) Replacement of hearing aids, equipment, cochlear implant components, and auditory osseointegrated device components if the existing devices are functional, repairable, and appropriately correct or ameliorate the problem or condition; h are covered through the initial reimbursement; (5) Spare or backup cochlear implant components; (6) Spare or back-up auditory osseointegrated device components; (7) Replacement of hearing aids, equipment, cochlear implant components, and auditory osseointegrated device components if the existing devices are functional, repairable, and appropriately correct or ameliorate the problem or condition; (8) Spare or backup hearing aids, equipment, or supplies; (9) Repairs to spare or backup hearing aids, cochlear implants, auditory osseointegrated devices, equipment, or supplies; (10) Investigational or experimental services or devices, or both; (11) Replacement of improperly fitted earmold or earmolds unless the: (a) Replacement service is administered by someone other than the original provider; and (b) Replacement service has not been claimed before; (12) Additional professional fees and overhead charges for a new hearing aid when a dispensing fee claim has been made to the Program; and (13) Loaner hearing aids. Cross References 10.09.51.04B(3)(d) 10.09.51.04B(4)(d) ## Nearby sections - [COMAR 10.09.51.01 COMAR 10.09.51.01. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_51_01.md) - [COMAR 10.09.51.02 COMAR 10.09.51.02. Licensure Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_51_02.md) - [COMAR 10.09.51.03 COMAR 10.09.51.03. Conditions for Participation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_51_03.md) - [COMAR 10.09.51.04 COMAR 10.09.51.04. Covered Services](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_51_04.md) - [COMAR 10.09.51.05 COMAR 10.09.51.05. Limitations](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_51_05.md) - [COMAR 10.09.51.06 COMAR 10.09.51.06. Preauthorization Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_51_06.md) - [COMAR 10.09.51.07 COMAR 10.09.51.07. Payment Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_51_07.md) - [COMAR 10.09.51.08 COMAR 10.09.51.08. Recovery and Reimbursement](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_51_08.md) - [COMAR 10.09.51.09 COMAR 10.09.51.09. Cause for Suspension or Removal and Imposition of Sanctions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_51_09.md) - [COMAR 10.09.51.10 COMAR 10.09.51.10. Appeal Procedures](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_51_10.md) - [COMAR 10.09.51.11 COMAR 10.09.51.11. Interpretation of State Regulations](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_51_11.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_51_05. Check the current official text before relying on it. Not legal advice.