Australian Government - Department of Health - Office of Hearing Services
Hearing Services Program

Requesting a revalidated service

This page provides information on the revalidation of services process.

Amended process due to COVID-19

To aid clinics in the provision of services during the COVID-19 pandemic, the program has made changes to the current process for the provision of a revalidated service.  The new process, as detailed below, is subject to audit and compliance activity.

Process effective 6 April 2020 until further notice

Determine if the client’s circumstances in hearing or health has changed significantly or if the reason to refit is urgent e.g. risk of harm/danger if this service is not provided before their current voucher expires.

Complete the Request for a Revalidated Service form  

  • Select either Reason A or Reason B, not both.
  • If Reason B, select the Eligibility Criteria for Refitting (ECR) that has been met as well as the intended item number.
  • Keep a copy of the completed request form, including all the supporting documentation on the client file. You DO NOT need to submit the application form.
  • Provide the revalidated service to the client.

Submit the claim through the individual client record against the clients current voucher.

Note: The below details must be entered and selected for the claim to be approved

In the Claim Type* drop down field: Select Revalidation

In the Provider Reference Number field

  • Where an item 800/810 is required, enter Reason A
  • Where a refitting is required, enter ECR 1, 2, 3, 4 or 5 (if Reason B is selected) 

Successful submission example 

Application form

While submission of the application form is not currently required, it should still be completed to determine if the client is eligible for a revalidated service and retained on the client file. Note, the form must be signed by the client or their power of attorney (on behalf of the client) and the practitioner. The practitioner cannot sign on the client’s behalf.

Providers should include a written summary in the mandatory* field available on the request form of why a revalidated service is required. Please type or clearly print (ensuring that is it legible).

Practitioners must select the most appropriate reason and indicate what service item they intend on claiming. There are two reasons for requesting a revalidated service

  1. Reason A – Reassessment is required due to a significant deterioration in hearing
  2. Reason B – Client is eligible for refitting under the Eligibility Criteria for Refitting (ECR) guidelines and a device fitting has already been claimed against the current voucher.

Required information for Reason A

Reason A should be selected if the client’s hearing thresholds have permanently deteriorated by15dB or more at two or more frequencies between 500Hz and 4000Hz in at least one ear.

The following information is required for Reason A and should be detailed on the request form.

  • Results of the previous audiogram (item 600/800)
  • Results of a recent audiogram/screening test
  • Tympanometry results if bone conduction testing was not completed

Successful submission example  

Required information for Reason B

Reason B should be selected if your client is eligible for refitting under the current ECR guidelines but has already received a fitting on their current voucher. The following information is required for Reason B and should be detailed on the request form.

  • Indicate what item you will be claiming
  • Select the ECR met for this refitting
  • Clinical explanation why a refit is required
  • Providing evidence to support the refit

Successful submission examples  

Refitting requirements under the program

When determining if a client is eligible for refitting under the ECR, practitioners are responsible for using their clinical judgement and clearly documenting their decision-making process.

It is a legislative requirement that the client meets a current ECR. Revalidated services provided due to exceptional circumstances, where a client does not meet an ECR, will be recovered.

Service providers should also be aware that a refitting to have matched devices is not a valid ECR.

Fitting the opposite ear when an item 820 has already been claimed

A request for a revalidated service is not required when an item 820 has already been claimed against the current voucher and the client is eligible for a fitting on the opposite ear. Please email hearing@health.gov.au for client specific advice on how to claim in this situation.

Example 1:  Your business claimed an item 820 left, Your business has now fitted the right - recovery the 820 left and submit an item 830. Note: the Date of Fitting for the left will be different to the right as they were fitted at different times.

Example 2: A previous service provider claimed an item 820 left, Your business has now fitted the right, against the individual client record manually submit an item 820 right.

More information

For more information about requests for revalidated service please email hearing@health.gov.au Please be aware there may be delays to responses during the COVID-19 pandemic.

 

 

 

Request form for a revalidated service - fillable form (PDF 692 KB)

Request form for a revalidated service - fillable form (DOC 116 KB)

Request form for a revalidated service example (PDF 574 KB)

New Revalidation Process - How to submit the claim correctly through the HSO portal (PDF 177 KB)

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