№ files_lp_4_process_2_58756
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National service specification outlining eligibility criteria, funding conditions, clinical protocols, and performance expectations for publicly funded cochlear implant assessment, implantation, rehabilitation, and long-term support services within New Zealand’s disability support system.
Year:
Not specified
Country:
New Zealand
Sector:
Health and Disability Support Services
Subject:
Cochlear Implant Services for Severe and Profound Hearing Loss
Document Type:
Service Specification
Program Code:
DSSC107
Responsible Authority:
Ministry of Health
Coordinating Authority:
Ministry of Health in liaison with the Ministry of Education
Funding Programme:
Disability Support Services (DSS) and Habilitation Services
Service Scope:
Nationwide
Target Population:
Eligible Adults (19 years and over) and Eligible Children (up to 18 years) with severe or profound bilateral hearing loss
Eligibility Basis:
Health and Disability Services Eligibility Direction 2011
Key Components:
Cochlear implant assessment, surgery, audiology services, rehabilitation for adults, habilitation for children, ongoing maintenance and support, processor replacement, funded repairs and spare parts
Clinical Governance:
National Clinical Protocols approved by the Ministry
Performance Framework:
Results Based Accountability (RBA) Framework
Service Providers:
Contracted cochlear implant service providers
Exclusions:
Individuals implanted outside New Zealand public programme, ACC-funded cases, and non-residents
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Year:
2020
Region / City:
Not specified
Topic:
Medical necessity determination, implantable hearing solution
Document type:
Pre-determination / Prior Authorization letter
Organization / Institution:
Cochlear Americas
Author:
Not specified
Target audience:
Health care providers, insurance companies
Period of validity:
Not specified
Approval date:
Not specified
Amendment date:
Not specified
Year:
2020
Region / city:
Not specified
Topic:
Medical necessity, Cochlear implants
Document type:
Example letter
Organization / institution:
Cochlear Limited
Author:
Not specified
Target audience:
Healthcare providers, insurance companies
Period of validity:
Not specified
Approval date:
Not specified
Modification date:
Not specified
Note:
Date
Attn:
Appeal department
Document Type:
Patient transfer form
Subject:
Transfer of cochlear implant care between centres
Healthcare Sector:
National Health Service (NHS)
Confidentiality:
Private and Confidential
Patient Category:
Cochlear implant recipient
Institutions Involved:
Referring CI centre and receiving CI centre
Required Attachments:
Annual review reports; pre-implant assessment reports; mapping or programming summaries; programming software export via secure email; post-operative X-ray
Patient Information Fields:
Name; Date of Birth; Address; NHS Number; Contact telephone numbers; Email; Languages spoken; Interpreter requirements; Carer names; GP details; Overseas patient status
Clinical Information Fields:
Date of implant surgery; Date of switch on; Date of last programming; Date of last processor upgrade; Implant make and model; Implant serial number; Sound processor make and model; Processor serial number; Processor colour; Coil/Cable length; Magnet strength; Medical complications; Aetiology; Speech perception outcomes
Geographical Scope:
United Kingdom
Year:
2020
Region / City:
United States
Topic:
Health Care, Pediatric Cochlear Implants
Document Type:
Appeal Letter
Organization / Institution:
Health Plan
Author:
Physician
Target Audience:
Health Insurance Providers, Medical Professionals
Period of Validity:
Ongoing
Approval Date:
March 17, 2020
Date of Changes:
N/A
Year:
2008–2025
Population:
Postlingually deafened adult CI listeners and typical hearing controls
Sample size:
8–477 participants per study
Mean age at CI implantation:
47–62.5 years
Mean duration of CI experience:
1.83–9.69 years
Type of document:
Research summary table
Measurements:
Psychophysical tuning curves, spectral-temporally modulated ripple tests, consonant/vowel categorization, spectral modulation detection
Speech perception tests:
CNC word recognition, AzBio sentence recognition, K-CID, K-HINT, IEEE sentences, vowel/consonant identification
Main findings:
Correlations between spectral resolution measures and various speech recognition outcomes, ranging from non-significant to strong (0.21–0.69)
Global vs. channel-specific measures:
Both types analyzed depending on study
Discrimination vs. categorization:
Both assessed across studies
Noise conditions:
Quiet and multi-talker babble with SNR levels from 0–20 dB
Year:
2026
Region:
United States
Topic:
Health Insurance, Hearing Implants
Document Type:
Guidance Document
Organization:
Cochlear Americas
Author:
Cochlear Professional Resources Team
Target Audience:
Healthcare providers, patients seeking implantable hearing solutions
Coverage Focus:
Cochlear Implants, Baha® Systems
Key Processes:
Pre-certification, Pre-authorization, Appeals, Predetermination
Contact Information:
OMS Phone: (800) 633-4667 option 4, Email: [email protected]
Additional Resources:
Regional Reimbursement Experts, Coding Support Line
Note:
Year
Topic:
Audiology
Document Type:
Medical Report
Organization / Institution:
Audiology Hearing Rehabilitation Center
Target Audience:
Healthcare Professionals
Note:
Date
Year:
2014
Region / city:
United States
Topic:
Medical Device Appeal
Document type:
Letter
Organization / institution:
Cochlear Americas
Author:
Physician
Target audience:
Appeals Reviewer, Health Insurance Providers
Duration:
N/A
Approval date:
N/A
Modification date:
N/A
Contextual description:
A letter appealing the denial of benefits for a Cochlear Baha Attract System, outlining its medical necessity, technological advancements, and supporting clinical studies.
Year:
2021
Region / City:
Southampton, Nottingham, United Kingdom
Field:
Healthcare, Cochlear Implants, Telemedicine
Document type:
Research Article
Institution:
University of Southampton, University of Nottingham
Authors:
Helen Cullington, Padraig Kitterick, Mark Weal, Magdalena Margol-Gromada
Target Audience:
Researchers, Healthcare Providers, Clinicians
Duration of Study:
6 months
Date of Approval:
2021
Date of Last Update:
2021
Year:
2020
Region / City:
Not specified
Topic:
Medical necessity determination, implantable hearing solution
Document type:
Pre-determination / Prior Authorization letter
Organization / Institution:
Cochlear Americas
Author:
Not specified
Target audience:
Health care providers, insurance companies
Period of validity:
Not specified
Approval date:
Not specified
Amendment date:
Not specified
Year:
2023
Region / city:
Ireland
Topic:
Healthcare, Medical Devices, Adverse Incidents
Document type:
Guide
Author:
Health Products Regulatory Authority (HPRA)
Target audience:
Healthcare Professionals, National Mesh Administrators
Date of approval:
2023
Date of changes:
N/A
Year:
2022
Region / City:
United Kingdom
Subject:
MRI safety of non-coronary vascular stents
Document Type:
Policy
Organization:
MRI Safety, Frank Shellock
Target Audience:
Medical professionals, researchers, and MRI safety experts
Validity Period:
Not specified
Approval Date:
Not specified
Date of Modifications:
Not specified
Keywords:
MRI, vascular stents, safety, non-coronary, RF heating, projectile effect, SAR limits, implant risks
Note:
Date
Attn:
Appeal department
Year:
2023
Author:
Lynn Pencek, RDH, MS
Type of Document:
Reference compilation / Educational resource
Topic:
Dental hygiene, implant maintenance
Intended Audience:
Dental hygienists and clinicians
Date of Publication:
June 10, 2023
Source Type:
Journal articles, clinical guidelines, online resources
Geographic Focus:
International
Note:
Year
Author:
Dr. Sheibani Nia
Year:
2022
Region / City:
Boston, MA, USA; Rio de Janeiro, Brazil; Providence, RI, USA
Topic:
Dental implants, occlusal contact, pressure-sensitive indicators
Document type:
Clinical study
Institution / Organization:
Harvard School of Dental Medicine, University of The State of Rio de Janeiro, Johnson and Wales University
Author:
Philip Millstein, Carlos E. Sabrosa, Wai Yung
Target audience:
Dental professionals, researchers in restorative dentistry
Period of validity:
Not specified
Approval date:
December 08, 2022
Date of changes:
Not specified
Organisation:
Canberra Health Services
Department:
Radiation Oncology Department
Document Type:
Clinical Procedure
Clinical Focus:
Prostate Fiducial Marker Implant
Patient Group:
Adult patients
Professional Scope:
Registered Nurses (RNs)
Standards Referenced:
Australian College of Perioperative Nurses (ACORN) Standards
Related Facility:
Canberra Hospital
Procedure Context:
Radiation therapy preparation
Setting:
Brachytherapy bunker theatre
Procedure Code:
CPT 51715
Procedure Name:
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck
Clinical Indication:
Stress urinary incontinence in women
Population:
Women with stress urinary incontinence
Evidence Sources:
Cochrane Review (Kirchin 2012); NICE 2005; NICE 2019; American Urology Association 2017; Syan 2016; MODA 2019; Aetna 2019
Study Types Referenced:
Randomized controlled trials; case series; systematic review; guideline statements
Comparators:
Conservative treatment; placebo injection; surgical management; pelvic floor muscle training
Reported Outcomes:
Continence rates; quality of life; patient satisfaction; adverse events; objective cure
Adverse Events Reported:
Urinary tract infection; urinary retention; dysuria; abscess; urgency of micturition; prolonged pain; haemorrhage; migration of bulking agent; allergic reaction
Regulatory Reference:
FDA-cleared bulking agents listed (Coaptite, Contigen, Durasphere, Macroplastique, Uryx)
Coverage Criteria:
Prior conservative management; defined duration of symptoms; documented improvement after initial treatments; limitation on number of injections
Guideline Recommendations:
Consider in patients unsuitable for or declining surgery; counseling on limited long-term efficacy and potential need for repeat injections
Review Date Mentioned:
August 2019