1. Michigan Audiology Coalition-2017

2. Michigan Audiology Coalition-2017
Board of Audiology Update
Reimbursement Issues
Thomas E. O’Connor
O’Connor Hearing Center, Ann Arbor

3. Board of Audiology: 1: Current members
2: How to apply to become a Board member
3: Requirement for Human Trafficking training

4. Current Board Members Thomas O'Connor, Lansing
Sharon Blackburn, Cadillac
Term expires 6/30/20
Audiologist-Disciplinary Subcommittee
Vacant
General public
Lisa Brennan, Grand Rapids
General public-Disciplinary Subcommittee
Licensed to practice medicine or osteopathic medicine
and surgery who hold a certificate of qualification from the
American board of otolaryngology
Thomas O'Connor, Lansing
Term expires 6/30/19
Audiologist-Chair
Paul Kileny, Ann Arbor
Audiologist-Vice Chair
Nicole Ferguson, Frankenmuth
Term expires 6/30/17
Audiologist-Disciplinary Subcommittee
Teresa Zwolan, Ann Arbor
Term expires 6/30/18
Audiologist
Melissa Somers, Petoskey
Licensed to practice medicine or osteopathic medicine
and surgery who hold a certificate of qualification from
the American board of otolaryngology  

5. Become a member
Select “Appointments”

6. Then select “APPLY Now”
Then follow the directions…

7. Audiologist Administrative rules 338.1a
February 25, 2015
Rule 1a. (1) Pursuant to section of the code, MCL , an individual licensed or seeking licensure shall complete training in identifying victims of human trafficking that meets the following standards:
(a) Training content shall cover all of the following:
(i) Understanding the types and venues of human trafficking in the United States.
(ii) Identifying victims of human trafficking in health care settings.
(iii) Identifying the warning signs of human trafficking in health care settings for adults and minors.
(iv) Resources for reporting the suspected victims of human trafficking.

8. (b) Acceptable providers or methods of training include any of the following:
(i) Training offered by a nationally-recognized or state-recognized health-related organization.
(ii) Training offered by, or in conjunction with, a state or federal agency.
(iii) Training obtained in an educational program that has been approved by the board for initial licensure, or by a college or university.
(iv) Reading an article related to the identification of victims of human trafficking that meets the requirements of subrule (1)(a) of this rule and is published in a peer review journal, health care journal, or professional or scientific journal.
(c) Acceptable modalities of training may include any of the following:
(i) Teleconference or webinar.
(ii) Online presentation.
(iii) Live presentation.
(iv) Printed or electronic media.

9. (2) The department may select and audit a sample of individuals and request documentation of proof of completion of training. If audited by the department, an individual shall provide an acceptable proof of completion of training, including either of the following:
(a) Proof of completion certificate issued by the training provider that includes the date, provider name, name of training, and individual’s name.
(b) A self-certification statement by an individual. The certification statement shall include the individual’s name and either of the following:

10. For training completed pursuant to subrule (1)(b)(i) to (iii) of this rule, the date, training provider name, and name of training.
(ii) For training completed pursuant to subrule (1)(b)(iv) of this rule, the title of article, author, publication name of peer review journal, health care journal, or professional or scientific journal, and date, volume, and issue of publication, as applicable.
(3) Pursuant to section of the code, MCL , the requirements specified in subrule (1) of this rule shall apply for license renewals beginning with the first renewal cycle after the promulgation of this rule and for initial licenses issued 5 or more years after the promulgation of this rule.

11. Audiologist Administrative rules
Heads up on changes to the Rule which will likely take effect next year
Updated to reflect AuD education/clinical experience
Change in requires for foreign trained audiologists TOEFL score (now reflects current scoring)
1 hour of pain management education
At least 5 hours must be obtained via live and in person (under consideration, let me know your thoughts on this.)

12. Reimbursement Issues
Michigan Rehabilitative Services (MRS) and AudioNet
Michigan Public School Employee Retirement System (MPSERS)
and TruHearing
Blue Cross change

13. MRS and AudioNet Effective 10/1/2017 Audiologist only
5 “Networks” to choose to join (one or all)
Each represents different manufactures
Reimbursement is the same-varies between $400 to $825 monaural or $750-$1600 binaural (all-inclusive)
If a practice is an AudioNet provider for MRS, it is a provider for all AudioNet plans

14. MRS and AudioNet
Contact information:
Michael MacDonald, AuD.
Director of Audiology
(313)
Patricia Roach, HIS
GLPN Manager
(586)
Dana Miriani
Administrative Manager
(586)

15. TruHearing and MPSERS Effective 1/1/2018
ONLY applies to MPSERS members enrolled in BCBS (Group # 59000)
Only MPSERS (not MESSA)
Appointments made through TruHearing who will contact enrolled provider

16. TruHearing and MPSERS
Benefit is one or two hearing aids every 36 months
TruHearing “Select” plan
Patient chooses between the “Flyte 770” and the “Flyte 990” aids. These are TruHearing labled versions of the ReSound Linx2 7 and Linx2 9
Professional fitting fee is $325/aid or $400/aid (plus $45 for hearing/hearing aid eval

17. TruHearing and MPSERS
If the “Flyte” options cannot/will not be used, the TruHearing “Choice” plan is used. More hearing aid choices, lower benefit level to the patient.

18. TruHearing and MPSERS
Initial hearing test and hearing aid evaluation completed, patient pays TruHearing $45 (provider paid the $45 as total reimbursement for that service).
Payment for hearing aids is collected by provider and remitted to TruHearing. Provider receives fitting fee after 45 day trial period.

19. TruHearing and MPSERS For more information contact: Kacee Tolman
Provider Outreach Representative
PH: (855) x 1112
FX: (801)
TruHearing.com 

20. Blue Cross change
For standard BCBS claims that require Medical Clearance, Blue Cross now requires that the physician who provided the clearance MUST have billed the patient for that service.

21. Contact Thomas E. O’Connor O’Connor Hearing Center