For a 6-year-old ForwardHealth member requiring a unilateral bone-anchored hearing device implant due to chronic draining ear, determine if this service is covered, if prior authorization is needed, and identify the specific form for submission. State the coverage criteria related to age and the required prior authorization form.
Navigate to the ForwardHealth Online Handbook. Use the search functionality to find information on 'Bone-Anchored Hearing Devices'. Locate the policy document or section detailing coverage criteria for bone-anchored hearing devices, specifically for unilateral implants. Identify the age requirement for coverage of unilateral bone-anchored hearing device implant surgeries. Determine if prior authorization is required for these devices (both implant and non-implant). If prior authorization is required, locate the section or link for 'Prior Authorization Forms and Attachments'. Identify the specific form required for prior authorization of bone-anchored hearing devices or similar medical devices. Synthesize the findings regarding coverage, age criteria, prior authorization necessity, and the required form.
Confirm that unilateral bone-anchored hearing device implant surgeries are covered if specific criteria are met. State that the member must be 5 years of age or older at the time of surgery for coverage. Confirm that prior authorization is required for bone-anchored hearing devices (both implant and non-implant). Identify the correct prior authorization form for bone-anchored hearing devices (e.g., 'Prior Authorization Request Form for Medical Services' or similar, if specified).