Ariz. Admin. Code § R9-13-207 - Newborn and Infant Hearing Tests

A. Before a hearing test is performed on a newborn or infant, a health care facility's designee, a health care provider, or the health care provider's designee shall provide educational materials to the newborn's or infant's parent or guardian.

B. A health care facility's designee, a health care provider, or the health care provider's designee shall order hearing testing for a newborn or infant to be performed according to the health care facility's or health care provider's policies and procedures that includes:

1. An initial hearing screening ordered to be performed within 30 days after birth or before discharge;

2. A second hearing screening ordered to be performed within 30 days after birth if an abnormal result is obtained in one or both of a newborn's or infant's ears on the initial hearing screening; and

3. Diagnostic evaluation ordered to be performed:

a. If a newborn or infant has an abnormal result in one or both ears on the second hearing screening;

b. If a newborn or infant has been admitted to the Neonatal Intensive Care Unit for five days or more and has an abnormal initial hearing screening;

c. If a newborn or infant has a medical condition that makes diagnostic evaluation more appropriate; or

d. As clinically indicated.

A.C. When an initial hearing test is performed on a newborn or infant, a health care facility's designee, a health care provider, or the health care provider's designee shall submit to the Department, as specified in subsection (G), the following information:

1. The newborn's or infant's name, date of birth, gender, and medical record number;

2. Whether the newborn or infant is from a single or multiple birth;

3. If the newborn or infant is from a multiple birth, the birth order of the newborn or infant;

4. The first and last names and date of birth of the newborn's or infant's mother;

5. The name and identification code of the health care facility of birth;

6. The name and identification code of the health care facility where the initial hearing test was performed or of the health care provider who performed the initial hearing test;

b. The name and telephone number of the health care provider who performed the initial hearing test;

7. The name of the health care provider responsible for the coordination of medical services for the newborn;

8. 7. The date of the initial hearing test;

9. 8. Whether or not the initial hearing test was performed when the newborn or infant was an inpatient;

10. 9. The audiological equipment used for the initial hearing test and the type of initial hearing test performed; and

11. 10. The initial hearing test result for each of the newborn's or infant's ears.

11. The name, address, and telephone number of the contact person for the health care facility or health care provider.

B.D. In addition to the information in subsection (C), if the reported results of an initial hearing test on a newborn or infant include an abnormal result, a health care facility's designee, a health care provider, or the health care provider's designee shall submit to the Department, as specified in subsection (G), the following information:

1. The newborn's race, ethnicity, and if applicable, AHCCCS identification number;

2. 1. Except as provided in subsection (D)(2), the mother's name before first marriage, mailing address, and telephone number;

3. 2. If the newborn's or infant's mother does not have physical custody of the newborn or infant, the first and last names, mailing address, and telephone number of the person who has physical custody of the newborn or infant;

4. 3. The name of the health care provider who will be responsible for the coordination of medical services for the newborn or infant after the newborn or infant is discharged from the health care facility;

5. 4. The name and telephone number of the person to whom the newborn's or infant's mother or other person who has physical custody of the newborn or infant was referred for a subsequent hearing test;

5. The date of the appointment for a subsequent hearing test, if available; and

6. The health care facility where a subsequent hearing test is scheduled to be performed or the name and address of the health care provider who is scheduled to perform the subsequent test, if available.

C.E.When a subsequent hearing test is performed on a newborn or an infant after an initial hearing test, the designee of the health care facility, health care provider, or other person that performs the subsequent hearing test shall submit to the Department, as specified in subsection (G), the following information:

1. The newborn's or infant's name, date of birth, and gender;

2. Whether the newborn or infant is from a single or multiple birth;

3. If the newborn or infant is from a multiple birth, the birth order of the newborn or infant;

4. The first and last names and date of birth of the newborn's or infant's mother;

5. The name of the health care facility of birth, if known;

6. If the initial hearing test was not performed by the health care facility of birth, either:

a. The name of the health care facility where the initial hearing test was performed, or

b. The name and telephone number of the health care provider who performed the initial hearing test;

6. The name of the health care facility where the subsequent hearing test was performed, or the name and address of the health care provider who performed the subsequent hearing test;

7. The name, telephone number, and identification code of the person submitting the subsequent hearing test results;

8. 7. The date of the subsequent hearing test;

9. 8. The audiological equipment used for the subsequent hearing test and type of hearing test performed;

10. The type of hearing test performed;

11. 9. The result, including a quantitative result if applicable, for each of the newborn's or infant's ears on the subsequent hearing test;

10. The name, address and telephone number of the contact person for the health care facility, health care provider, or other person that performed the subsequent hearing test, if different from the person specified in subsection (E)(6); and

12.11. If the subsequent hearing test was a diagnostic evaluation:

a. Whether the newborn or infant has a hearing loss and, if so, the type and degree of hearing loss;

b. A copy of the narrative that describes the hearing test performed on the newborn or infant to determine that the newborn or infant does not have a hearing loss or diagnose a hearing loss in the newborn or infant, the results of the hearing test, and the analysis of the hearing test results by the audiologist or physician who performed the hearing test;

c. Whether the newborn or infant has a medical condition that may affect the hearing test results; and

d. Whether the newborn or infant has been referred to early intervention services, including a date of referral.

13. The name, address, and telephone number of the contact person for the health care facility, health care provider, or other person that performed the subsequent hearing test, if different from the person specified in subsection (C)(7).

D.F. In addition to the information in subsection (E), if the reported results of a subsequent hearing test on a newborn or infant include an abnormal result, the person submitting the report on the subsequent hearing test shall submit to the Department, as specified in subsection (G), the following information:

1. Except as provided in subsection (F)(2), the mailing address and telephone number of the newborn's or infant's mother;

2. If the newborn's or infant's mother does not have physical custody of the newborn or infant, the first and last names, mailing address, and telephone number of the person who has physical custody of the newborn or infant;

3. The name of the health care provider who is responsible for the coordination of medical services for the newborn or infant; and

4. If applicable, the name and phone telephone number of the person to whom the newborn's or infant's parent was referred for further hearing tests, evaluation services, specialty care, or early intervention.

E.G. A health care facility's designee, health care provider, health care provider's designee, or other person required to report under subsections (C), (D), (E), or (F) shall submit, in an electronic format specified by the Department, the information specified in subsections (C), (D), (E), or (F) for hearing tests performed each week by the sixth day of the subsequent week.

Notes

Ariz. Admin. Code § R9-13-207

Effective 11-74; Repealed effective July 16, 1981 (Supp. 81-4). New Section made by final rulemaking at 12 A.A.R. 1166, effective April 4, 2006 (Supp. 06-2). Amended by final rulemaking at 20 A.A.R. 953, effective 4/1/2014. Amended by exempt rulemaking at 29 A.A.R. 1083, effective 7/1/2015.