Maryland Hearing Screening Requirements for Newborns and School-Aged Children

The following information summarizes hearing screening programs for newborns and school-aged children.

The information has been collected by researching individual state statutes, regulations, policy documents, and by contacting each state. The information is reviewed on an annual basis. Please be advised that regulations and policy may change at any time, so always check with your state for the most up-to-date information.

Newborn Screening

Screening

Screening is required of all newborns and infants born in Maryland and follow-up is required for those who have, or are at risk for developing, a permanent hearing status that affects speech-language skills.

Intervention

The Department shall establish and maintain a model system to provide for the implementation of an early identification program and follow-up of newborns and infants who have or are at risk for developing a permanent hearing status that affects speech-language skills and includes the following components:

  • educational materials;
  • telephone resource line;
  • department database to gather and maintain program data;
  • a service referral directory;
  • in-service training of hospitals, local health departments, and local education agencies;
  • referral to appropriate agency or professional for services;
  • program monitoring and review;
  • confidentiality of records and information; and
  • continuum of follow-up which includes:
    • contacting the primary care provider in writing or by telephone to verify the status of the infant;
    • contacting parents or guardians in writing or by telephone to facilitate referral for diagnostic audiological assessment and referral for appropriate services; and
    • interfacing with the single point of entry for the early intervention system.

Standards/Protocols

Standards and protocols are not addressed by laws/regulations.

Tracking/Reporting

For each infant delivered at the facility or site, birthing hospital staff and, in the cases of alternative birthing sites, the licensed professional attending the birth shall:

  • within 48 hours of delivery, enter demographic and birth event data into the Department database;
  • within 48 hours of discharge from care in the Department database
    • document:
      • the hearing screening test results; and
      • any known risk factors; and
    • identify and document:
      • the infant's primary care provider; and
      • any referrals made; and
    • provide to the family:
      • written documentation of the birth hearing screening results;
      • any identified risk factors; and
      • instructions for any recommended follow-up.

School-Age Screening

Ages/Populations Screened

The year that a student enters a school system, enters the first grade, and enters the eighth, or ninth grade

Who Can Screen

Who can screen is not addressed by laws/regulations.

Training for Screeners

Training for screeners is not addressed by laws/regulations.

Type of Testing

Type of testing is not addressed by laws/regulations.

Equipment Standards

Equipment standards are not addressed by laws/regulations.

Follow-up Protocols & Documentation

The results of the hearing and vision screenings shall be made a part of the permanent record file of each student and given to the parents of any student who fails the screenings and reported to the local board of education or the local health department. If a student fails the screenings, the parent/guardian shall report on the recommended services received by the student to the local board of education or local health department on an approved form.

The local board of education or local health department shall report to the Department of Health and Mental Hygiene the results of the hearing and vision screenings and, to the extent practicable, the number of students receiving the recommended services.

Resources

For further information on hearing screening requirements, visit these websites:

Questions regarding state advocacy issues? Call ASHA at 800-498-2071 and ask for the State Advocacy Team.

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