American Speech-Language-Hearing Association

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

As part of the supplemental information required to be submitted to the Department of Health and Mental Hygiene as part of the birth event, a hospital shall include the results of the universal hearing screening of the newborn.

Intervention

Hospitals shall

  • complete the High Risk Questionnaire (HRQ) for Infant Hearing Loss for all live births and request completion of the consent for release of information for infants identified as at risk for hearing impairment;
  • disseminate the developmental brochure to mothers of all live births;
  • disseminate the referral brochure to mothers of infants at risk for hearing impairment;
  • submit an HRQ for all infants at risk for hearing impairment to the Department within five days after the infant's hospital discharge or transfer to another hospital;
  • file an HRQ in each infant's medical record;
  • provide a copy of the HRQ to the parents or guardians; and
  • refer those infants at risk for hearing impairment for hearing screening before hospital discharge, if possible.

Standards/Protocols

Standards and protocols are not addressed by laws/regulations.

Tracking/Reporting

The model system shall provide for the implementation of an early identification program and follow-up of hearing-impaired infants and infants who are at risk of developing a hearing impairment and includes the following components:

  • development of a High Risk Questionnaire (HRQ) for Infant Hearing Loss, which includes a consent for release of information;
  • creation of a developmental brochure and a referral brochure;
  • telephone hot line with a TDD;
  • computerized tracking system to gather and maintain program data;
  • development of a service directory;
  • in-service training of hospitals, local health departments, and local education agencies;
  • development of an educational program for families, professionals, and the public integrated with the Maryland Infants and Toddlers Program and local early intervention systems, including existing state and local education agency programs;
  • referral for appropriate services;
  • program monitoring and review;
  • confidentiality of records and information; and
  • continuum of follow-up which includes:
    • mailing a questionnaire to the primary care provider 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.

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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