American Speech-Language-Hearing Association

Maine 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

No infant shall be discharged from a birthing hospital or birthing center until his/her medical record is checked to assure that it includes documentation of a hearing screening has been performed, scheduled or declined by the parents.

Intervention

Parents must be provided information on the availability of resources and services for children with hearing loss.

Standards/Protocols

Standards and protocols are not addressed by laws/regulations.

Tracking/Reporting

Hospitals, birthing facilities and other providers of infant hearing screening shall provide the following information to the Maine Newborn Hearing Program on a weekly to bi-monthly basis:

  • the number of infants born in that hospital or location and the number of infants who participated in hearing screenings during the birth admission;
  • the number of infants who participated in hearing screening at that hospital or location who received a "pass result" from the screening;
  • the number of infants who participated in hearing screening at that hospital or location who received a "refer pattern" from the screening;
  • the number of infants recommended for follow-up rescreening at that hospital or location;
  • the number of infants recommended for follow-up rescreening at another location;
  • the number of infants recommended for monitoring related to high-risk indicators;
  • the number of infants recommended for diagnostic audiologic evaluation; and
  • the number of infants whose parents declined the newborn hearing screening.

The birthing hospital, birthing center or other provider of infant hearing screening shall include the information necessary to allow identification of the infant for appropriate tracking and follow-up when reporting to the Program.

School-Age Screening

Ages/Populations Screened

Hearing screening will be conducted in kindergarten and grades 1, 3, and 5. It is recommended that students in grade 7 also be screened.

Who Can Screen

The school nurse will provide direction and oversight for the vision and hearing screening program in the school.

Training for Screeners

Training for screeners is not addressed by laws/regulations.

Type of Testing

A puretone audiometer will be used to screen hearing.

  • Students will be screened in both ears at 25dB with a sweep check at 1,000 Hz, 2,000 Hz , and 4,000 Hz. It is recommended that students also be screened at 6,000 or 8,000 Hz.

Equipment Standards

Equipment standards is not addressed by laws/regulations.

Follow-up Protocols & Documentation

  • A student will be considered to fail when the student is unable to hear all frequencies in both ears.
  • Students who fail the hearing screening at 1,000 Hz, 2,000 HZ, or 4,000 Hz will be referred to their parents and provided with a referral form to bring to their health care provider.
  • Students who fail the hearing screening at 6,000 or 8,000 Hz will be referred to their parents and provided information on how to avoid further high frequency hearing loss. Parents will be encouraged to inform the student's health care provider of the high frequency hearing loss.
  • The school nurse shall follow-up with the parents of students referred to their health provider to determine the disposition of the referral.
  • An annual report will be made to the Maine Department of Education on the results of vision and hearing screening to include the number of students screened by type of health screening, the number of student referred, and the number of referrals returned by disposition.

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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