Michigan 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


All Michigan hospitals that provide birthing services will complete a newborn hearing screen prior to discharge of the newborn.


Intervention is not addressed by laws/regulations.


  • AABR (Automated Auditory Brainstem Response)
  • DPOAE (Distortion Product Otoacoustic Emissions)
  • TEOAE (Transient Evoked Otoacoustic Emissions)
  • Combination of the above (a/b, a/c)
  • New objective hearing screening equipment approved by the Michigan Department of Community Health (MDCH)/Early Hearing Detection and Intervention (EHDI) Program.


Written results will be provided to the family, Medical Home and the MDCH/EHDI Program.

Agency Oversight

Michigan Department of Community Health, Early Hearing Detection and Intervention

School-Age Screening

Ages/Populations Screened

  • Hearing screening of preschool children shall be done at least once during the ages of 3 to 5 years.
  • Hearing screening of school-age children shall be done at least in kindergarten, grades 2 and 4, or screening shall be done at least biennially starting at age 5 and continuing at least to age 10 years.

Who Can Screen

Public health hearing screening tests shall be given by individuals trained and qualified to properly administer the screening tests.

Training for Screeners

All hearing technicians have attended a MDHHS approved training (Stage I and Stage II) and received passing grades in both written testing and practical application.

Type of Testing

All Stage I hearing screening is conducted individually with a pure tone audiometer at the frequencies of 1000, 2000, and 4000 Hertz at the intensities of 20, 20, and 25 decibels, respectively in each ear.

Hearing screening records indicate that a standard air conduction threshold audiogram reading of 250, 500, 1000, 2000, 4000, and 8000 Hertz and unmasked bone conduction thresholds at 250, 500, 1000, 2000, and 4000 Hertz is conducted during Stage II for any child responding inappropriately to any stimulation in either ear during the Intermediate Sweep.

Equipment Standards

Equipment standards are not addressed by laws/regulations.

Follow-up Protocols & Documentation

The local health department shall report to the department the status of hearing screening within its jurisdiction. The report shall be made on a form provided by the department.

The local health department's files on children whose audiograms indicate abnormal hearing confirms that these children are referred for a physician's evaluation and are placed on a roster for periodic retesting based on recommended referral criteria (until two normal, consecutive audiograms obtained).

The local health department maintains on file parent letters indicating confirmation of the process for follow-up of children referred from Stage II screening.

Agency Oversight

Michigan Department of Community Health, Hearing Screening


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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