Missouri 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


Every infant born in this state shall be screened for hearing loss.


All facilities or persons shall provide the parents or guardians of newborns who fail the hearing screening with educational materials that:

  • Communicate the importance of obtaining further hearing screening or diagnostic audiological assessment to confirm or rule out hearing loss;
  • Identify community resources available to provide rescreening and diagnostic audiological assessments; and
  • Make reasonable efforts to assure that all newborns with a confirmed hearing loss are referred to the appropriate point of contact for the Part C of the Individuals with Disabilities Education Act (IDEA) system of early intervention services (First Steps) by six months of age (or within six months of discharge from an acute care facility for infants requiring continuous acute care following birth).


The screening procedure shall include the use of at least one of the following physiological technologies:

  • Automated or diagnostic auditory brainstem response (ABR);
  • Otoacoustic emissions (OAE); or
  • Other technologies approved by the department of health and senior services


Facilities shall report the screening results on all newborns to the parents or guardian of the newborn, and the Department of Health and Senior Services.

Agency Oversight

Missouri Department of Health and Senior Services, Bureau of Genetics and Healthy Childhood 

School-Age Screening

Missouri laws/regulations do not require school-age hearing screenings, but the Department of Health and Senior Services has issued guidelines for school hearing screenings.

Agency Oversight

Missouri Department of Health and Senior Services, School Health Program


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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