6 Colo. Code Regs. § 1009-6-4
Current through Register Vol. 47, No. 11, June 10, 2024
Section 6 CCR 1009-6-4 - FOLLOW-UP SERVICES FOR NEWBORNS AT RISK OF HEARING LOSS4.1A. Screening to resolve a missed screen, rescreening, audiological evaluation and similar diagnostic testing services are not provided by the Department's newborn hearing screening program. These services are provided through other government agencies, community partners and private entities. Any costs incurred for these services is the responsibility of the parent or service provider. The Department's newborn hearing screening program only monitors the result of these services for the limited purpose of rapidly connecting newborns and their families to early intervention services, and for the purposes of program evaluation and quality improvement.
B. A parent or legal guardian, and their newborn's participation in the follow-up services is voluntary.4.2A. The Department monitors reporting pursuant to Section 3. For screen missed and screen fail results, the Department will send the parent or legal guardian information about the importance of screening and screening services. This information is sent when or soon after the 30 day reporting requirements have passed.B. For newborns that are screened to address a missed screen:1. A health professional resolves a missed screen by performing a hearing screen and reporting the result as required by Section 3 of these rules.2.a. If the result is screen pass, no further action is required but health professionals are encouraged to provide information about value of hearing screen later in life if there is a concern with a child's hearing, speech or language development.b. If the result is screen fail, a hearing rescreen or more comprehensive hearing evaluation as deemed necessary by the health provider, is required. The health professional who performed the hearing screen will provide the parent or legal guardian with the screening result, information about the importance of newborn hearing screening and will perform the rescreen or provide information about which providers can perform hearing rescreening. To extent practicable, the list will identify providers that are within a reasonable travel distance of the newborn's parent or legal guardian.
C. For newborns that are rescreened to confirm the initial screening result: 1. A health professional performs the hearing rescreen and reporting the result as required by Section 3 of these rules.2.a. If the rescreen result is screen pass, no further action is needed.b. If the rescreen result is screen fail, the health professional that performed the hearing rescreen will refer the newborn for a comprehensive audiological evaluation. To the extent practicable, the list will identify providers that are within a reasonable travel distance of the newborn's parent or legal guardian.D. An audiologist will provide a comprehensive hearing evaluation or diagnostic services within the first three months of life or, for newborns that experience delays in screening or follow-up services, as soon the need for audiological services becomes known to the audiologist. After the evaluation is completed, the audiologist should communicate the results of the evaluation and any recommendations to the parent or legal guardian, and other health professionals as authorized by the parent or legal guardian, and the Department, and; refer the newborn to early intervention services. When the audiologist confirms that the newborn has a permanent hearing loss, the referral for early intervention services will occur within 48 hours. To the extent practicable, the referral will identify early intervention service providers that are within a reasonable travel distance of the newborn's parent or legal guardian.E. Early intervention service providers will submit the date of the newborn's first CO-Hear Home Visit and the date of the initial Individualized Family Service Plan.4.3 In addition to coordination through the referral process, coordination among medical and audiology providers, and families (the newborn's parent(s) or legal guardian(s) occurs when: A. A health professional attending a birth in a setting other than a hospital facility provides the screen result to the newborn's primary care provider, and;B. Individuals granted access to the health information data system enter or review screening results, rescreening results and audiological evaluation results as authorized in Section 5.4.4 The Department shall monitor: A.1. The number of newborns with screen pass results reported in the Electronic Birth Certificate.2. To the extent it can be assessed, the number of pass results that were entered incorrectly and subsequently corrected, and the number of days it took for the initial screen result correction to be entered. This analysis only concerns the accuracy of initial screen results data entry.B. The number of newborns with missed screen results, failed initial screen results, hearing rescreen fail results and hearing rescreen pass results;C. The number of newborns that receive any follow-up services;D. The number of newborns who are eligible but opt to not participate in follow-up services;E. The length of time between the last failed screening and the first audiological evaluation;F. The number of newborns that receive an early intervention described in Section 4.2(E), and;G. The length of time between the audiological evaluation and the early intervention described in Sections 4.2(D) and 4.2(E).H. Such other monitoring the Department deems appropriate to monitor the effectiveness of newborn hearing screening program and support the statutory duties of the Colorado Infant Hearing Advisory Committee (CIHAC) as defined in § 25-4-1004.7(2)(a)(I), C.R.S.4.5 The Department may provide educational material or materials developed by the CIHAC pursuant to § 25-4-1004.7(2)(a)(I), C.R.S., on the Department website to assist parents, legal guardians, and newborn hearing screening providers, coordinators and partners. The Department may assist a health professional, parent or guardian seeking a referral for screening, audiological evaluation or early intervention; however, the Department cannot endorse any service provider. The Department may provide a health professional, parent or legal guardian with the contact information for the applicable licensing board when the individual seeks to file a complaint.
43 CR 04, February 25, 2020, effective 3/16/2020