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23.3.1.5 Three Through 20 Years of Age
For children 3 years through 20 years of age, physicians are required to complete the hearing screening during each THSteps medical check up as part of the check up. Medicaid will not consider the hearing screening for reimbursement separate from the check up. For children who are seen in the office setting, the THSteps program requires a pure tone audiometer at visits where objective screening is required. In other child-care settings, (e.g., day care; preschool; Head Start; elementary, middle, and high school), the TDH Vision and Hearing Screening Program requires that a pure tone audiometer be used for hearing screening. The provider should do the following:
• Assess children with a puretone audiometric hearing screen (1000, 2000, 4000 Hz) at 4 through 10 years of age.
•Perform a subjective hearing evaluation, to include client history and observation of the child for the ability to answer questions and follow directions at all other medical check ups where an audiometric screen is not required.
•Document the results of any school screening audiometric testing program in the 12 months preceding the medical check up.
•Refer any child or adolescent (preschool through twelfth grade) who does not respond to a 25 dB tone at any frequency for a diagnostic hearing evaluation.
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