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43.3.4.6 Newborn Screening
The second mandated newborn screen at 1 to 2 weeks of age is a required component of the THSteps medical check up but is not required as an informational detail of the claim. Providers should document the date and the results of the second newborn screening in the client's medical record. Clients should not be referred to the local health department or other providers for this service.
Health and Safety Code, Chapter 33, Vernon's Texas Codes Annotated, requires testing for the disorders recommended by the American College of Medical Genetics (ACMG) on all newborns. This testing is the responsibility of any provider attending the newborn. All newborns must be tested a second time at 1 to 2 weeks of age. If there is any doubt that a client younger than 12 months of age was properly tested, the provider should submit the blood sample on the appropriate DSHS Form NBS-3 to the DSHS Newborn Screening Laboratory.
The provider should note the following:
• Results are mailed to the provider's address indicated on Form NBS-3.
•Laboratory recommendations for necessary follow-up procedures are included with the report.
•The DSHS NBS Case Management staff contacts the provider in cases of significant abnormality.
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