E.1.3

Evaluation using Texas Pediatric Protocol for Audiology

These evaluations will include a diagnostic ABR and, if not previously done, a diagnostic OAE will be performed to determine cochlear involvement. The following items apply:

•	Audiologists use equipment norms for newborns, preferably ones that they have collected on their equipment.

•	Protocols include air and bone conduction testing using tone burst ABR, as well as click ABR, so the amplification may be appropriately fit.

•	The physician/medical home receives results and makes the referral to ECI using the web-based eSP™ system, by calling 1‑800‑628‑5115, or by emailing the Texas Department of Assistive and Rehabilitative Services (DARS) at dars.inquiries@dars.state.tx.us.

•	The physician/medical home monitors the child. See the American Academy of Pediatrics Position Statement at http://pediatrics.aappublications.org/cgi/content/full/113/Supplement_4/1545.

•	The audiologist reports results to the DSHS contractor as noted above and makes the referral to ECI.

•	Fitting of hearing aids by an audiologist when appropriate.

•	Continued audiological assessment and monitoring as needed (usually monitor each three months for the first year of hearing aid use).