Scheduling the Follow-up Outpatient Appointment1. Standing orders by the infant's hospital attending physician can be used to order the outpatient-rescreening test. These orders are usually kept on file in the nursery for infants returning to the hospital for the follow-up testing. A copy of the order should be sent to the rescreening provider with contact information for the infant.
2. If the child is a Medicaid recipient, standing orders by the hospital attending physician may be used for rescreening until a PCP is assigned and linkage of the recipient to the provider is established. This linkage usually doesn't occur until 3-4 weeks after application is made. If the rescreening appointment occurs in as little as 1 or 2 weeks and the PCP/Community Care and recipient linkage has not been established, Medicaid will reimburse for the testing ordered by the original hospital physician.
3. Many NICU infants will already have a Medicaid PCP assigned prior to discharge from the hospital. If this is the case, Community Care referrals may be obtained prior to hospital discharge or at the first check-up with the physician. The appointment for rescreening should also be made prior to hospital discharge and a copy of screening results should be forwarded to the PCP.
4. Hospital personnel should make the appointment for follow-up prior to discharge from the hospital. It is strongly recommended that all parents leave the hospital connected to the professional doing the follow-up testing. Parents should be provided with the name, phone number, directions to the testing site.
5. Parent should receive educational information in their native language when possible regarding hearing loss, normal milestones of development, and the importance of keeping the next appointment.
Documenting the Appointment:
The LDH Newborn Hearing Screening Report includes a space at the bottom of the form to document the rescreening appointment place, date, and time.
Louisiana law mandates that the parents and physician each receive a copy of this form and one should be filed in the child's medical record. This is a necessary way to document that the parents were given an appointment.
The scheduling and documentation of a rescreening follow-up appointment assures all parties involved that the parents were aware of the abnormal screening results and were given appropriate follow-up.
Failure to make this appointment is one of the main reasons that many infants do not receive timely diagnostic testing (as recommended by the Joint Committee on Infant Hearing and the American Academy of Pediatrics).