COORDINATION Hospital-Based Newborn Hearing Screen MDCH Early Hearing Detection and Intervention Database Newborn Not Screened Hospital-Based Newborn Hearing Screen Physiologic Method(AABR or OAE) Newborn Hearing Screen Notify Medical Home Schedule Screen Pass Fail RE-SCREEN Medical Home monitors for late-onset or progressive hearing risk factors Pass Fail Medical Home and Evaluation Resources No Risk Risk Yes No Refer to CSHCS AUDIOLOGIC EVALUTION No Hearing Loss Hearing Loss INTERVENTION ENT Physician Referral Hearing Aid Evaluation Children’s Special Health Care System Enrollment Special Education Enrollment/ Early On ®Referral