1. National EHDI Technical Assistance System at Utah State University

2. EHDI Network members located in each of ten geographic regions

3. Region I (38% currently born in UNHS hospitals) Antonia MaxonB Region IV (46% currently born in UNHS hospitals) Faye McCollister Region III (49% currently born in UNHS hospitals) Sean Kastetter Region VI (38% currently born in UNHS hospitals) Karen Ditty Patti Martin Region VII (33% currently born in UNHS hospitals) Les Schmeltz Region IX (23% currently born in UNHS hospitals) Randi Winston Yusnita Weirather Region II (16% currently born in UNHS hospitals) Beth Prieve Region V (26% currently born in UNHS hospitals) Karen Munoz Region X (21% currently born in UNHS hospitals) Curt Whitcomb Region VIII (91% currently born in UNHS hospitals) Terry Foust National EHDI Assistance Network - VIII IX VII VI V IV III II I X Guam, American Samoa, Marshall Islands, Palau, No. Mariana Islands, Fed. Micronesia Puerto Rico Virgin Islands

4. Examples of Network Activities State-wide EHDI meetings Individualized TA with state EHDI programs NEC*TAS Webcast for Part C Programs AAP Chapter Advocacy Forum Regional workshops on Diagnostic ABR –6 weeks of on-line preparation –2 day face-to-face workshop –3 month follow-up practicum

5. National EHDI Technical Assistance System (continued) EHDI Network members located in each of the MCHB regions Information dissemination and training

6. Support for Program Implementation Step-by-step Implementation Guide Distributed by MCHB to all birthing facilities in the US Down load from the web at www.infanthearing.org www.infanthearing.org Linked to examples of materials from existing programs

7. Sound Ideas Newsletter Published Quarterly Topical articles, suggestions for program improvement Upcoming events Available online or mailed

8. National EHDI Technical Assistance System (continued) EHDI Network members located in each of the MCHB regions Information dissemination and training Web site (www.infanthearing.org)www.infanthearing.org

10. National EHDI Technical Assistance System (continued) EHDI Network members located in each of the MCHB regions Information dissemination and training Web site (www.infanthearing.org)www.infanthearing.org Collaboration with other groups and agencies

11. National EHDI Technical Assistance System (continued) Groups actively promoting and assisting with EHDI activities –AG Bell, NCHH, ASHA, AAA, JCIH, AAP, SKI-HI, ASDC, Boys Town, DSHPSHWA Relevant groups whose main focus has been elsewhere –NEC*TAS, Early Head Start, 0-3, Family Voices, NCCC, AMCHP, AHEC, March of Dimes, MCH Health Policy Center Collaboration with Other Groups and Agencies

12. Analysis of Reimbursement for EHDI-Related Services Medicaid Managed Care Contract Provisions for EHDI (42 states) –All state Medicaid contracts included provisions for hearing screening as part of their EPSDT –Only 26% states EPSDT requirements were consistent with national standards for objective hearing screens for newborns. For the post-newborn period, 19% were consistent with national standards. –States much more likely to specify subjective rather than objective hearing screening requirements as part of the routine EPSDT screen. Medicaid Reimbursement of Hearing Services for Children (44 states) –Medicaid fees for hearing services in 2000 were low with significant range (eg, fees for Visual Reinforcement Audiometry (92579) averaged $20.82 (range $11 to $39). –The extent to which such low Medicaid fees contribute to restricted access to audiology providers and services is an issue that requires further study.