SECTION 37.509. Authorized Newborn Hearing Services

(a) A newborn hearing screening performed by a birthing facility and any related diagnostic follow-up care, provided in accordance with Texas Health and Safety Code Chapter 47 and the requirements of this subchapter, for a newborn who receives medical assistance or who is Medicaid-eligible, is a covered service of the Texas Medical Assistance (Medicaid) Program, in accordance with Texas Human Resources Code Chapter 32.

(b) The reimbursement rates and methodology for covered services described in this section shall be established by the Texas Health and Human Services Commission.

(c) Screening for hearing loss from birth through the date the infant is 30 days of age and any diagnostic follow-up care related to the screening from birth through the date the child is 24 months of age, as provided under this subchapter, shall be a covered benefit pursuant to Texas Insurance Code, §§1367.101 - 1367.103. Co-payments or co-insurance requirements are permitted; however, deductible requirements or dollar limits are prohibited.

Source Note: The provisions of this §37.509 adopted to be effective December 23, 2020, 45 TexReg 9210