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1EARLY HEARING DETECTION AND INTERVENTION PROGRAM DIAGNOSTIC EVALUATION SUMMARY This prior approval is limited to outpatient examinations and/or audiological evaluations needed to confirm a diagnosis
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To fill out early hearing detection, follow these steps:
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Obtain the necessary forms and documents.
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Provide your personal information, such as name, date of birth, and contact details.
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Answer questions regarding your medical history and any known hearing issues.
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If applicable, provide information about your child's birth and any family history of hearing loss.
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Complete any additional sections or forms related to insurance or payment.
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Review the filled-out forms for accuracy and completeness.
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Submit the completed forms to the designated hearing detection center or healthcare provider.
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Follow any further instructions provided by the center or provider for scheduling the early hearing detection test.

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Early hearing detection is necessary for:
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- Newborn babies
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- Infants
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- Children
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- Individuals with risk factors, such as a family history of hearing loss, exposure to loud noises, or certain medical conditions
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It is recommended for everyone to undergo early hearing detection to ensure timely identification and intervention for any potential hearing issues.
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Early hearing detection and intervention (EHDI) is a public health program that aims to identify hearing loss in newborns and young children and provide timely intervention.
Healthcare providers, hospitals, and other entities responsible for the screening and reporting of newborn hearing tests are required to file early hearing detection and.
Early hearing detection and reporting can be filled out electronically through state EHDI databases or through paper forms provided by the relevant authorities.
The purpose of early hearing detection and is to ensure that newborns and young children with hearing loss receive appropriate intervention services as early as possible to prevent long-term negative impacts on their development.
Information such as the date of the hearing screening, the results of the screening, and follow-up information if further testing or intervention is needed must be reported on early hearing detection and forms.
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