Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 3 - Early Hearing Detection and Intervention (EHDI) Program › Rule 641-3.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purposes of this chapter, the following definitions
				will apply:
"Applicant"
means a child for whom assistance
				under this program is being requested.
"Area education agency"
or
"AEA
				"
means an intermediate educational unit created by Iowa Code chapter
				273.
"Audiologist"
means a person licensed pursuant
				to Iowa Code chapter 147 or certified by the Iowa board of educational
				examiners pursuant to
				282-15.3 (272) or a person
				appropriately licensed in the state where the person practices.
"Audiology assistant"
means a person who works
				under the supervision of an Iowa-licensed speech pathologist or audiologist,
				does not meet the requirements to be licensed as a speech pathologist or
				audiologist, and meets the minimum requirements set forth in 645-Chapter
				300.
"Audiometrist"
means a technician who has
				received special training in the use of pure-tone audiometry equipment. An
				audiometrist conducts the hearing tests selected and interpreted by an
				audiologist, who supervises the process.
"Birth center"
means
"birth
				center"
as defined in Iowa Code section
				135.61.
"Birthing hospital"
means a private or public
				hospital licensed pursuant to Iowa Code chapter 135B that has a licensed
				obstetric unit or is licensed to provide obstetric services.
"Congenital cytomegalovirus "
or
"cCMV"
means an infection where cytomegalovirus is transmitted
				to the fetus in the prenatal period.
"Contractor"
means the entity selected by the
				department to act as third-party administrator for claims payment related to
				hearing aids and audiologic services for children.
"Cytomegalovirus"
or
"CMV"
means a kind of herpes virus that usually produces very mild symptoms in an
				infected person but may cause severe neurological damage in a person with a
				weakened immune system and in a newborn.
"Department"
means the Iowa department of
				public health.
"Diagnostic audiologic assessment"
means
				physiologic or behavioral procedures completed by an audiologist to evaluate
				and diagnose hearing loss.
"Discharge "
means a release from a birthing
				hospital to the parent or legal guardian of the child.
"Early ACCESS"
means Iowa's Individuals with
				Disabilities Education Act (IDEA), Part C, program for infants and toddlers. It
				is a statewide, comprehensive, interagency system of integrated early
				intervention services that supports eligible children and their families as
				defined in 281-Chapter 120.
"Early hearing detection and intervention advisory
				committee"
or
"EHDI advisory committee "
means the
				committee appointed by the department to advise the director of the department
				regarding issues related to hearing health care for children and to make
				recommendations about the design and implementation of the early hearing
				detection and intervention program.
"Guardian "
means a person who is not the
				parent of a minor child, but who has legal authority to make decisions
				regarding life or program issues for the child. A guardian may be a court or a
				juvenile court. "Guardian" does not mean conservator, as defined in Iowa Code
				section
				633.3,
				although a person who is appointed to be a guardian may also be appointed to be
				a conservator.
"Health care professional"
means a licensed
				physician, nurse practitioner, physician assistant, certified midwife,
				registered nurse, licensed practical nurse, patient care technician, certified
				nursing assistant, licensed audiologist, audiology assistant, audiometrist,
				hearing aid specialist, speech-language pathologist or other licensed or
				certified professional for whom hearing screening is within the professional's
				scope of practice.
"Hearing loss"
means a permanent unilateral or
				bilateral hearing loss of greater than 30 dB HL in the frequency region
				important for speech recognition (500-4000 Hz).
"Hearing screening "
means a physiological
				measurement of hearing of a newborn or infant with a "pass" or "refer" result.
				Screening is used to determine the newborn's or infant's need for further
				testing and must be performed bilaterally, when applicable.
"Initial screening"
or
"newborn hearing
				screening"
means a screening performed in a birthing hospital, birth
				center or facility other than a birthing hospital within the first month of
				life.
"Newborn hearing screening "
means a
				physiological test to separate those newborns with normal hearing from those
				newborns who may have hearing thresholds of greater than 30 dB HL in either ear
				in the frequency region important for speech recognition (500-4000 Hz).
"Normal hearing "
means hearing thresholds in
				both ears of 30 dB HL or less in the frequency region important for speech
				recognition (500-4000 Hz).
"Parent"
means:
1. A biological or adoptive parent of a child;
2. A guardian, but not the state if the child is a ward of the
				state;
3. A person acting in the place of a parent, such as a
				grandparent or stepparent with whom a child lives, or a person who is legally
				responsible for the child's welfare;
4. A surrogate parent who has been assigned in accordance with
				281-120.68 ( 34CFR 303); or
5. A foster parent, if:
* A biological parent's authority to make the decisions
				required of parents under state law has been terminated; and
* The foster parent has an ongoing, long-term parental
				relationship with the child; is willing to make the decisions required of a
				parent; and has no interest that would conflict with the interests of the
				child.
"Physician "
means an individual licensed
				under Iowa Code chapter 148, 150, or 150A.
"Primary care provider"
means a licensed
				physician, nurse practitioner, physician assistant or certified midwife who
				undertakes primary pediatric care responsibility for an infant or child to
				provide ongoing medical care and referrals to promote overall health and
				well-being.
"Protocol"
means a document which guides
				decision making and provides the criteria to be used regarding screening,
				diagnosis, management, and treatment of children related to hearing health
				care. Early hearing detection and intervention protocols not otherwise
				specified in this chapter are available on the department's website at
www.idph.iowa.gov
.
"Provider "
means a licensed audiologist,
				otolaryngologist or hearing aid specialist who agrees to provide hearing aids
				or audiologic services to eligible patients.
"Rescreen "
means a newborn hearing screening
				performed after two weeks of age on an infant who did not pass the initial
				screening.
"Resident"
means an individual who is a legal
				resident of the state of Iowa.