SECTION 310:550-17-1. Follow-up for physicians

(a)   If a physician examines a child in the first three months of life, the physician will verify that the child has been screened, and document results in the infant's medical record. If the child has not been screened or if results of screening are not available, the physician should submit a Satisfactory Newborn Screening Specimen within 48 hours or as soon as possible.

(b)   On written notification by the Newborn Screening Program of follow-up requirements for a newborn screen result of abnormal, unsatisfactory or for specimens collected at or less than 24 hours of age at time of collection; the infant's physician or designee will obtain required repeat screening, confirmatory testing, or diagnostic studies, in the timeframe specified so that therapy, when indicated, can be initiated expediently.

(c)   The infant's physician may selectively rescreen infants as clinically indicated.

(d)   Because patients may relocate without a forwarding address or contact information, where these rules place responsibility upon physicians and hospitals to notify parents, that shall require only a reasonable search be made. If the parents are not contacted the Newborn Screening Program Coordinator shall be notified of the inability to notify after efforts to contact the parents have been exhausted.

(e)   For appropriate comprehensive medical care, all confirmed cases of congenital hypothyroidism, galactosemia, phenylketonuria, sickle cell disease, cystic fibrosis, congenital adrenal hyperplasia, medium- chain acyl coenzyme A dehydrogenase deficiency (MCAD), biotinidase deficiency, amino acid disorders, fatty acid oxidation disorders, organic acid disorders, severe combined immunodeficiency (SCID), spinal muscular atrophy (SMA), x- linked adrenoleukodystrophy (X-ALD), mucopolysaccharidoisis type I (MPS I) and pompe disease upon completion of laboratory validation studies, establishment of short-term follow-up services, and approval by the Commissioner of Health, should have a referral to a pediatric sub-specialist, and the parent should be referred for enrollment in newborn screening long-term follow-up services as designated by the Newborn Screening Program. For referral information, please contact the Newborn Screening Short-term Follow-up Program at [phone] or 1-800-766-2223 ext. 6617.

[Source: Amended at 8 Ok Reg 3115, eff 7-12-91 (emergency); Amended at 9 Ok Reg 1475, eff 5-1-92; Amended at 9 Ok Reg 3121, eff 7-1-92 (emergency); Amended at 10 Ok Reg 1637, eff 6-1-93; Amended at 12 Ok Reg 41, eff 10-5-94 (emergency); Amended at 12 Ok Reg 1685, eff 6-12-95; Amended at 15 Ok Reg 121, eff 10-15-97 (emergency); Amended at 15 Ok Reg 1979, eff 5-26-98; Amended at 21 Ok Reg 1286, eff 5-27-04; Amended at 25 Ok Reg 105, eff 10-2-07 (emergency); Amended at 25 Ok Reg 1153, eff 5-25-08; Amended at 31 Ok Reg 1596, eff 9-12-14; Amended at 36 Ok Reg 1688, eff 9-13-19]