Texas Early Hearing Detection and Intervention (TEHDI) is dedicated to ensuring that newborns and young children are identified as early as possible if they are deaf or hard of hearing. Our goal is to provide appropriate intervention services in order to prevent delays in vocabulary, communication and cognitive skills development.
Texas newborn hearing screening was established in 1999 through the passage of House Bill 714 and was implemented in Texas birthing facilities. The Texas Department of State Health Services (DSHS) is the oversight state agency.
Distinguished Facilities with Newborn Hearing Screening Programs
TEHDI recognizes more than 160 facilities that earned distinguished status as of the July 2016 certification cycle. The certification of a program on a periodic basis helps to ensure quality services to newborns, infants, and families. View list of distinguished facilities.
Newborn Hearing Rules Revised May 2015
Revised newborn hearing screening rules, Chapter 37 of the Texas Administrative Code §§37.501 through 37.507, were published in the Texas Register on May 8, 2015. View and print PDF version of the rules.
The revised rules were effective May 14, 2015 and the newborn hearing screening program protocols and certification were effective June 30, 2015. Read more about the certification process.
Cytomegalovirus: A Common Cause of Hearing Loss in Children
Cytomegalovirus (CMV) is a viral infection that is common. Most people have been infected with CMV by adulthood. If the CMV infection occurs for the first time during pregnancy, especially early in pregnancy, the developing fetus may have birth defects including being deaf or hard of hearing. CMV is the most common virus passed to an unborn baby, detectable in an estimated 0.64 -.70% of live births worldwide. Eighty percent of babies with congenital CMV infection will never develop symptoms or disabilities. When congenital CMV does cause a problem, the most common effect is hearing loss. Although not easily spread from person to person, infection can occur following contact with the virus through various secretions including saliva. Good hygiene, such as hand washing, can help prevent CMV infection in pregnant women.
CMV infections account for approximately 15 to 21 percent of newborns with congenital deafness in the United States. A baby with a congenital CMV infection may develop hearing loss later in childhood and needs monitoring for hearing loss.
Learn More About CMV
- Texas Information on Pregnancy Service (TexasTIPS) – Sponsored by DSHS, this teratogen information program and hotline (toll free 1-855-884-7248) assists Texans in determining if a drug, infection, or environmental exposure could affect a pregnancy. A teratogen is any medication, chemical, infectious disease (including CMV), or environmental exposure that could affect the development of the fetus.
- Information for Parents of Newborns – This DSHS pamphlet contains CMV information including treatment, prevention and resources starting on page 5. Order this publication in English or Spanish.
- Cytomegalovirus: A Major Cause of Hearing Loss in Children – This article from the American Speech and Hearing Association's news magazine, The ASHA Leader, includes information on statistics, hearing loss and congenital CMV, treatment, prevention, and assessments.
Texas and National Data
Read the TEHDI 2011 Annual Report to learn more about TEHDI's history, accomplishments and projects.
View the Centers for Disease Control and Prevention's most recent data including national summaries by year on early hearing detection and intervention.
Zade’s Story: TEHDI Makes a Difference
Zade has been wearing hearing aids for most of his young life. In the photo at right, he points to providers in the continuum of care to use the online TEHDI management information system that tracks the screening, diagnosis, and intervention process. Read more about Zade’s journey through the TEHDI process.
Pediatric Audiology Services
Early Hearing Detection and Intervention – Pediatric Audiologists Links to Services (EHDI-PALS) provides a national web-based directory of facilities that offer pediatric audiology services to young children who are younger than five years of age.
Providers are encouraged to list their facilities in the EHDI-PALS directory. List or update your facility in the directory.
Reporting to TEHDI
The Texas Department of State Health Services and TEHDI provide reporting requirements to the statewide system for all hearing screening service providers.
For information on how to obtain a user name, password and schedule system training, call Oz Systems at (866) 427-5768. Then select option 3.
DSHS and its contractor, OZ Systems, are committed to providing the guidance and advice needed to help all facilities achieve required certification criteria and performance standards.
Texas Department of State Health Services
Texas Early Hearing Detection and Intervention (TEHDI)
PO Box 149347 MC-1918
Austin, Texas 78714-9909
Phone: 1-800-252-8023, extension 7726
(Use relay option of your choice to call if needed.)
External links to other sites are intended to be informational and do not have the endorsement of the Texas Department of State Health Services. These sites may not be accessible to people with disabilities.