Newborn Screening Notices

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Newborn Screening Fee Increase

The Texas Newborn Screening Program (NSP) received a $1.2 million appropriation for X-ALD screening implementation in the 2018-19 General Appropriations Act, S.B. 1, 85th Legislature, Regular Session, 2017.  Funding for ongoing testing costs after implementation was appropriated in S.B. 500, 86th Legislative, Regular Session, 2019. The additional funding will allow the Texas NSP to begin testing for X-ALD on August 5, 2019. 

Q: When does the fee increase start?
A: The fee is currently expected to increase January 1, 2020.

Q: How much will the fee increase?
A: The fee for each insurance/self-pay test kit is expected to increase about $5 - $6. Stakeholders will be notified of the exact amount a minimum of 90 days prior to the increase.

Q: Why is the fee increasing?
A: DSHS will expand the Texas Newborn Screening (NBS) Panel to include X-linked Adrenoleukodystrophy (X-ALD) and must increase the fee to cover the additional cost of providing X-ALD screening and follow-up services.  

Q: What CPT code can be submitted to insurance companies for X-ALD?
A: 82726 Very Long Chain Fatty Acid
Note: Find more information on CPT codes to use here.

Q: Who pays for the insurance/self-pay kits?
A: DSHS will bill the person or facility that orders insurance/self-pay test kits.
Tips for choosing and using the correct kit:

  • Use the Insurance/Self-Pay Test Kit (form #NBS4) for newborns that are covered under a private insurance plan or will pay out of pocket.
  • Use the Medicaid/CHIP/Charity Test Kit (form #NBS3) ONLY for Medicaid eligible newborns, newborns covered by CHIP, or newborns that have absolutely no other payment option as required in Texas Administrative Code, Title 25 Section 37.55

Questions? 
1-888-963-7111 ext. 7333 or locally 512-776-7333
NewbornScreeningLab@dshs.texas.gov

Posted June 24, 2019


Newborn Screening Result Reports and Result Reporting Statements for

X-linked Adrenoleukodystrophy (X-ALD)


In 2017, the Texas Legislature provided the Texas Newborn Screening Program (NSP) $1.2 million for X-ALD screening implementation. During the recently-concluded 86th Legislative Session, the Legislature provided further funding for ongoing testing costs. The additional funding will allow the Texas NSP to begin testing for X-ALD on August 5, 2019. Please find information below on how X-ALD results will be displayed. Facilities that report electronically may need to add this information to their systems.

X-ALD Results will display in an additional row on the disorder table:

Result Reporting Statements for X-ALD include:

NBS Result Reporting Statements for X-ALD

Questions?

Call: 1-888-963-7111 x7333 or locally 512-776-7333

Email: NewbornScreeningLab@dshs.texas.gov

Posted June 14, 2019


New Contact Information for Remote Data Systems Help

Effective June 3, 2019

Customers using Result Web Portal, Newborn Screening Web Application (Neometrics), or both, must contact the HHSC Consolidated Help Desk for password and login issues

HHSC Consolidated Help Desk:

Email: help@hhsc.state.tx.us 

Phone: 855-435-7181

Questions? 

Call: 1-888-963-7111 ext. 7578 or for local calls 512-776-7578

Email: RemoteLabSupport@dshs.texas.gov  

Posted May 31, 2019


Changes to Newborn Screening Result Reporting Statements

Effective April 11, 2019

Changes include:

  • The analyte result will now be included in the Screening Result Notes.
    • Example: “Possible Maple Syrup Urine Disease. Leucine Slightly Elevated; Valine Elevated. Recommend plasma quantitative amino acids and urine organic acids within 24 hours and immediate telephone consultation with a pediatric metabolic specialist.”
  • Modifications to Screening Result Notes for some disorders:
    • Updated recommendations for some confirmatory testing and follow up care
    • Updated referral and specimen recollection timeframes
    • Improved uniformity of notes across full range of notes

A full list of newborn screening test reporting results can be found here.

Reminder: Read screening result notes fully before taking action.

Questions / Comments

Call 1-888-963-7111 ext. 7333 or locally 512-776-7333

Email: NewbornScreeningLab@dshs.state.tx.us

Posted April 3, 2019 


IMPORTANT NOTICE

X-linked Adrenoleukodystrophy (X-ALD) Screen to be Added to

Texas Newborn Screening Panel

 

The Department of State Health Services (DSHS) is beginning the process to add X-linked Adrenoleukodystrophy (X-ALD) screening to the Texas Newborn Screening (NBS) Panel.

What is X-ALD?

X-ALD happens when the body cannot breakdown certain fats (very long chain fatty acids – VLCFAs). These fats then build up, affecting the nervous system and adrenal glands the most.

How common is X-ALD?

About 1 in 17,000 babies are affected by X-ALD; it most severely affects males.

Where can I find more information on X-ALD?

Watch for continued updates, including list serve announcements, throughout the implementation process. 

Find more information at Baby’s First Test

When will X-ALD be added to the Texas NBS Panel?

This addition is anticipated to begin in the fall of 2019.

Will there be a fee increase? 

Yes, an increase is expected. DSHS will notify stakeholders of the amount at least 90 days prior to implementation.

Will more blood be needed to complete this test?

No. Continue to collect 5 completely saturated blood spots.

What conditions are included on Texas Newborn Screening Panel?

Currently, Texas screens for  31 identified core conditions, and reports on an additional 24 secondary conditions. Note: Secondary conditions may be detected during screening for core conditions and some secondary conditions may be as severe and life threatening as core conditions.

A list of the conditions on the Texas Newborn Screening Panel can be found  here (pdf).

     

For questions or comments:

 1-888-963-7111 ext. 7333 or 512-776-7333

Email: NewbornScreeningLab@dshs.texas.gov

Posted March 21, 2019 


Updated Newborn Screening Refusal

Form Now Available

   

Healthcare providers, your help is needed to ensure parents understand the purpose and importance of newborn screening before they refuse.

   

Steps to take if parent refuses newborn screening:

  • Discuss the general purpose and benefits of newborn screening.
  • Answer all questions the parents may have about newborn screening.
  • Provide printed informational materials to the parent.
  • Explain that the only legal reason to refuse is if the test conflicts with the religious practices of an organized church of which they are members.
  • Show the parents: Newborn Screening: More Than Drops On a Card, a video about families that benefited from newborn screening.

If the parent still refuses:

For more information or questions:

BIOCHEMISTRY AND GENETICS BRANCH * LABORATORY SERVICES * PO BOX 149347 * AUSTIN, TX 78714-3194

Posted March 21, 2019


NEW!

Texas Newborn Screening (NBS) Annual Report

TOGETHER in 2018 we:

  • Screened over 380,000 babies and over 740,000 NBS specimens
  • Identified over 750 babies (to date) affected by one of the NBS Disorders

Texas babies depend on the entire NBS System - KEEP UP THE TEAMWORK!  

NEW! Texas Newborn Screening By The Numbers provides:

*ACHDNC Recommended

Timeliness Performance Measures (Goal = 95%)

Texas

status

Initial NBS specimen collection - within the appropriate time frame for the newborn’s condition but no later than 48 hours after birth 97%
Transportation of initial NBS specimens – received at the laboratory as soon as possible; ideally within 24 hours of collection 23.8%
Reporting of initial screen presumptive positive time critical condition results; as soon as possible, but no later than five days of life 63.2%
Reporting of initial screen presumptive positive time sensitive condition results; as soon as possible, but no later than seven days of life 83.3%
Completion of all initial screen NBS tests within seven days of life with results reported to the healthcare provider as soon as possible 81%

*U.S. Health and Human Services Secretary’s Advisory Committee on Heritable Disorders in Newborns and Children (ACHDNC)

 

Questions / Comments

1-888-963-7111 ext. 7333  OR  512-776-7333

Email: NewbornScreeningLab@dshs.state.tx.us

BIOCHEMISTRY AND GENETICS BRANCH * LABORATORY SERVICES SECTION * PO BOX 149347 * AUSTIN, TX 78714-3194

Posted March 13, 2019 


Texas Department of State Health Services Laboratory - Annual Customer Satisfaction Survey, Austin TX

Please complete the following survey. Your responses are very important as they help us improve our services.

The survey will take approximately 5 minutes to complete.  Please click “OK” to begin the survey. 

Please complete the survey by March 25, 2019.

If you have questions, contact the DSHS Laboratory at 512-776-7598.

Posted February 27, 2019


Process Change for Electronically Received Newborn Screening Demographic Information

Effective March 1, 2019, the DSHS Laboratory will update the process for electronically submitted newborn screening specimen demographic information. 

The revised process has been developed to minimize specimen testing delays, decrease potential processing errors, and reduce staff time handling erroneously entered electronic demographic information.

Please review the revised process ( Remote Services Specimen Acceptability and Handling Rules) and contact us if you have any questions or concerns.

Questions?

Call: 1-888-963-7111 ext. 7333 or for local calls 512-776-7333

Email: NBSRemoteDataServices@dshs.texas.gov 

 

BIOCHEMISTRY AND GENETICS BRANCH * LABORATORY SERVICES SECTION * PO BOX 149347 * AUSTIN, TX 78714-3194

Posted February 13, 2019 



The Texas Department of State Health Services (DSHS) Laboratory Services Section(LSS) is proposing changes to the Texas Administrative Code (TAC).

The purpose of the changes is to repeal rules §73.54 and §73.55 related to the Fee Schedule for Clinical Testing and Newborn Screening, as well as Chemical Analyses, from TAC. Additionally, rule §73.41 will be amended to direct stakeholders to the LSS website to view the most current laboratory fee schedule.

The public comment period ends January 27, 2019.  Additional details, including a full draft of the proposed rule changes may be found here.     https://hhs.texas.gov/laws-regulations/policies-rules/health-human-services-rulemaking

Posted January 10, 2019 


2019 IS Here

Wrong dates will delay specimen testing or cause specimen REJECTION.


Avoid Delays and Specimen Rejection:

  • Ensure dates (including year) are complete and accurate. 
  • Assign staff to double check that all specimen information is:
    • Complete
    • Accurate
    • Legible
  • Respond to DSHS staff requests for clarifying information.


    Example of correct date and time format:

RE%%

   

For questions or comments:

Call toll free: 1-888-963-7111 ext. 7333 or for local calls 512-776-7333

Email:  NewbornScreeningLab@dshs.state.tx.us

Posted January 2, 2019


2019 Will Soon Be Here

Wrong dates will delay specimen testing or cause specimen REJECTION.


  Avoid Delays and Specimen Rejection:

  • Ensure dates (including year) are complete and accurate. 
  • Assign staff to double check that all specimen information is:
    • Complete
    • Accurate
    • Legible
  • Respond to DSHS staff requests for clarifying information.

RE%%

   

For questions or comments:

Call toll free: 1-888-963-7111 ext. 7333 or for local calls 512-776-7333

Email: NewbornScreeningLab@dshs.state.tx.us

 



ATTENTION SUBMITTERS

CHECK THE EXPIRATION DATE ON

DSHS SNAP-APART FILTER PAPER CARDS


DSHS Snap-Apart filter paper cards, with lot number W131 (magenta ink),

EXPIRE on January 31, 2019.

These cards are used for Hemoglobin Electrophoresis, PKU monitoring, and DNA testing.

Specimens collected on these cards after January 31, 2019 will beREJECTED.


What to do next:

  • Discard any remaining cards after 1/31/2019.
  • To order more DSHS Snap Apart Filter Paper Cards:

     o  Email: ContainerPrepGroup@dshs.texas.gov  or Call: 1-888-963-7111 ext. 7661.

 


Questions / Comments

Call toll free: 1-888-963-7111 ext. 7333 or for local calls 512-776-7333

Email: NewbornScreeningLab@dshs.texas.gov


Posted December 18, 2018


Austin Laboratory Christmas and New Year 

Holiday Closure Reminders

 

Newborn Screening Laboratory:

Christmas Holiday Closed Dates:

12/25/2018 – 12/26/2018

  • Newborn screening specimens received and accessioned on Monday, 12/24/2018 will be tested immediately by the Newborn Screening Laboratory.
  • Healthcare providers may be notified of critical level preliminary presumptive positive results on Tuesday, 12/25/2018.
  • Newborn screening testing will resume on Thursday, 12/27/18.

New Year’s Holiday Closed Date: 1/1/2019

  • Newborn screening specimens received and accessioned on Monday, 12/31/2018 will be tested immediately by the Newborn Screening Laboratory.
  • Newborn screening testing will resume on Wednesday, 1/2/2019.

Reminders:

  • DO NOT delay collection or shipment of newborn screening specimens.
  • Ship dried specimens within 24 hours. If mail or courier services are unavailable, ship as quickly as possible.


Questions? Contact the Texas DSHS Laboratory:

Call toll free: 1-888-963-7111 ext. 7318 or for local calls 512-776-7318

Email: LabInfo@dshs.texas.gov

NewbornScreeningLab@dshs.texas.gov

Or:  ClinicalChemistry@dshs.texas.gov



Posted December 6, 2018



RESULTS ARE JUST A CLICK AWAY…

 

Sign up for a free online account today!


Available remote data systems:  

  • Newborn Screening (NBS) Results via Neometrics
  • Clinical Chemistry (THSTEPS) Results via Results-Web Portal
  • Public Health Microbiology (PH) Results via Results-Web Portal 
  • Public Health Microbiology (PHLIMS for Epidemiologists) Results via Results-Web Portal (LabWare)   


Signing up is easy!

To use the above remote data system(s), complete these forms:

  • One Facility Security Agreement per facility (or per Submitter ID) (pdf)
  • One Web User Access Agreement per user (pdf)  

Once forms are completed email to: Remotelabsupport@dshs.texas.gov  

More information about the web applications can be found on the DSHS Laboratory Services Section website here.

Posted October 30, 2018



NEWBORN SCREENING:

TIPS ON HOW TO COMPLETE THE DEMOGRAPHIC FORM

   

View and share Newborn Screening Kit Completion video for more information.

Manual entry on the demographic form:

  • Complete all areas
  • Use black ink
  • Write in CAPITAL LETTERS, apply enough pressure for carbon copy
  • Enter correct birth date and collection date    
  • Enter GRAMS for birthweight: 88888888888
      
  • Enter only LAST NAME in Last Name Field

  • Enter only FIRST NAME in First Name Field

  • Write corresponding number in the box for numbered fields (example below)

    0000000000000

Using DSHS approved demographic labels:

  • Ensure all entered information is printed correctly on labels
  • Enter correct birth date and collection date

Your help is needed. Please ensure all information is complete, accurate, and legible prior to shipping. Incorrect, missing, misplaced, or invalid information can cause specimen rejection, delays in testing, and incorrect testing results and reports.

 For questions or comments:

Call toll free: 1-888-963-7111 ext. 7578 or for local calls 512-776-7578

Email: NewbornScreeningLab@dshs.texas.gov
Posted October 30, 2018


ATTENTION NEWBORN SCREENING SUBMITTERS

Hemoglobin G Reporting Resumes October 11, 2018

Effective 10/11/2018, specimens showing possible Hemoglobin G during testing, resumed reporting as “Hemoglobin G”.

For questions or comments:

Call toll free: 1-888-963-7111 ext. 7333 or for local calls 512-776-7333
Email: NewbornScreeningLab@dshs.texas.gov

Posted October 16, 2018



Texas Department of State Health Services - Laboratory

Thanksgiving Holiday Closure Reminders

The Texas DSHS Laboratory in Austin will be closed:
11/22/2018 - Thursday
11/23/2018 – Friday


Newborn Screening (NBS)

Testing Notices:

  • NBS specimens received and accessioned on Wednesday, 11/21/2018 will be tested immediately by the NBS laboratory.
  • Healthcare providers may be notified of critical level preliminary presumptive positive results on Thursday, 11/22/2018 (Thanksgiving Day).
  • NBS testing will resume on Saturday, 11/24/2018.
  • Healthcare providers may be notified of critical level preliminary presumptive positive results on Sunday, 11/25/2018.

Healthcare Provider Reminders: 

  • DO NOT delay collection or shipment of newborn screening specimens.
  • Ship dried specimens within 24 hours. If mail or courier services are unavailable, ship as quickly as possible.

Clinical Chemistry

Testing Notices:

  • The Clinical Chemistry laboratory must receive specimen submissions for total hemoglobin, lead, glucose, lipid/cholesterol and creatinine testing by Wednesday, 11/21/2018 to complete testing prior to the holiday.
  • DO NOT ship cholesterol, lipid profile, glucose, or creatinine specimens on Fridays or on the day before a state-observed holiday.

Healthcare Provider Reminders:

  • Specimens submitted for lead and total hemoglobin testing must be received within 14 days of collection.
  • Specimens submitted for glucose, lipid/cholesterol and creatinine testing must be received according to specimen submission guidelines available at http://www.dshs.texas.gov/lab/mrs_labtests_toc.shtm

Microbiology

Testing Notices:

  • Specimens for rabies testing should be shipped via Greyhound Bus.  Specimens received between 8 AM and noon on Wednesday, 11/21/2018 will be tested Friday, 11/23/2018 and positive results will be called out before noon. 
  • Emergency testing will be available on Friday, 11/23/2018 and Saturday, 11/24/2018 by arrangement with laboratory personnel (512-776-7595) if specimen receipt can be guaranteed.   Negative specimen results will be available Monday, 11/26/2018.  All other specimens will be tested on Monday, 11/26/2018 and reported before 5 PM.

Healthcare Provider Reminders:

  • Viral Isolation Laboratory:  Do not ship specimens Wednesday, 11/21/2018 – Sunday, 11/25/2018.  If specimens are collected during this time period, please store at -70°C or below and ship specimens the following week, beginning Monday, 11/26/2018 on dry ice.
  • Mycobacteriology/Mycology Laboratory (TB): To receive expedited AFB Smear and/or NAAfor M. tuberculosis test results before the holiday, please ensure that specimens are delivered to the laboratory by 8:30 AM on Wednesday, 11/21/2018. Please telephone expedited test requests to 512-776-7342.

   

Questions? Contact the Texas DSHS Laboratory:

Call toll free: 1-888-963-7111 ext. 7318 or for local calls 512-776-7318

Email: LabInfo@dshs.texas.gov

NewbornScreeningLab@dshs.texas.gov

Or: mailto:ClinicalChemistry@dshs.texas.gov

Posted October 2, 2018



Changes to Newborn Screening CAH Testing and Result Reporting Statements Effective September 17, 2018

The Texas DSHS Newborn Screening (NBS) Laboratory added a second-tier reflex test for screening of Congenital Adrenal Hyperplasia (CAH). Two new CAH result reporting statements were added, and all other abnormal CAH results were updated to reflect the addition of this testing methodology. These updates went into effect on September 17, 2018.

A full list of all test results can be found here:

http://www.dshs.texas.gov/lab/nbs/results/

Reminder: Read screening result notes fully before taking action.

Original notification: “Changes to Newborn Screening CAH Testing and Result Reporting Statements” sent on September 4, 2018, can be found here.


Questions / Comments

Call toll free: 1-888-963-7111 ext. 7333 or for local calls 512-776-7333

Email: NewbornScreeningLab@dshs.texas.gov

Posted September 18, 2018



September is National Newborn Screening Awareness Month

NBS National Newborn month

Thank you for ensuring the babies of Texas are screened!

Newborn screening is recognized as the largest and most successful public health disease prevention program in the US.

Your involvement in early detection and treatment is crucial to prevent death or a lifetime of severe disabilities. Through the Texas Newborn Screening Panel, more than 850 babies are diagnosed with one of the 53 screened conditions each year.

See and share Newborn screening:  More Than Drops on a Card.


NBSdfgh


Questions / Comments

Call toll free: 1-888-963-7111 ext. 7333 or for local calls 512-776-7333

Email: NewbornScreeningLab@dshs.texas.gov

NBS month

Posted September 10, 2018

Newborn Screening Facility Report Card Change

In February 2015, the Secretary’s Advisory Committee on Heritable Disorders in Newborns and Children (ACHDNC) formalized a series of recommendations regarding newborn screening (NBS) timeliness goals. One recommendation is that NBS specimens should be received at the state laboratory as soon as possible; ideally within 24 hours of collection.

To help facilities monitor the progress of this recommendation, the NBS Facility Report Cards will change starting with August 2018 data.

For questions or comments:

Call toll free: 1-888-963-7111 ext. 7333 or for local calls 512-776-7333

Email: NewbornScreeningLab@dshs.texas.gov

Posted September 10, 2018


Attention Newborn Screening Submitters Change to hemoglobin reporting

Due to issues with quality control material, effective 9/6/2018, “Hemoglobin G” will no longer be reported. Specimens showing possible Hemoglobin G during testing will be reported as “Other” hemoglobin variant.

For questions or comments:

Call toll free: 1-888-963-7111 ext. 7333 or for local calls 512-776-7333

Email: NewbornScreeningLab@dshs.texas.gov


Posted September 06, 2018


Changes to Newborn Screening CAH Testing and Result Reporting Statements

The Texas DSHS Newborn Screening (NBS) Laboratory is adding a second-tier reflex test for screening of Congenital Adrenal Hyperplasia (CAH). Two new CAH result reporting statements will be added and all other abnormal CAH results will be updated to reflect the addition of testing methodology. These updates are scheduled to go into effect September 17, 2018. All changes are indicated in red. Please see Attachment.

A full list of all possible results can be found here: http://www.dshs.texas.gov/lab/nbs/results/.

Reminders:

  • Read Screening Result Notes fully before taking action.
  • Contact the DSHS Laboratory with any questions:

         Telephone: 1-888-963-7111 X7585 or x2638 

         Email: mailto:NewbornScreeningLab@dshs.texas.gov


Posted September 04, 2018



Attention Newborn Screening Submitters

2016 Newborn Screening kits with a serial number beginning with 16 (16-XXXXXXX) EXPIRE on 

September 1, 2018.

Check the Expiration Date on Your Newborn Screening kits.

Do Not Use ‘16 kits to collect NBS specimens. 

All specimens collected on ‘16 kits after September 1, 2018 will be REJECTED.

  NBS4 (Insurance/Self-Pay) Kit Exchange Process

  • Complete the G-6D “Newborn Screening Supplies” order form
  • Count the number of expired NBS4 kits. Write the number of forms to be exchanged in the appropriate “Quantity Requested” box
  • Write “Exchange” in the “Billing – Purchase Order Number” box section of the form
  • Send the completed form and expired NBS4 kits to the Container Preparation Group. The mailing address can be found on the website .  
  • Exchanges will only be accepted for up to 3 months after the kit expiration date (e.g. kits expired on September 1, 2018 need to be received by DSHS on or before December 1, 2018)
  • Allow DSHS 5 business days from receipt of exchange request to process the request.

  Note:

  • To order additional new kits, complete a second G-6D “Newborn Screening Supplies” order form. Orders for additional kits will not be processed from the same G-6D form as the request for exchange of expired kits. Only the exchange will be processed.
  • Do NOT return expired NBS3 (Medicaid/Charity Care/CHIP) kits. Dispose of them appropriately.

Additional Information

For more information review the Frequently Asked Questions section about kit exchange Frequently Asked Questions section about kit exchange on the Newborn Screening website.

Questions / Comments

Call toll free: 1-888-963-7111 ext. 7661 or for local calls 512-776-7661

Email: ContainerPrepGroup@dshs.texas.gov

Website: http://www.dshs.texas.gov/lab/newbornscreening.shtm

Posted August 31, 2018


The Texas Department of State Health Services (DSHS) Laboratory Services Section  is proposing changes to the Texas Administrative Code (TAC).

The purpose of the changes is to repeal rules §73.54 and §73.55 related to the Fee Schedule for Clinical Testing and Newborn Screening, as well as Chemical Analyses, from TAC. Additionally, rule §73.41 will be amended to direct stakeholders to the LSS website to view the most current laboratory fee schedule.


Changes to the Laboratory’s Public Fee Schedule will be made based on the business needs of the LSS and the public health needs of the department and posted on the Laboratory’s website for stakeholder review. Changes to available laboratory testing and related pricing may include implementing new testing methodologies, updating fees to reflect the cost of testing, and eliminating certain low volume tests to make more efficient use of staff time and to reduce costs. Any increase in fees may include processes for stakeholder input as well as customer communication regarding all changes to the fee schedule.

A full draft of the proposed rule changes may be found in the draft rules section here. https://hhs.texas.gov/laws-regulations/policies-rules/health-human-services-rulemaking

For questions or comments please contact Martha Thompson at martha.thompson@dshs.texas.gov or 

(512) 776-6191 by August 31, 2018.


Posted August 20, 2018 


Notice of Rider 37 Stakeholder Meeting - DSHS Newborn Screening Program
Thursday, July 12, 2018 2:00pm – 4:00pm

The Department of State Health Services (DSHS) will hold a stakeholder meeting to accept comments as the agency develops a report for the S.B. 1, 85th Legislature, Regular Session, Article II, Department of State Health Services, Rider 37. DSHS will receive oral or written comments by interested persons. Individuals can present oral statements when called upon in order of registration. DSHS will determine the comment time for each individual by the total number of persons registered to speak in the time allotted. If time permits, each speaker will have three minutes, but this amount may be adjusted to allow for more registrants to provide comments.

"Department of State Health Services Rider 37 Stakeholder Meeting Presentation Link July 12, 2018"  

Location:

Department of State Health Services Central Campus
Moreton Building – Room M-100
1100 West 49th Street, Austin, TX
For location details: http://www.dshs.texas.gov/visitor/complex.shtm

Background:

The 2017-18 General Appropriations Act, S.B. 1, 85th Legislature, Regular Session, 2017 (Article II, Department of State Health Services, Rider 37) requires the Department of State Health Services (DSHS) to study the most effective way to bill private insurers for newborn screening kits. The study must include the feasibility of requiring DSHS to bill private insurers for the cost of newborn screening kits and of requiring private insurers to automatically update their payment rates for the cost of newborn screening kits based on panel changes.

Stakeholders may provide comments in person on July 12th or submit written comments until August 3, 2018. Stakeholders are encouraged to share this notice with colleagues and affiliated organizations, partners, and anyone who may be interested in this report.

Written comments may be sent to:
E-mail: NewbornScreeningLab@dshs.texas.gov
Fax: 512-776-7221 Attention: Newborn Screening
Mail:
Texas Department of State Health Services
Newborn Screening Laboratory, MC 1947
PO Box 149347
Austin, TX 78714-9347

Review the Stakeholder Meeting Agenda for details regarding meeting topics and comment opportunities.


Attention Newborn Screening Submitters

CHECK THE EXPIRATION DATE ON YOUR NEWBORN SCREENING KITS

Questions / Comments

Call toll free: 1-888-963-7111 ext. 7333 or for local calls 512-776-7333

Email: NewbornScreeningLab@dshs.texas.gov

Website: http://www.dshs.texas.gov/lab/newbornscreening.shtm 

Posted Jun 15, 2018 


Survey on Billing Processes/Challenges for Texas Newborn Screening Kits

DSHS is conducting this survey to:

  • Gain understanding of potential billing barriers faced by healthcare providers
  • Gather information as part of a larger study by DSHS to assess the most effective way to bill private insurers for newborn screening kits.   

Click here to complete this quick survey. Your responses are confidential and any information provided will be used as part of the billing effectiveness study only. Your participation is greatly appreciated. 

Please complete survey by Sunday, April 15, 2018.

 Re-posted Apr 18, 2018 


Newborn Screening – Medicaid vs. PAID Kits

Choosing the Correct Kit for Specimen Collection

posted Jan 12, 2018


The New Year of 2018 is Here

Dates need to be recorded accurately (including year). Be mindful of the year change. Invalid dates (months, days or years) will cause unnecessary delays in testing or a specimen to be REJECTED.  

posted Jan 03, 2018


Hurricane Harvey Contingencies: Newborn Screening

Important Actions:

  • For All Newborns in your care: 
    • Collect 1st screens at 24-48 hours of age.
    • Collect 2nd screens at 7-14 days of age.
  • The 2nd screen may be the earliest opportunity to identify a newborn screening disorder.
    • If the 1st screen was missed, collect a specimen as soon as possible,
    • Collect the 2nd screen soon after 7 days of age.
  • Ensure the parent/guardian contact information will be valid throughout any potential family/baby relocation.
  • Ship specimens as soon as possible.
  • Ensure that newborn screening results are known, documented, and discussed with the family/caregiver.
  • Facilitate repeat or confirmatory testing, appropriate subspecialty referral and timely intervention if necessary
    Services:
  • The Texas Newborn Screening Program is fully operational and here to provide service and support.
  • Contact the DSHS Laboratory if you need specific help or have a suggestion on how DSHS can assist you with getting newborn screening specimens to the Laboratory. 

Posted Sept 7, 2017


  • Effective June 1, 2017, The Texas Department of State Health Services’ Laboratory Services Section Newborn Screening Program will offer a molecular testing services to identify variants in the Very Long-Chain Acyl-CoA Dehydrogenase (VLCAD) gene. Newborn Screening specimens with screening results of “Possible VLCAD” will be reflexed to a second-tier sequencing analysis at no additional charge to the health care provider. A VLCAD DNA result report separate from the regular Newborn Screening result report will then be sent to the submitting health care facility.  
       Posted 5/26/2017
  • Change in Laboratory Testing Acceptance Criteria – Specimen Labeling Must Include Two Patient Identifiers
    Effective September 1, 2016, all specimens must be labeled with at least two patient specific identifiers; both a primary and a secondary identifier. The identifiers must appear on both the primary container (or card) and the associated submission form. Please see the specimen acceptance criteria update letter for additional details and acceptable patient identifiers.
       Posted 7/25/16
  • Changes to NBS Cystic Fibrosis Testing and Result Reporting Statements
       Posted 5/26/2016
  • New National Recommendations for Timely Collection and Submission of Newborn Screening Specimens
       Effective immediately

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Last updated June 24, 2019