Ariz. Admin. Code § R9-13-117 – Renumbered

1. A student whose parent has objected to the student receiving a hearing screening, as specified in A.R.S. § 36-899.04.
2. A student who has been diagnosed as being deaf or hard of hearing.
3. A student who is at least 16 years of age and has requested not to receive a hearing screening according to A.R.S. § 36-899.01.
1. A student whose parent objects to the student receiving a vision screening, as specified in A.R.S. § 36-899.10;
2. A student who has been diagnosed as being legally blind or having vision impairment;
3. A student enrolled in a private education program, as specified in A.R.S. § 36-899(5);
4. A student who is an “emancipated person” defined in A.R.S. § 12-2451 and objects to receiving a vision screening; or
A. Otoacoustic Emissions devices may be used to screen the following populations:
1. 1. Students who are between the ages of one year but less than six years of age who cannot participate in pure tone hearing screening.
2. 2. Students who are six years of age and older who cannot participate in pure tone hearing screenings, for example children with special healthcare needs and children with developmental delays or disabilities.
A. Autorefractors/photoscreeners may be used to screen the following populations:
1. 1. Students who are between the ages of one year but less than six years of age who cannot participate in optotype visual acuity screening.
2. 2. Students who are six years of age and older who cannot participate in optotype visual acuity screenings, for example, children with special healthcare needs and children with developmental delays or disabilities.
B. Autorefractors/photoscreeners do not measure visual acuity but identify the presence of risk factors that could lead to problems with visual acuity. Therefore, Autorefractors/photoscreeners should not be used in lieu of near or distance optotype visual acuity screening for students that are able to participate.

Table 13.1 Hearing Screening Population

A. Students Included in the Hearing Screening Population
1. All grades, including preschool and kindergarten	Every student, within 90 school days after initial enrollment to school if the school does not have documentation of a previous hearing screening within the last 12 months. Additional screening is applicable to every student if one of the following applies: a. The student receives or is being considered for special education services pursuant to A.R.S. Title 15, Chapter 7, Article 4, and A.A.C. Title 7, Chapter 2, Article 4; b. A teacher has requested a screening for the student; c. The student did not pass a hearing rescreening during the previous school year; or d. The student is repeating a grade.
2. Preschool	Every enrolled student
3. Kindergarten	Every enrolled student
4. Grade 1	Every enrolled student
5. Grade 3	Every enrolled student
6. Grade 5	Every enrolled student
7. Grade 7	Every enrolled student
8. Grade 9	Every enrolled student
9. Grades 10, 11, and 12	Every enrolled student for whom the school does not have documentation that the student received and passed a hearing screening in or after grade 9.
B. Students Not Included in the Hearing Screening Population

4. A student enrolled in a child care facility regulated pursuant to A.R.S. Title 36, Chapter 7.1.

Historical Note

Table 13.1 made by final rulemaking at 25 A.A.R. 1827, effective July 2, 2019 (Supp. 19-3). Amended by final rulemaking at 30 A.A.R. 1949 (May 31, 2024), effective July 7, 2024 (Supp. 24-2).

Table 13.2 Vision Screening Population

A. Students Included in Vision Screening Population
1. All grades	Every enrolled student, within 90 school days after initial enrollment to school if the school does not have documentation of a previous vision screening within the last 12 months. Additional screening applicable to every student if one of the following applies: a. The student receives or is being considered for special education services pursuant to A.R.S. Title 15, Chapter 7, Article 4, and A.A.C. Title 7, Chapter 2, Article 4, and who has not been screened in the last year; b. A teacher has requested a screening for the student, and the student has not been screened in the previous year; or c. The student is not reading at the proficient level by the third grade pursuant to the state assessment required in ARS 15-741.
2. Preschool	Every enrolled student, if initial entry
3. Kindergarten	Every enrolled student, if initial entry
4. Grade 3	Every enrolled student.
5. Grade 7	Every enrolled student.
B. Students Not Included in Vision Screening Population

5. A student enrolled in a child care facility regulated pursuant to A.R.S. Title 36, Chapter 7.1.

Historical Note

Table 13.2 made by final rulemaking at 30 A.A.R. 1949 (May 31, 2024), effective July 7, 2024 (Supp. 24-2).

Table 13.3 Hearing Screening Requirements

Screening Type	Pure Tone Audiometry	Pure Tone Audiometry/Tympanoetry	Otoacoustic Emissions
Grade Level	All students who are cognitively and behaviorally able to participate.	Tympanometry may be added to pure tone screenings at the discretion of the screening program.	Initial Entry to preschool or kindergarten
			Students who are cognitively or behaviorally limited in their ability to participate in pure tone screenings
Passing Criteria	Screen each student’s ears, with the response recorded at the following criteria:
	1000 Hz at 20 dB HL, 2000 Hz at 20 dB HL, and 4000 Hz at 20 dB HL;	The height of the peak acoustic immittance is > 0.3 mmho, mL, or compliance; or The tympanometric width or gradient is < 250 daPa; and	The display screen of the otoacoustic emissions device indicates results that the student has passed
		1000 Hz at 20 dB HL, 2000 Hz at 20 dB HL, and 4000 Hz at 20 dB HL;
Otoacoustic Emissions Screening

B. Otoacoustic emissions screenings do not measure the child’s ability to detect or respond to sound but measure the response of inner ear structures to auditory stimulation. Therefore, otoacoustic emissions screening should not be used in lieu of pure tone audiometry screening for those students that are able to participate.

Historical Note

Table 13.3 made by final rulemaking at 30 A.A.R. 1949 (May 31, 2024), effective July 7, 2024 (Supp. 24-2).

Table 13.4 Vision Screening Requirements

Screening Type	Distance and Near Visual Acuity	Stereoacuity	Color Vision Deficiency
Grade Level	Initial Entry to Preschool or Kindergarten (if able to participate)	Initial Entry to Preschool or Kindergarten (if able to participate)	Initial Entry to Preschool or Kindergarten
	Grade 3	Grade 3
	Grade 7
	A student who is not reading at a proficient level by the third grade or who meets the criteria in Table 13.2 (A)(1)
Passing Criteria	Able to identify the majority of the optotypes at the: 1. 20/50 line if 3 years old, 2. 20/40 line if 4 years old, 3. 20/32 line if 5 years or older.	According to the manufacturer’s criteria
Instrument-based Vision Screening

C. A student has passed an instrument-based vision screening if the display screen of the device indicates the results as passed.

Historical Note

Table 13.4 made by final rulemaking at 30 A.A.R. 1949 (May 31, 2024), effective July 7, 2024 (Supp. 24-2).

Historical Note

Effective 4-72. Correction, Section R9-13-117 omitted in Supp. 76-5 (Supp. 77-5). Section R9-13-117 renumbered and amended as Section R9-13-110 effective February 18, 1986 (Supp. 86-1).