1. (a) A DBS for re-screening shall be collected by the infant’s healthcare provider or birth facility of record in the following cases:

   1. (1) When an infant’s DBS was obtained prior to the first 24 hours of life;
   2. (2) When an infant was transfused before an initial DBS could be collected; or
   3. (3) When the laboratory deems any specimen as unsatisfactory or any result as OOR.

2. (b) Upon notification by the NSP, the infant’s healthcare provider shall:

   1. (1) Arrange for the repeat DBS collection or additional testing as requested by the NSP; or
   2. (2) Verify that another provider performs the requested testing.

3. (c) Upon request by the NSP, the healthcare provider shall report via secure means of transmission such as secure fax to 603-271-4519 or secure file transfer protocol, the following information:

   1. (1) Diagnosis and treatment information for infants whose newborn screening results warranted diagnostic evaluation for a newborn screening disorder;
   2. (2) Any suspected or confirmed case of a genetic condition or metabolic disorder listed on the newborn screening panel; and
   3. (3) Any additional, case follow-up information regarding these diagnoses as requested by the NSP.
4. (d) If the infant’s healthcare provider elects to utilize a laboratory service other than that utilized by the NSP to perform the retesting, the infant’s healthcare provider shall be responsible for providing the results of this testing to the NSP.
5. (e) If a requested repeat DBS is not received by the NSP within 4 weeks of the notice in (b) above, the department shall issue a certified letter to the infant’s healthcare provider and birth facility of record indicating that newborn screening testing is incomplete.
6. (f) The NSP shall cease attempts to obtain the repeat DBS and close its file after notice in (e) above, indicating the DBS was not received after follow-up.

Source. #8529, eff 12-23-05; ss by #9725, eff 7-1-10; ss by #12632, eff 9-28-18; ss by #13530, eff 1-25-23