Newborn Screening Notices

Questions

Posted April 29, 2021

Newborn Screening Result Report and Result Reporting Statements for Spinal Muscular Atrophy (SMA)

The Texas Newborn Screening (NBS) Laboratory plans to begin testing for SMA due to homozygous deletion of exon 7 in SMN1 in Summer of 2021.

SMA Results will display in an additional row on the disorder table:

SMA Results

Result Reporting Statements for SMA include:

Overall Specimen Result	Screening Result	Screening Result Note
Normal	Normal	n/a
Abnormal	Abnormal	Probable Spinal Muscular Atrophy. Deletion of SMN1 exon 7 detected. Zero copies of SMN2 detected. Recommend rapid molecular confirmation including SMN1 and SMN2 copy number and telephone consultation and referral to a neurologist or neurogeneticist within 24 hours.
Abnormal	Abnormal	Probable Spinal Muscular Atrophy. Deletion of SMN1 exon 7 detected. One copy of SMN2 detected. Recommend rapid molecular confirmation including SMN1 and SMN2 copy number and telephone consultation and referral to a neurologist or neurogeneticist within 24 hours.
Abnormal	Abnormal	Probable Spinal Muscular Atrophy. Deletion of SMN1 exon 7 detected. Two copies of SMN2 detected. Recommend rapid molecular confirmation including SMN1 and SMN2 copy number and telephone consultation and referral to a neurologist or neurogeneticist within 24 hours.
Abnormal	Abnormal	Probable Spinal Muscular Atrophy. Deletion of SMN1 exon 7 detected. Three copies of SMN2 detected. Recommend rapid molecular confirmation including SMN1 and SMN2 copy number and telephone consultation and referral to a neurologist or neurogeneticist within 24 hours.
Abnormal	Abnormal	Probable Spinal Muscular Atrophy. Deletion of SMN1 exon 7 detected. Four copies of SMN2 detected. Recommend rapid molecular confirmation including SMN1 and SMN2 copy number and telephone consultation and referral to a neurologist or neurogeneticist within 72 hours.
Abnormal	Abnormal	Probable Spinal Muscular Atrophy. Deletion of SMN1 exon 7 detected. Four or more copies of SMN2 detected. Recommend rapid molecular confirmation including SMN1 and SMN2 copy number and telephone consultation and referral to a neurologist or neurogeneticist within 72 hours.
Abnormal	Abnormal	Probable Spinal Muscular Atrophy. Deletion of SMN1 exon 7 detected. Five or more copies of SMN2 detected. Recommend rapid molecular confirmation including SMN1 and SMN2 copy number within 24 hours and referral to a neurologist or neurogeneticist within 7 days.
Abnormal	Abnormal	Probable Spinal Muscular Atrophy. Deletion of SMN1 exon 7 detected. SMN2 copy number cannot be determined. Recommend rapid molecular confirmation including SMN1 and SMN2 copy number and telephone consultation and referral to a neurologist or neurogeneticist within 24 hours.
Abnormal	Abnormal	free text
Normal	Revised Result	free text
Abnormal	Revised Result	free text
Unsatisfactory	Revised Result	free text
Unsatisfactory	Unsatisfactory	Unsatisfactory: Unable to evaluate for detection of SMN1 gene. Resubmit within 7 days.

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

Posted April, 2021

IMPORTANT NOTICE

Spinal Muscular Atrophy (SMA) to be Added to the

Texas Newborn Screening Panel

The Department of State Health Services (DSHS) will be adding screening for Spinal Muscular Atrophy (SMA) to the Texas Newborn Screening Panel in Summer 2021.

What is SMA?

Spinal Muscular Atrophy (SMA) is an inherited condition that affects the cells in the spinal cord that signal the muscles to work. Over time, the muscles get weaker and activities such as crawling, walking, sitting up, and controlling head movements become more difficult. Severe cases of SMA affect the muscles used for breathing and swallowing and can lead to early death.

When will SMA be added to the Texas NBS Panel?

This addition is anticipated to begin in the summer of 2021.

Will there be a fee increase?

Yes, an increase is expected and planned for January 2022. DSHS will notify stakeholders of the amount at least 90 days prior to the change.

Will more blood be needed to complete this test?

No additional blood is needed. Continue to collect 5 completely saturated or filled blood spots.

How common is SMA?

About 1 in 8,000 to 1 in 10,000 babies are affected by SMA.

Will the newborn screen detect all babies with SMA?

The test will identify SMA that is caused by a homozygous deletion of exon 7 in the SMN1 gene. This accounts for about 95% of all SMA cases.

Is there any treatment for SMA?

Although there is currently no cure for SMA, there are multiple FDA approved treatments available and effective if diagnosed early.

What conditions are included on Texas Newborn Screening Panel?

The Texas panel includes 54 laboratory and two point-of-care screens. A list of the conditions on the Texas Newborn Screening Panel can be found here (pdf).

Currently, the Texas Newborn Screening Laboratory screens for 30 core conditions and reports an additional 24 secondary conditions. With the addition of SMA, Texas will screen for 31 core conditions.

Where can I find more information on SMA?

Watch for continued updates, including list serve announcements, throughout the implementation process. Find more information on SMA at Baby’s First Test and CureSMA.

For questions or comments:

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

Posted April 22, 2021

Attention Newborn Screening Submitters

Hemoglobin G Reporting Resumes April 5, 2021

DSHS Newborn Screening Laboratory will resume reporting “Hemoglobin G.” Effective 04/05/2021, specimens showing possible Hemoglobin G during testing will be identified and reported on the newborn screening result report.

Questions / Comments

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

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

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

Posted April 05, 2021

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

The survey will take approximately 5 - 10 minutes to complete. Please click here to begin the survey.

Please complete the survey by April 15, 2021.

If you have questions, contact the DSHS Laboratory at 512-776-7578.

Posted March 15, 2021

2021 Winter Storm – Results from Samples Sent to Reference Lab

In response to the winter storm, the Department of State Health Services Newborn Screening Laboratory sent approximately 1,200 specimens to a reference laboratory to ensure timeliness of testing and reporting.

All reference laboratory testing has been completed. DSHS Clinical Care Coordination will follow up on any out of range results.
Submitters will still receive result reports from DSHS, but reports will deviate from the usual DSHS format.
A cover page will be included in all reports with the newborn demographics and submitter information.
The reference laboratory report will be attached to the cover page and will be at least 2 pages.
Results for all specimens will be available through the Texas Newborn Screening Web Application (Neometrics).
Submitters who receive results via mail, fax, or web application will receive results in the usual manner.
Submitters normally receiving results via HL7 will only receive reports via mail. No electronic results will be sent for affected specimens.
Submitters do not need to contact the reference laboratory for results.

The DSHS Newborn Screening Program appreciates the dedication and commitment of healthcare providers to ensure the best possible outcomes for Texas newborns.

Questions?

Contact Newborn Screening Laboratory:

Phone: 1 (888) 963-7111 ext. 7333 or Locally: 512-776-7333

Posted February 25, 2021

Newborn Screening Update - Specimens Received Too Old To Test

Due to delays in transit from the recent winter storm, DSHS has received a high number of specimens that are too old to test and report results based on regulatory requirements.
All specimens received 14 days or more since collection will be tested but will be reported on the newborn screening result report as “Unsatisfactory – Specimen Too Old Upon Receipt”.
All specimens reported as “Too Old Upon Receipt” MUST be recollected.
If there are results requiring immediate follow-up, DSHS Clinical Care Coordination will notify provider.
DSHS will issue a credit to providers who submitted specimens collected on NBS4 Test Kit Form (Insurance/self-Pay) that were reported as “Too Old Upon Receipt” due to storm related delays in shipping and receiving.
The credit will be issued based on DSHS records. No action will be needed by submitters.

Questions?

Contact Newborn Screening Laboratory:

Phone: 1 (888) 963-7111 ext. 7333 or Locally: 512-776-7333

After Hours Answering Service: 1-888-963-7111

Contact Clinical Care Coordination:

Email: Newborn@dshs.texas.gov

Posted February 24, 2021

UPDATE 2021 Winter Storm and Newborn Screening-TESTING RESUMED

Know:

The Texas Newborn Screening (NBS) Laboratory resumed normal operations starting Saturday, February 20.
DSHS courier pickups and deliveries have resumed.
NBS Program operations will continue at maximum capacity to resolve specimen backlogs.
DSHS shipped a limited number of specimens to a reference laboratory to improve timeliness of testing.
DSHS Clinical Care Coordination will provide follow-up outreach services as soon as results are available for samples tested in the TX NBS Laboratory and the reference laboratory.

Providers should continue to:

If a child is showing signs or symptoms of a possible critical newborn screening condition,
- Note that NBS results may not be available.
- Initiate diagnostic work-up or treatment as needed.
- Contact NBS Clinical Care Coordination immediately for assistance with follow-up recommendations and contact information for clinical referral specialists in your area.
Expedite follow-up activities on out-of-range results as much 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.
Collect and dry newborn screens within the appropriate timeframes.
- 1st newborn screen - between 24 - 48 hours of age or before hospital discharge.
- 2nd newborn screen - 1-2 weeks of age.
Ship specimens through normal delivery method as soon as possible.

The DSHS Newborn Screening Program appreciates the dedication and commitment of healthcare providers to ensure the best possible outcomes for Texas newborns.

Questions?

Newborn Screening Laboratory - Monday to Friday 8:00am-5:00pm:

512-776-7333

Newborn Screening Laboratory Emergency Contact: After Hours Answering Service:

512-689-9996 1-888-963-7111

Clinical Care Coordination Emergency Contact:

512-939-1216

Newborn@dshs.texas.gov

Posted February 20, 2021

2021 Winter Storm and Newborn Screening

Know:

The Texas Newborn Screening (NBS) Laboratory has been unable to resume operations since Saturday, February 13.
DSHS courier pickups and testing will resume as soon as possible.
DSHS may ship specimens to a reference laboratory to improve timeliness of testing.
Result reporting including out-of-range results will be delayed but completed ASAP.
DSHS Clinical Care Coordination will provide follow-up outreach services as soon as results are available.

Providers should continue to:

If a child is showing signs or symptoms of a possible critical newborn screening condition,
- Note that NBS results may not be available.
- Initiate diagnostic work-up or treatment as needed.
- Contact NBS Clinical Care Coordination immediately for assistance with follow-up recommendations and contact information for clinical referral specialists in your area.
Expedite follow-up activities on out-of-range results as much 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.
Collect and dry newborn screens within the appropriate timeframes.
- 1st newborn screen - between 24 - 48 hours of age, or before hospital discharge.
- 2nd newborn screen - 1-2 weeks of age.
Ship specimens through normal delivery method as soon as possible.
- Contact courier directly for service information for your area.
- Where courier services are delayed, store the specimens at room temperature in a dry location.
- Do not put specimens in air-tight sealed containers.

While navigating winter storm challenges, the DSHS Newborn Screening Program appreciates the dedication and commitment of healthcare providers to ensure the best possible outcomes for Texas newborns.

Questions?

Newborn Screening Laboratory Emergency Contact: After Hours Answering Service:

512-689-9996 1-888-963-7111

Clinical Care Coordination Emergency Contact:

512-939-1216

Newborn@dshs.texas.gov

Posted February 17, 2021

2021 IS HERE!

Wrong dates will delay Newborn Screening (NBS) specimen testing or cause

specimen REJECTION.

How to help avoid NBS testing 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:

NBS 2021 Update

Questions?

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

https://www.dshs.texas.gov/lab/MRS_labtests_toc.shtm

Posted December 31, 2020

Laboratory Christmas and New Year Holiday Closure Reminders

Newborn Screening Laboratory

Christmas Holiday Closed Date: 12/25/2020

The Newborn Screening Lab will be closed on Christmas Day and will resume testing on Saturday, 12/26/2020.

New Year’s Holiday Closed Date: 1/1/2021

The Newborn Screening Lab will be closed on New Year’s Day and will resume testing on Saturday, 1/2/2021.

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 soon as possible.

Clinical Chemistry Laboratory

Christmas Holiday Closed Dates: 12/24/2020 – 12/25/2020

Total hemoglobin, lead, glucose, lipid, cholesterol, and creatinine specimens must be received by Wednesday, 12/23/2020 to complete testing prior to the Christmas holiday.
DO NOT ship cholesterol, lipid panel, glucose, or creatinine specimens between the dates of 12/23/2020 - 12/27/2020.

New Year’s Holiday Closed Date: 1/1/2021

Total hemoglobin, lead, glucose, lipid, cholesterol, and creatinine specimens must be received by Thursday, 12/31/2020 to complete testing prior to the New Year’s holiday.
DO NOT ship cholesterol, lipid panel, glucose, or creatinine specimens on Thursday, 12/31/2020.

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

Microbiology Testing Notices

Christmas Holiday Closed Dates: 12/24/2020 – 12/25/2020

New Year’s Holiday Closed Date: 1/1/2021

Rabies Laboratory:

Note: Ship specimens for Rabies testing via Greyhound Bus.

Specimens for Rabies testing received before 8:00 AM on Wednesday, 12/23/2020 will be tested on Wednesday, 12/23/2020.
- Results will be available before 5:00 PM.
Specimens received between 8:00 AM and 3:00 PM on Wednesday, 12/23/2020 will be tested on Thursday, 12/24/2020 and preliminary results will be available by noon if requested.
All other specimens will be tested on Monday, 12/28/2020.
Specimens for Rabies testing received before 8:00 AM on Thursday, 12/31/2020 will be tested on Thursday, 12/31/2020.
- Results will be available before 5:00 PM.
Specimens received between 8:00 AM and 3:00 PM on Thursday, 12/31/2020 will be tested on Friday, 01/01/2021, and preliminary results will be available by noon if requested.
All other specimens will be tested on Monday, 01/04/2021.
Emergency testing is available on 12/24/2020, 12/26/2020, 01/01/2021 and 01/02/2021. Contact lab personnel to arrange emergency testing (512-776-7595). Specimen receipt must be guaranteed by 8:00 AM the day of testing.

Viral Isolation Laboratory:

DO NOT ship specimens between Wednesday, 12/23/2020 through Sunday, 12/27/2020.
- Store collected specimens at -70°C or below. Note: Upon approval, priority COVID-19 specimens can be tested. Pre-arrangement of testing is required.
- Ship specimens on dry ice for delivery on 12/29/2020.
DO NOT ship specimens on Thursday, 12/31/2020 through Sunday, 1/3/2021.
- Store collected specimens at -70°C or below. Note: Upon approval, priority COVID-19 specimens can be tested. Pre-arrangement of testing is required.
- Ship specimens on dry ice for delivery on Tuesday, 1/5/2021.

Mycobacteriology/Mycology Laboratory:

Note: Contact lab personnel for expedited test requests (512-776-7342).

To receive expedited AFB Smear and NAA for M. tuberculosis test results before the Christmas holiday:
- Ensure specimens are delivered to the laboratory by 8:00 AM on Wednesday, 12/23/2020.
DO NOT ship specimens on Wednesday, 12/23/2020 through Friday, 12/25/2020.
- Store collected specimens in the refrigerator, and ship for delivery on Monday, 12/28/2020.
DO NOT ship specimens to be delivered on Thursday, 12/31/2020 or Friday, 1/1/2021.
- Store collected specimens in refrigerator and ship for delivery on Monday, 1/4/2021.

Bacteriology Laboratory (Human Samples)

Bacteriology samples will not be accepted or tested on following dates:
- 12/24/2020 – 12/27/2020
- 1/1/2021 – 1/3/2021

AMD/WGS Samples

Whole genome sequencing samples will not be accepted or tested on following dates:
- 12/24/2020 – 12/27/2020
- 1/1/2021 – 1/3/2021

Serology Laboratory

DO NOT ship specimens to be delivered on Wednesday, 12/23/2020 through Friday, 12/25/2020.
DO NOT ship specimens to be delivered on Thursday, 12/31/2020 or Friday, 1/1/2021.

Bacteriology Water Samples

Water samples will NOT be accepted on the following dates:
- 12/23/2020 – 12/27/2020
- 12/31/2020
- 1/1/2021 – 1/3/2021

Newborn Screening Medicaid/Paid Card Order Requests

Priority overnight shipping requests received on 12/22/2020 will be processed and shipped via FedEx Priority Overnight.
Priority overnight shipping requests received on 12/29/2020 will be processed and shipped via FedEx Priority Overnight.
All requests received before noon on 12/23/2020 will be processed and shipped via FedEx Ground.
All requests received before noon on 12/30/2020 will be processed and shipped via FedEx Ground.
Requests received after noon on 12/23/2020 through 12/27/2020 will be sent Monday, 12/28/2020.
Requests received after noon on 12/30/2020 through 1/3/2021 will be sent Monday, 1/4/2021.

Texas Health Steps/PKU/TB/HIV/Courier Supply Order Requests

All requests received on 12/22/2020 will be audited, issued and shipped via FedEx Ground.
Requests received prior to 9:00 AM on 12/23/2020 will be audited, issued and shipped via FedEx Ground for pick up Wednesday afternoon.
Requests received after 9:00 AM on 12/23/2020 through 12/27/2020 will be audited, issued and shipped on Monday 12/28/2020 via FedEx Ground.
All requests received on 12/30/2020 will be audited, issued and shipped via FedEx Ground.
Requests received prior to 9:00 AM on 12/31/2020 will be audited, issued and shipped via FedEx Ground for pick up Thursday afternoon.
Requests received after 9:00 AM on 12/31/2020 through 1/3/2021 will be audited, issued and shipped on Monday 1/4/2021 via FedEx Ground.

***Per FedEx website FedEx Ground will be closed 12/25/2020 through 12/27/2020. & 1/1/2021 through 1/3/2021***

***Per FedEx website FedEx Express will have limited deliveries per area 12/24/2020 & 12/31/2020***

Questions? Contact the Texas DSHS Laboratory:

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

Or: ClinicalChemistry@dshs.texas.gov

Or: Lab.Microbiology@dshs.texas.gov

Or: ContainerPrepGroup@dshs.state.tx.us

Posted December 16, 2020

DSHS Newborn Screening Improvements to Primary Congenital Hypothyroidism Testing Methodology

The Department of State Health Services (DSHS) Newborn Screening (NBS) Laboratory—in collaboration with the CDC, Texas endocrinology consultants, and national experts—is conducting an improvement project to optimize screening for Primary Congenital Hypothyroidism (CH).

On December 7, 2020, the DSHS NBS Laboratory implemented initial changes to the CH testing methodology to support project activities. These modifications include:

Screening for Thyroxine (T4) and Thyroid Stimulating Hormone (TSH) for all newborn screening specimens.
Improved instrumentation with automated and continuous flow throughput.
Faster identification of newborns with critically high TSH levels.
No changes for result reporting statements, HL7 reporting or recommended follow-up activities.
A slight increase in the quantity of presumptive positive test results during the initial 6-9 months of the project.

What are the long-term goals of the project?

Determine the optimal screening algorithm for identification of CH and reduce the false positive rate and age at diagnosis.
Reduce the time to provider notification for critically high TSH levels.
Improve outcomes and reduce costs to the overall healthcare system.

How can I help to ensure the success of the project?

Provide CH diagnosis to the TX NBS Program as soon as available.
Notify the TX NBS Program of any Primary Congenital Hypothyroidism cases missed by newborn screening.

Will there be a fee increase?

No. Project activities are funded with the generous support of the CDC.

Will more blood be needed to complete this test?

No. Continue to collect 5 fully saturated blood spots.

Where can I find more information on Primary Congenital Hypothyroidism?

Find more information at Baby’s First Test .

For questions or comments:

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

Posted December 16, 2020

Check the Expiration Date on Newborn Screening Kits

Newborn Screening (NBS) kits with serial number 18 (18-XXXXXXX), EXPIRE on December 31, 2020.

Do Not Use ‘18 kits to collect NBS specimens after December 31, 2020. Specimens collected on ‘18 kits after December 31, 2020 will be REJECTED.

To Exchange NBS4 (Insurance/Self-Pay) Kits:

Complete the G-6D “Newborn Screening Supplies” order form.
Count the number of remaining expired NBS4 kits.
Write the number of expired NBS4 kits to exchange in the “Quantity Requested” box
Write “Exchange” in the Billing – Purchase Order Number box.
Ship the completed form and expired NBS4 kits (insurance /self-pay) to the Container Preparation Group:

Courier Delivery Address (FedEx, UPS, or other)

DSHS – Laboratory Services Section

Container Preparation Group

1100 W. 49^th St.

Austin, TX 78756-3199

USPS Address (regular mail service)

DSHS – Laboratory Services Section, MC 1947

Container Preparation Group

PO Box 149341

Austin, TX 78714-934

NOTE: Do Not return expired NBS3 (Medicaid/Charity Care/CHIP) kits. Dispose of them appropriately.

The shipping cost is the responsibility of the submitter.
Exchanges are accepted up to 3months after the kit expiration date (e.g. kits expired on December 31, 2020 need to be received by DSHS on or before March 31, 2021).
Allow DSHS five (5) business days from receipt of exchange request to process the request.

To order additional new kits:

Complete a secondG-6D “Newborn Screening Supplies” order form.
Send the completed form to the Container Preparation Group.

NOTE: 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.

Additional Information:

Review NBS4 (Insurance/Self-Pay) Kit Exchange of Expired Kits.

Questions / Comments

888-963-7111 ext. 7661 or 512-776-7661

https://www.dshs.texas.gov/lab/newbornscreening.shtm

Laboratory Newborn Screening URL:

This service is provided to you at no charge by the Texas Department of State Health Services.

Visit us on the web at http://www.dshs.texas.gov.

Posted December 16, 2020

2021 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.

2021 is Here

For questions or comments:

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

Posted December 14, 2020

Notice regarding a Funding Opportunity for Newborn Screening Submitters

The Texas Department of State Health Services (DSHS) Laboratory Services Section announces an Open Enrollment funding opportunity for newborn screening submitters. The Open Enrollment is posted, for a limited amount of time, at https://apps.hhs.texas.gov/pcs/openenrollment.cfm.

DSHS is seeking Applications to establish Contract(s) and provide funding for Texas newborn screening healthcare providers to develop and implement new HL7 interfaces to electronically order newborn screening on blood spot specimens and to electronically receive the newborn screening results from the DSHS Laboratory.

These interface solutions will improve patient care by reducing the amount of time required for a physician to receive time critical newborn screening results, enhancing the quality of data used to support newborn screening testing, and eliminating testing delays due to missing data and manually intensive data entry processes.

Visit the link above for more information on this funding opportunity, required activities, eligibility criteria and how to apply for funding. Early submissions are encouraged, as only a limited number of eligible applications can receive awards.

Please contact the DSHS contract manager with any questions at caeli.paradise@dshs.texas.gov.

Posted Nov 24, 2020

2019 Texas Newborn Screening (NBS) Annual Report

TOGETHER in 2019 we:

Screened over 380,000 babies and over 737,000 NBS specimens
Identified over 850 babies (to date) affected by one of the NBS Disorders

Texas babies depend on the entire NBS System, KEEP UP THE GREAT WORK!

2019 Texas Newborn Screening by the Numbers NBS Annual Report provides:

Annual Texas statistics
Texas’ status on achieving the ACHDNC* recommended timeliness goals (ACHDNC) (goal is 95%)
- See ‘Timely Collection and Submission of NBS’ notice for information on meeting Texas DSHS timeliness goals.

*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	97.3%
Transportation of initial NBS specimens – received at the laboratory as soon as possible; ideally within 24 / 48 hours of collection	22.3 / 67.1%
Reporting of initial screen presumptive positive time critical condition** results; as soon as possible, but no later than five days of life	37.4%
Reporting of initial screen presumptive positive time sensitive condition** results; as soon as possible, but no later than seven days of life	87.1%
Completion of all initial screen NBS tests within seven days of life with results reported to the healthcare provider as soon as possible	87.7%

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

**List of NBS Disorders by Time Criticality

Questions / Comments

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

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

Posted Nov 17, 2020

DSHS Austin Laboratory Thanksgiving Holiday Closure Reminders

Newborn Screening (NBS)

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 soon as possible.
The Newborn Screening Lab will be closed on Thanksgiving Day and will resume testing on Friday, 11/27/2020.

Newborn Screening Medicaid/Paid Card Order Requests

Priority overnight shipping requests received on 11/24/2020 will be processed and shipped via FedEx Priority Overnight.
All requests received before noon on 11/25/2020 will be processed and shipped via FedEx Ground.
Requests received after noon on 11/25/2020 through 11/29/2020 will be sent Monday, 11/30/2020.

Clinical Chemistry

Testing Notices:

Total hemoglobin, lead, glucose, lipid/cholesterol and creatinine specimens must be received by Wednesday, 11/25/2020 to complete testing before the holiday.
DO NOT ship cholesterol, lipid profile, glucose, or creatinine specimens on Fridays or on the day before a state-observed holiday.
The Clinical Chemistry Laboratory will be closed on 11/26/2020 and 11/27/2020.

Healthcare Provider Reminders:

Lead and total hemoglobin specimens must be received within 14 days of collection.
Glucose, lipid/cholesterol and creatinine specimens must be received according to specimen submission guidelines available at http://www.dshs.state.tx.us/lab/mrs_labtests_toc.shtm

Texas Health Steps/PKU/TB/HIV/Courier Supply Order Requests

All requests received on 11/24/2020 will be audited, issued and shipped via FedEx Ground.
Requests received before 9:00 a.m. on 11/25/2020 will be audited, issued and shipped via FedEx Ground for pick up Wednesday afternoon.
Requests received after 9:00 a.m. on 11/25/2020 through 11/29/2020 will be audited, issued and shipped on Monday 11/30/2020 via FedEx Ground.

***Per FedEx website, FedEx Ground will be closed 11/26/2020 but will deliver packages 11/27/2020.***

Microbiology

Rabies:
- Ship rabies specimens via Greyhound Bus. Specimens received after 8:00 a.m. on Wednesday, 11/25/2020 will be tested Friday, 11/27/2020.
- Positive results will be called out before noon Friday, 11/27/2020.
- Emergency testing is available on Friday, 11/27/2020 and Saturday, 11/28/2020 by arrangement with laboratory personnel (512-776-7595). Specimen receipt must be guaranteed.
- All other specimens will be tested on Monday, 11/30/2020 and reported before 5:00 p.m.
Viral Isolation Laboratory:
- Do not ship specimens Wednesday, 11/25/2020 – Sunday, 11/29/2020. Store specimens collected during this time at -70°C or below. Note: Upon approval, priority COVID-19 specimens can be tested. Pre-arrangement of testing is required.
- Ship specimens on dry ice the week of 11/30/2020.
Mycobacteriology/Mycology Laboratory (TB):
- Ensure critical AFB Smear and NAA for M. tuberculosis specimens are delivered to the laboratory by 8:30 a.m. on Wednesday, 11/25/2020
- Call 512-776-7342 for expedited test requests before 9:00 a.m. on Wednesday, 11/25/2020.
- Do not ship specimens Wednesday, 11/25/2020 to Friday, 11/27/2020. Keep specimens in refrigerated storage until shipment.
- No specimens will be tested from Thursday, 11/26/2019 to Sunday, 11/29/2020.
Bacteriology Human Samples:
- Bacteriology samples will not be accepted nor tested the following dates:
  - 11/26/2020 – 11/29/2020

Bacteriology Water Samples

Bacteriology samples will not be accepted the following dates:
- 11/25/2020 – 11/29/2020

Questions?

1-888-963-7111 ext. 7318 or locally 512-776-7318

Main Email: LabInfo@dshs.texas.gov

NBS Email: NewbornScreeningLab@dshs.texas.gov

Clinical Chemistry Email: ClinicalChemistry@dshs.texas.gov

Container Preparation: ContainerPrepGroup@dshs.texas.gov

Posted Nov 03, 2020

Changes to the Texas DSHS Laboratory Fee Schedule

The Department of State Health Services (DSHS) Laboratory Services Section (LSS) is in the process of revising laboratory testing and fees for laboratory services to meet business needs. These revisions are proposed to take effect January 1, 2021. Stakeholders can submit comments until December 30, 2020 at LabInfo@dshs.texas.gov or by mail at: Laboratory Services Section, Attn. Fee Schedule Changes, PO Box 149347, Austin, TX 78714-9347.

Fee schedule changes:

Visit https://www.dshs.state.tx.us/lab/Fees/90-day-notice---Jan-2021-Fee-Schedule-Notice---full-letter-for-website.pdf to view all proposed fee schedule changes, including:

fee changes to existing tests,
new tests added, and
existing tests discontinued.

The new fee schedules will be posted to the DSHS Laboratory website by January 1, 2021. To view the current Austin and South Texas DSHS Laboratory fee schedules, please use the following link: http://www.dshs.texas.gov/lab/fees.shtm

DSHS Laboratory Forms:

As with previous fee revisions, the laboratory submission forms may also be revised. Revised submission forms would be provided to you no later than December 31, 2020 for use beginning January 1, 2021.

Thank you for your continued partnership and support.

Posted Oct 01, 2020

Changes to Newborn Screening Result Reporting Statements

The Texas DSHS Newborn Screening (NBS) Laboratory is updating the result reporting statements for the following abnormal results to reflect the current Clinical Care Coordination follow up care recommendations. These updates are scheduled to go into effect August 10, 2020. All changes are indicated in red.

Overall Result	Disorder	Screening Result	New/Revised Screening Result Note
Abnormal	Amino Acid Disorders	Abnormal	Possible Argininemia. Arginine Elevated. Recommend plasma ammonia, plasma quantitative amino acids and urine orotic acid within 48 hours and immediate telephone consultation with a pediatric metabolic specialist.
Abnormal	Fatty Acid Disorders	Abnormal	Possible VLCAD. C14:1 Slightly Elevated. Recommend plasma acylcarnitine profile and plasma (free and total) carnitine within 24 hours and immediate telephone consultation with a pediatric metabolic specialist. DNA report to follow.
Abnormal	Fatty Acid Disorders	Abnormal	Possible VLCAD. C14:1 Elevated. Recommend plasma acylcarnitine profile and plasma (free and total) carnitine within 24 hours and immediate telephone consultation with a pediatric metabolic specialist. DNA report to follow.
Abnormal	Organic Acid Disorders	Abnormal	Possible Methylmalonic Acidemia or Propionic Acidemia. C3 Elevated. Recommend plasma methylmalonic acid, total plasma homocysteine, plasma acylcarnitine profile and urine organic acids within 24 hours and immediate telephone consultation with a pediatric metabolic specialist.
Abnormal	Organic Acid Disorders	Abnormal	Possible Methylmalonic Acidemia or Propionic Acidemia. C3 Slightly Elevated; C3/C2 Elevated. Recommend plasma methylmalonic acid, total plasma homocysteine, plasma acylcarnitine profile and urine organic acids within 24 hours and immediate telephone consultation with a pediatric metabolic specialist.
Abnormal	Galactosemia	Abnormal	Possible Galactosemia. GALT activity Low. If this is the first screen, recommend serum GALT enzyme within 24 hours and immediate telephone consultation with a pediatric metabolic specialist. Otherwise, follow recommendations received from Clinical Care Coordination. DNA report to follow.

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 laboratory with any questions:
- Telephone: 1-888-963-7111 X7585 or x2638
- Email: NewbornScreeningLab@dshs.tx.gov

Posted Jul 24, 2020

DSHS Laboratory – Microbiological Sciences Branch Notice

The DSHS Laboratory has implemented the use of whole genome sequencing (WGS) for the identification and serotyping of some Salmonella spp. in human clinical specimens. WGS will be used on a limited number of Salmonella spp. surveillance samples to provide Organism ID and Serotype. This information will be included in the reports for selected clinical samples submitted on or after July 20, 2020.

This additional information cannot be provided for samples submitted previously.
All clinical samples submitted will be processed for surveillance purposes. Only a portion of these samples will be sequenced to provide this additional information.

There will be no changes to the specimen submission or reporting process.

Please contact the DSHS Microbiology laboratory with any questions you have at Lab.Microbiology@dshs.texas.gov.

Posted Jul 20, 2020

Urgent – Assistance Needed

Due to a recent incident, Data Rush Couriers, DSHS Laboratory’s third party courier, may be contacting you in an effort to gather needed information related to specimen submission. Please cooperate with their information gathering efforts as quickly as possible so that regulatory timelines may be met.

Posted May 06, 2020

DSHS TB/HIV/STD Section to Move Starting May 18

The DSHS TB/HIV/STD Section will move to a new physical location between May 18 and May 29, 2020. Due to COVID-19 precautions, the physical work location of most staff will not change until those precautions are modified. However, phone numbers, fax numbers, and the delivery address will change in stages:

May 18: The main section phone number will change to 737-255-4300. Some section fax machines and staff phone numbers will change. The physical delivery address will change to 201 West Howard Lane, Austin, Texas 78753. The mailing address will not change (DSHS TB/HIV/STD Section, Post Office Box 149347, MC 1873, Austin, Texas 78714). Please do not send deliveries to the new physical address until the location is staffed.

May 22: Fax and phone numbers for the HIV/STD Epidemiology and Surveillance Branch will change.

May 29: Fax and phone numbers for the Texas HIV Medication Program and Tuberculosis and Hansen's Disease Branch will change.

Unchanged by the move: Section staff email addresses. Section web addresses. The Texas HIV Medication Program 1-800 number.

Stakeholders will be informed of the changed phone and fax information directly by DSHS staff. To learn more, contact Section staff, call the current Section phone number 512-533-3000, or email the section.

Posted May 06, 2020

ATTENTION SUBMITTERS

CHECK THE EXPIRATION DATE ON

DSHS SNAP-APART FILTER PAPER CARDS

DSHS Snap-Apart filter paper cards, with lot number W161 (blue ink),

EXPIRE on April 30, 2020.

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

Specimens collected on these cards after April 30, 2020 will be REJECTED.

What to do next:

Discard any remaining cards after 4/30/2020.
To order more DSHS Snap Apart Filter Paper Cards:

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

Posted April 15, 2020

Notice regarding COVID-19 testing at the DSHS Austin Laboratory

As of Monday, April 13, 2020, the Texas DSHS Austin Laboratory will begin utilizing the PerkinElmer New Coronavirus Nucleic Acid Detection Kit and chemagic extraction platform to expand capacity for COVID-19 testing. The CDC 2019-Novel Coronavirus (2019-nCoV) Real-Time RT-PCR Diagnostic Panel will continue to be available until current supply resources are exhausted.

Acceptable specimens include:

o Nasopharyngeal (NP) or oropharyngeal (OP) swabs, combined NP/OP swabs, and nasal swabs in Viral Transport Media (VTM), Universal Transport Media (UTM), liquid Amies media, and sterile saline.

For further details regarding the “PerkinElmer New Coronavirus Nucleic Acid Detection Kit”, please see the FDA EUA website: https://www.fda.gov/emergency-preparedness-and-response/mcm-legal-regulatory-and-policy-framework/emergency-use-authorization#LDTs in the table titled “Test Kit Manufacturers and Commercial Laboratories”
Fact Sheets for Patients: https://www.fda.gov/media/136409/download
Fact Sheets for Healthcare Providers: https://www.fda.gov/media/136408/download

****Please continue to use the COVID-19 Specimen Collection and Submission Instructions for specimen collection, handling, and shipping guidance.****

ALL specimens for COVID-19 testing require preapproval. Contact your Local Health Department or DSHS Public Health Region (https://www.dshs.texas.gov/regions/2019-nCoV-Local-Health-Entities/) to ensure patient meets Patient Under Investigation (PUI) criteria for testing and to obtain DSHS approval to test. Specimens MUST meet DSHS PUI criteria prior to shipping and WILL NOT be tested without prior approval. Please DO NOT ship specimens prior to receiving this approval.

For additional information and ongoing updates regarding the COVID-19 situation, please go to:

DSHS COVID‑19 Call Center: 2-1-1 Option 6
Hours: 8:00 a.m. – 5:00 p.m., 7 days a week

Posted April 6, 2020

Notice regarding the impacts of COVID-19 response to the DSHS Austin Laboratory

Due to ongoing DSHS Laboratory COVID-19 response efforts, the following microbiological testing areas may experience delays in laboratory results reporting, effective April 1, 2020:

Fungal isolate identification*

Parasitology identification*

Influenza surveillance testing

Mosquito surveillance testing

Gonorrhea/Chlamydia/Hepatitis C specimen testing

*Specimens for Candida auris testing and for malaria testing will not be affected and will follow regular testing schedules.

In addition, testing for foodborne outbreak investigations, including whole genome sequencing, for Listeria will continue but testing for Salmonella, Escherichia coli and other foodborne bacteria will be upon epidemiologist request only.

An updated notification will be issued when routine laboratory testing resumes.

For additional information and ongoing updates regarding the COVID-19 situation, please go to:

https://www.dshs.state.tx.us/coronavirus/

DSHS COVID‑19 Call Center: 1-877-570-9779
Hours: 8:00 a.m. – 5:00 p.m., 7 days a week

Posted April 2, 2020

COVID-19 and Newborn Screening

During this time of extraordinary challenge, the DSHS Newborn Screening (NBS) Program appreciates the dedication and commitment of healthcare providers to ensure the best possible outcomes for Texas newborns.

Q: Has DSHS altered guidance for collection of newborn screens?

A: No. The 1st newborn screen should be collected between 24 - 48 hours of age, or before hospital discharge. The 2nd newborn screen should be collected on every infant at 1-2 weeks of age.

DSHS recognizes that healthcare providers may require adjustments to newborn screening protocols.

Completely and accurately fill out all information requested on the collection kits.

Incomplete or inaccurate demographic information can result in specimen rejection, incorrect results, or delay in initiation of follow-up on out of range results.

Ensure parent contact information (phone number and address) is current.

Advise parent to select a pediatrician and attempt to make the first appointment prior to leaving the hospital. Enter pediatrician contact information on the collection kit.

Q: What if a parent is requesting early discharge to socially isolate themselves and their newborn?

A: Collect the first screen immediately prior to discharge.

Q: For 2^nd screens, what if our facility is unable to provide a location to collect the specimen?

A: If necessary, explore the availability of other collection locations such as an outpatient clinic or reference laboratory. If no alternative can be identified, ensure a screen is collected as soon as can be safely scheduled.

The American Academy of Pediatrics (AAP) recommends pediatricians continue to see newborns and infants for preventive care. AAP CoVID-19 guidance includes:

Delaying care for newborns and other vulnerable children during this time could have devastating consequences for their health.
Be flexible to determine the best way to schedule patient visits to minimize the risk, including spacing out visits, modifying clinical space, or rescheduling visits for older children until a later date.
Pediatricians may choose to limit well visits to early morning while reserving the remainder of the day for sick visits.
Pediatricians are encouraged to dedicate specific rooms for sick visits and well visits; or for those with multiple practice sites to consider using one office location to see all well visits (staffed by those in higher risk categories).

Q: What if a 2^nd screen cannot be collected in the recommended timeframe of 7-14 days of age?

A: Collect the 2nd screen as soon as conditions allow. This ensures the earliest possible interventions for affected babies. DSHS does not reject specimens collected on older children, but NBS testing methodologies have been designed to minimize the number of false negative and false positive results in newborns and young infants.

Q: What if the 1^st screen was out of range or unsatisfactory?

It is imperative to ensure that another screen is collected for newborns with an out of range or unsatisfactory 1^st screen. Having an unsatisfactory screen is like not being screened at all. In some situations, newborns with out of range first screens may not require diagnostic evaluation if a second screen is normal.

Q: What if the parent refuses the 2nd screen?

A: Parents can only refuse to have their child screened if the screening conflicts with a parent’s religious tenets or practices (see Texas Health & Safety Code Sec. 33.012). To refuse, a parent must sign a form stating he/she has a religious objection to newborn screening. Points to consider before refusing a second newborn screening:

DSHS has implemented a two-screen system to maximize the effectiveness of testing for all disorders on the Texas Newborn Screening Panel.
The second screen routinely detects babies at risk for severe medical complications. These babies sometimes have a normal first screen.
Some disorders (like cystic fibrosis) rely upon both newborn screens to reduce the number of babies who would otherwise require additional testing with a specialist to determine whether they have the condition or not.

Q: Our facility has new staff assisting with specimen collection and out of range result follow-up coordination. What resources are available for quality assurance?

A: Healthcare provider guidance on specimen collection, transport and result reporting can be found at: https://www.dshs.texas.gov/lab/nbsHCRes.shtm

Please completely and accurately fill out all information requested on the collection kits. Incomplete or inaccurate demographic information can result in specimen rejection, incorrect results, or delay in initiation of follow-up on out of range results.

Questions?

Corona Virus in Texas:

Newborn Screening Laboratory:

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

Clinical Care Coordination:

1-888-963-7111 ext. 3957 or 512-776-3957

Newborn@dshs.texas.gov

Posted March 27, 2020

Notice regarding testing and submission of specimens for COVID-19 testing to the DSHS Austin Laboratory

As of March 20, 2020, the Texas DSHS Laboratory has made the following changes to the COVID-19 Specimen Collection and Submission Instructions located on the DSHS Laboratory website.

1.This document applies only to the DSHS Austin Laboratory. For information regarding submission to other Public Health Laboratories in Texas, contact your local health department.

2. We recommend sending only a single Nasopharyngeal swab in VTM. Please see additional language under the section, “Specimen Types”.

3. A sample G-2V submission has been added to clarify instructions to fill out the form. Sample G-2V.pdf

ALL specimens for COVID-19 testing require preapproval. Contact your Local Health Department or DSHS Public Health Region (https://www.dshs.texas.gov/regions/2019-nCoV-Local-Health-Entities/) to ensure patient meets Patient Under Investigation (PUI) criteria for testing and to obtain DSHS approval to test. Specimens MUST meet DSHS PUI criteria and have a state specific PUI identification number for testing prior to shipping and WILL NOT be tested without prior approval. Please DO NOT ship specimens prior to receiving this approval.

For additional information and ongoing updates regarding the COVID-19 situation, please go to:

DSHS COVID‑19 Call Center: 2-1-1 Option 6
Hours: 8:00 a.m. – 5:00 p.m., 7 days a week

Posted March 20, 2020

Notice regarding testing and submission of specimens for COVID-19 testing

As of March 5, 2020, the Texas DSHS Laboratory is accepting specimens per the criteria outlined in the COVID-19 Specimen Collection and Submission Instructions document found at COVID-19 Specimen Collection and Submission Instructions

ALL specimens for 2019 nCoV testing require preapproval. Contact your Local Health Department or DSHS Public Health Region (https://www.dshs.texas.gov/regions/2019-nCoV-Local-Health-Entities/) to ensure patient meets Person Under Investigation (PUI) criteria for testing and to obtain DSHS approval to test. Specimens MUST meet PUI criteria and have a state specific PUI identification number for testing prior to shipping and WILL NOT be tested without prior approval. Please DO NOT ship specimens prior to receiving this approval.

For additional information and ongoing updates regarding the COVID-19 situation, please go to:

DSHS COVID‑19 Call Center: 1-877-570-9779 Hours: 8:00 a.m. – 5:00 p.m., 7 days a week

Posted March 5, 2020

Update - Newborn Screening for Hemoglobinopathies

Reporting of Hemoglobin D, one of the hemoglobins detected in the newborn screen for Hemoglobinopathies, was discontinued on 10/28/2019 due to unavailability of needed control material. That material is now available. Therefore, effective as of 02/03/2020, specimens showing possible Hemoglobin D during testing, will be reported as “Hemoglobin D”.

Posted February 06, 2020

Notice – Change to Newborn Screening Hemoglobinopathy Test

Due to issues with obtaining quality control material from our manufacturer, effective 02/03/2020, “Hemoglobin G” will no longer be reported. Specimens showing possible Hemoglobin G during testing will be reported as “Other” hemoglobin variant. If the manufacturer is able to provide quality control material in the future, we will return to being able to report out the Hemoglobin G result.

Posted January 28, 2020

2020 IS HERE!

Wrong dates will delay Newborn Screening (NBS) specimen testing or cause specimen REJECTION.

How to help avoid NBS testing 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:

Questions?

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

Posted January 07, 2020

Newborn Screening Fee Increase Information and January 2020 Order Form

Q: When does the increase start?

A: The fee increases on January 1, 2020.

Q: What is the new cost of insurance/self-pay kit?

A: The new cost for each insurance/self-pay test kit is $60.58.

Q: Why is the fee increasing?

A: The Texas Newborn Screening (NBS) Panel has expanded to include X-linked Adrenoleukodystrophy (X-ALD). The increase will cover the additional costs for laboratory and follow-up services.

Q: What order form should be used to order NBS kits?

A: Use the January 2020 order form that has the new price of $60.58 listed. (G6D)

Q: Can an order request be filled using the old order form?

A: No, only order requests submitted on the January 2020 order form will be processed.

Questions?

NBS Testing:

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

Order Request Information:

1-888-963-7111 ext. 7661 or 512-776-7661

Posted January 02, 2020

2020 is Approaching Fast!

Wrong dates will delay Newborn Screening specimen testing or cause specimen REJECTION.

Avoid Delays and Specimen Rejection.

When entering newborn screening demographic information:

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.

For questions or comments:

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

Posted December 17, 2019

Newborn Screening Insurance/Self-pay Kit Fee Increase

Q. When does the increase start?

A. January 1, 2020.

Q: What is the new cost of insurance/self-pay kit?

A: The new cost for each insurance/self-pay test kit is $60.58.

Q: Why is the fee increasing?

A: The Texas Newborn Screening Panel has expanded to include X-linked Adrenoleukodystrophy (X-ALD). The increase will cover the additional costs for laboratory and follow-up services.

Q: Who pays for the insurance/self-pay kits?

A: DSHS will bill the healthcare provider that orders insurance/self-pay test kits.

Tips for choosing and using the correct kit:
- Use the Insurance/Self-Pay Kit (form #NBS4) for newborns covered under a private insurance plan or paying out of pocket.
- ONLY use the Medicaid/CHIP/Charity Kit (form #NBS3) for newborns Medicaid eligible, covered by CHIP, or that have absolutely no other payment option (as required in Texas Administrative Code, Title 25 Section 37.55).

Q: What steps do providers take for reimbursement of the newborn screening test kit cost?

1) Contact each health plan or insurance company to update your facility contracts.

2) Verify that Healthcare Common Procedure Coding System (HCPCS) code S3620 is updated to match the current cost for the screening kit.

3) Submit newborn screening claims using HCPCS code S3620.

Notes:

HCPCS Code S3620: Newborn metabolic screening panel includes the test kit and the laboratory tests specified by the state for inclusion in this panel. The healthcare provider may be responsible for additional costs not included in the cost of the test kit such as preparing and shipping the specimen to the DSHS Laboratory.
CPT code 36416: Collection of capillary blood specimen, may also be used.

Q: What can be done if the correct reimbursement is not received?

1) Contact the health plan or insurance company to seek resolution.

2) If no resolution is identified:

For Texas Regulated Health Plans (Fully Insured and HMOs), contact:

Texas Department of Insurance.

https://www.tdi.texas.gov/hprovider/providercompl.html or 1-800-252-3439

Self-Funded Plans regulated at the federal level (Most people who have health insurance in Texas have a self-funded plan), contact:

U. S. Department of Labor
Division of Technical Assistance and Inquiries
PWBA N5619

200 Constitution Ave. NW
Washington DC 20210
1-866-444-3272

If insurance is provided by a school district, city, county or state government, a union, or church, work directly with the health plan.

Note: DSHS does not control how insurance companies operate or the reimbursement rates that are set.

Questions?

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

https://www.dshs.texas.gov/lab/MRS_labtests_toc.shtm

Posted December 13, 2019

Laboratory Christmas and New Year Holiday Closure Reminders

Newborn Screening Laboratory (NBS)

Christmas Holiday Closed Dates: Dec. 25 – Dec. 26

The NBS Laboratory will test specimens received and accessioned on Dec. 24.
Healthcare providers may be notified of critical level preliminary presumptive positive results on Dec. 25.
NBS testing will resume on Dec. 27.

New Year’s Holiday Closed Date: Jan. 1

The NBS Laboratory will test specimens received and accessioned on Dec. 31.
NBS testing will resume on Jan. 2.

Reminders:

DO NOT delay collection or shipment of NBS specimens.
Specimens must be dried prior to shipment and should arrive at the DSHS Laboratory within 24 hours after collection or as soon as possible. If mail or courier services are unavailable, ship as quickly as possible.

Clinical Chemistry Laboratory

Christmas Holiday Closed Dates: Dec. 24 – Dec. 26

Total hemoglobin, lead, glucose, lipid, cholesterol, and creatinine specimens must be received by Dec. 23 to complete testing before the Christmas holiday.
DO NOT ship cholesterol, lipid panel, glucose, or creatinine specimens Dec. 23 – Dec. 27.

New Year’s Holiday Closed Date: Jan. 1

Total hemoglobin, lead, glucose, lipid, cholesterol, and creatinine specimens must be received by Dec. 31 to complete testing before the New Year’s holiday.
DO NOT ship cholesterol, lipid panel, glucose, or creatinine specimens on Dec. 31.

Reminders:

Lead and total hemoglobin specimens must be received within 14 days of collection.

Microbiology Testing Notices

Christmas Holiday Closed Dates: Dec. 24 – Dec. 26

New Year’s Holiday Closed Date: Jan. 1

Rabies Laboratory

Shipping by Greyhound Bus is highly recommended during weekends and holidays.

Christmas

Rabies specimens received by 8 a.m. on Dec. 23 will be tested.
- Positive results will be called out before 5 p.m.
Specimens received between 8 a.m. and 3 p.m. Dec. 23, will be tested on Dec. 24.
- Positive results will be called out by noon.
- Negative results will be available on Dec. 27.
Specimens received after 3 p.m. on Dec. 23 through 8 a.m. Dec. 27 will be tested Dec. 27.
- Results will be called out before 5 p.m.
Specimens received after 8 a.m. Dec. 27, and all specimens that arrive over the weekend will be tested Dec. 30.
- Results will be called out before 5 p.m.

New Years

Specimens received between 8 a.m. and 3 p.m. on Dec. 31 will be tested on Jan. 1.
- Positive results will be called out by noon.
- Negative results will be available on Jan. 2.
Specimens received after 3 p.m. on Dec. 31 and before 8 a.m. on Jan. 2 will be tested on Jan. 2.
- Results will be called out before 5 p.m.
Emergency testing is available on Dec. 24, Dec. 26, Dec. 28 and Jan. 2 by arrangement with laboratory personnel (512-776-7595).
- Specimen receipt must be guaranteed by 8 a.m. on the day of testing.

Viral Isolation Laboratory

DO NOT ship specimens for delivery Dec. 24 through Dec. 26.
- Store specimens collected during this time at -70°C or below.
- Ship specimens on dry ice for delivery on Dec. 27.
DO NOT ship specimens for delivery Dec. 31 through Jan. 1.
- Store specimens collected during this time at -70°C or below.
- Ship specimens on dry ice for delivery on Jan. 2.

Mycobacteriology/Mycology Laboratory

To receive expedited AFB Smear and NAA for M. tuberculosis test results before the Christmas holiday:
- Ensure specimens are delivered to the laboratory by 8 a.m. on Dec. 23.
- For expedited test requests call 512-776-7342.
DO NOT ship specimens Dec. 23 through Dec. 25.
- Store collected specimens in the refrigerator and ship for delivery on Dec. 27.
DO NOT ship specimens to be delivered on Dec. 31 or Jan. 1.
- Store collected specimens in refrigerator and ship for delivery on Jan. 2.

Serology Laboratory

DO NOT ship specimens Dec. 23 through Dec. 25.
- Serum should be separated from the clot and frozen.
- Ship with sufficient dry ice to keep serum frozen for delivery on Dec. 27.
DO NOT ship specimens to be delivered on Dec. 31 or Jan. 1.
- Serum should be separated from the clot and frozen.
- Ship with sufficient dry ice to keep serum frozen for delivery on Jan. 2.

Advanced Molecular Microbiology Laboratory

DO NOT ship specimens for CPO colonization testing to be received the following dates:
- Dec. 23 through Dec. 27
- Dec. 31 through Jan. 1
DO NOT ship specimens for other bacteria testing to be received the following dates:
- Dec. 24 through Dec. 26
- Dec. 31 through Jan. 1

Bacteriology Water Samples

Water samples will not be accepted the following dates:
- Dec. 23 through Dec. 27
- Dec. 31 through Jan. 1

Supply Order Requests

Priority overnight shipping requests received on or before Dec. 20 will be processed as normal.
Requests received by noon on Dec. 23 will be sent FedEx Ground.
Requests received after noon on Dec. 23 through Dec. 26 will be processed on Dec. 27.
Requests received on Dec. 27 will be processed Dec. 30.

Contact the Texas DSHS Laboratory:

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

NewbornScreeningLab@dshs.state.tx.us

Posted November 1, 2019

Result Report Delay Notice

Beginning November 12, 2019, the DSHS Laboratory has delayed reporting of results for a small subset of newborn screening specimens due to testing instrument issues.

All previously reported results are considered accurate and not affected by this issue.

Mitigating steps have been completed and all delayed results are expected by November 22.

What specimens are affected?

Specimens received at the laboratory on or after November 8, 2019, which required additional second tier testing for X-ALD only. This was approximately three percent of specimens received or ~ 600 blood spots.

How does this impact newborn screening test results?

Testing for all other newborn screening disorders has not been delayed.
Clinical Care Coordination staff have continued to contact providers for all out of range results as soon as testing has been completed.
Clinical Care Coordination staff will contact providers about out of range X-ALD results upon completion of testing.

What action should healthcare submitters take?

Ensure receipt of a final report for all results.
Read all screening result notes and follow recommendations.
Follow instructions from clinical care coordination nurses on ALL abnormal newborn screening results.

Questions?

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

Posted December 12, 2019

DSHS Austin Laboratory Thanksgiving Holiday Closure Reminders

Newborn Screening (NBS)

Testing Notices:

NBS specimens received and accessioned on Wednesday, 11/27/2019 will be tested immediately by the NBS laboratory.
Healthcare providers may be notified of critical level preliminary presumptive positive results on Thursday, 11/28/2019 (Thanksgiving Day).
NBS testing will resume on Saturday, 11/30/2019.
Healthcare providers may be notified of critical level preliminary presumptive positive results on Sunday, 12/1/2019.

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 soon as possible.

Clinical Chemistry

Testing Notices:

Total hemoglobin, lead, glucose, lipid/cholesterol and creatinine specimens must be received by Wednesday, 11/27/2019 to complete testing before 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:

Lead and total hemoglobin specimens must be received within 14 days of collection.
Glucose, lipid/cholesterol and creatinine specimens must be received according to specimen submission guidelines available at http://www.dshs.state.tx.us/lab/mrs_labtests_toc.shtm

Microbiology

Rabies:
- Ship rabies specimens via Greyhound Bus. Specimens received between 8 AM and noon on Wednesday, 11/27/2019 will be tested Friday, 11/29/2019.
- Positive results will be called out before noon Friday, 11/29/2019.
- Emergency testing is available on Friday, 11/29/2019 and Saturday, 11/30/2019 by arrangement with laboratory personnel (512-776-7595). Specimen receipt must be guaranteed.
- All other specimens will be tested on Monday, 12/2/2019 and reported before 5 PM.
Viral Isolation Laboratory:
- Do not ship specimens Wednesday, 11/27/2019 – Sunday, 12/1/2019. Store specimens collected during this time at -70°C or below.
- Ship specimens on dry ice the week of 12/2/2019.
Mycobacteriology/Mycology Laboratory (TB):
- Ensure critical AFB Smear and NAA for M. tuberculosis specimens are delivered to the laboratory by 8:30 AM on Wednesday, 11/27/2019.
- Call 512-776-7342 for expedited test requests before 9 AM on Wednesday, 11/27/2019.
- Do not ship specimens Wednesday, 11/27/2019 to Friday, 11/29/2019. Keep specimens in refrigerated storage until shipment.
- Specimens will not be tested from Thursday, 11/28/2019 to Sunday, 12/1/2019.

Bacteriology Water Samples

Water samples will not be accepted the following dates:
- November 27, 2019 - December 1, 2019
- December 23, 2019 - December 27, 2019
- December 31, 2019 - January 1, 2020

Supply Order Requests

Priority overnight shipping requests received on 11/26/2019 will be issued and sent as normal.
All other requests received by noon on 11/26/2019 will be sent FedEx Ground.
Requests received after noon on 11/26/2019 through 12/1 will be sent Monday, 12/2/2019.

Questions?

1-888-963-7111 ext. 7318 or locally 512-776-7318

Main Email: LabInfo@dshs.texas.gov

NBS Email: NewbornScreeningLab@dshs.texas.gov

Clinical Chemistry Email: ClinicalChemistry@dshs.texas.gov

Container Preparation: ContainerPrepGroup@dshs.texas.gov

Posted November 04, 2019

Check the Expiration Date on Newborn Screening Kits

Newborn Screening (NBS) kits beginning with serial number 17 (17-XXXXXX), EXPIRED on October 31, 2019.

Do Not Use ‘17 kits to collect NBS specimens.

Specimens collected on ‘17 kits after October 31, 2019 will be REJECTED.

To Exchange NBS4 (Insurance/Self-Pay) Kits:

Complete the G-6D “Newborn Screening Supplies” order form
Count the number of remaining expired NBS4 kits
Write the number of expired NBS4 kits to exchange in the “Quantity Requested” box
Write “Exchange” in the Billing – Purchase Order Number box
Ship the completed form andContainer Preparation Group: expired NBS4 kits to the

Courier Delivery Address (FedEx, UPS, or other)

DSHS – Laboratory Services Section

Container Preparation Group

1100 W. 49^th St.

Austin, TX 78756-3199

USPS Address (regular mail service)

DSHS – Laboratory Services Section, MC 1947

Container Preparation Group

PO Box 149341

Austin, TX 78714-9341

NOTE: Do NOT return expired NBS3 (Medicaid/Charity Care/CHIP) kits. Dispose of them appropriately.

The shipping cost is the responsibility of the submitter
Exchanges are accepted up to 3 months after the kit expiration date (e.g kits expired on October 31, 2019 need to be received by DSHS on or before January 31, 2020)
Allow DSHS five (5) business days from receipt of exchange request to process the request

To order additional new kits:

Complete a G-6D “Newborn Screening Supplies” order formsecond
Send the completed form to the Container Preparation Group

NOTE: 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.

Additional Information:

Review NBS4 (Insurance/Self-Pay) Kit Exchange of Expired Kits.

Questions / Comments

888-963-7111 ext. 7661 or 512-776-7661

NewbornScreeningLab@dshs.state.tx.us

Posted November 1, 2019

Hemoglobin D Reporting Change

Due to issues with obtaining quality control material from our manufacturer, effective 10/28/2019, “Hemoglobin D” will no longer be reported. Specimens showing possible Hemoglobin D during testing will be reported as “Other” hemoglobin variant. If the manufacturer is able to provide quality control material in the future, we will return to being able to report out the Hemoglobin D result.

For questions or comments:

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

Posted October 24, 2019

CHECK NEWBORN SCREENING KIT EXPIRATION DATES

Newborn Screening kits with a serial number beginning with 17 (17-XXXXXXX) EXPIRE on October 31, 2019.

Use ‘17 kits first to collect specimens before they expire.

Specimens collected on ‘17 kits after October 31, 2019 will be REJECTED.

Questions / Comments

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

dshs.texas.gov/lab/newbornscreening.shtm

Posted October 8, 2019

Changes to the Texas DSHS Laboratory Fee Schedule

Including a fee increase to the NBS test

Dear Colleague,

The Department of State Health Services (DSHS) Laboratory Services Section (LSS) is in the process of revising laboratory testing and fees for laboratory services to meet business needs. These revisions are proposed to take effect January 1, 2020. Stakeholders can submit comments until December 30, 2019 at LabInfo@dshs.texas.gov or by mail at: Laboratory Services Section, Attn. Fee Schedule Changes, PO Box 149347, Austin, TX 78714-9347.

There will be a fee increase to the NBS test:

Effective January 1, 2020, the new cost of PAID newborn screening (NBS) kits will be raised to $60.58 due to the addition of X-linked adrenoleukodystrophy (X-ALD) to the newborn screening test panel. PAID NBS kits ordered on or after January 1, 2020 will be billed at the new price of $60.58.

Other fee schedule changes

Visit https://www.dshs.texas.gov/lab/Fees/90-day-notice---Jan-2020-Fee-Schedule-Notice---full-letter-for-website.pdf to view all fee schedule changes, including:

fee changes to existing tests,
changes to test names to more accurately reflect the actual test procedure,
new tests added, and
existing tests discontinued.

The new fee schedules will be posted to the DSHS Laboratory website by January 1, 2020. To view the current Austin and South Texas DSHS Laboratory fee schedules, please use the following link: http://www.dshs.texas.gov/lab/fees.shtm

NBS questions or comments:

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

Posted October 1, 2019

September is National Newborn Screening Awareness Month

#1 Babies playing

Thank you for ensuring Texas babies are screened!

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

Through the Texas Newborn Screening Panel, more than 800 babies are diagnosed with one of the 54 screened conditions each year.

On August 5, 2019, X-linked Adrenoleukodystrophy (X-ALD), was the 54^th disorder added to the Texas Newborn Screening Panel.

To learn more about newborn screening, visit Texas DSHS Newborn Screening Laboratory and BabysFirstTest.org.

Mark your calendar, BabysFirstTest.org will host a Twitter Chat (#2019NBS) on September 17th at 2pm EST!

Posted September 10, 2019

Newborn Screening X-linked Adrenoleukodystrophy (X-ALD)

ACT and FACT Sheets

The Texas Newborn Screening Program plans to begin screening for X-ALD on August 5, 2019.

Healthcare providers can learn more about the condition and out of range screen protocols by reviewing X-ALD ACT and FACT sheets.

The Newborn Screening Program expects around 40 Texas children to benefit from X-ALD screening each year.
The Clinical Care Coordination Team will contact the primary care provider of any child with an abnormal newborn screen. The nurse will provide follow-up guidance and answer any questions.
Newborns with an abnormal newborn screen require a referral for diagnostic evaluation. Children with a confirmed diagnosis will need multidisciplinary care, including metabolic, endocrine, and neurology.

Thank you for helping keep Texas newborns healthy!

Questions?

Contact Newborn Screening Program:

1-800-252-8023 ext. 3957

Newborn@dshs.texas.gov

Posted July 25, 2019

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:

/uploadedimages/Content/Prevention_and_Preparedness/lab/NBS/X-ALD Abnormal Screening Image.png

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

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: mailto: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

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

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:

Download the Form to Refuse the Newborn Screening Blood Test ( Spanish Form) and the instructions.
Have the parent complete and sign the form.
File the top part of the form in the patient’s medical record.
Send the bottom part to the DSHS Newborn Screening Laboratory. You can send it in with other newborn screening specimens.

For more information or questions:

Texas statute: Texas Health and Safety Code 33.012
Visit: https://www.dshs.texas.gov/lab/nbsHCRes.shtm
Call toll free: (888) 963-7111 ext. 7333
Email: NewbornScreeningLab@dshs.texas.gov

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:

Annual Texas statistics
Texas’ status on achieving the *ACHDNC recommended timeliness goals (goal is 95%)

*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

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

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

Posted March 13, 2019

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

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

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

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

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:
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)

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

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

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

Newborn Screening Facility Report Card Change

NBS month

Posted September 10, 2018

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

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

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

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).

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.

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