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The Maryland Hearing Aid Loan Bank . A Bridge To Early Intervention Paul K.Farrell, Sue Griebler, Ilene Briskin. History of Maryland Early Identification of Hearing Loss & Intervention. 1972 Parent-Infant Pilot Program (0-4) in 2 counties 1975 PL 94-142 1979 Birth Mandate State

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The maryland hearing aid loan bank l.jpg

The Maryland Hearing Aid Loan Bank

A Bridge

To

Early Intervention

Paul K.Farrell, Sue Griebler, Ilene Briskin


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History of Maryland Early Identification of

Hearing Loss & Intervention

1972 Parent-Infant Pilot Program (0-4) in 2 counties

1975 PL 94-142

1979 Birth Mandate State

1985 Program to Identify Hearing Impaired Infants

1987 Maryland Infants & Toddler Program

2000 Maryland Universal Newborn Hearing Screening

2002 Maryland Hearing Aid Loan Bank


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Identify Risk Factors

NICU more than 48 hours

Anatomical malformation

Asphyxia

Bacterial meningitis

Low birthweight

Perinatal infection

Family history

Hyperbilirubinanemia

1985: HIGH RISK REGISTRY

  • Program for Hearing Impaired Infants at the Maryland State Department of Health and Mental Hygiene (DHMH)

  • Advisory Council


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MARYLAND’S PATH TO UNIVERSAL NEWBORN HEARING SCREENING


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American Academy of Pediatrics

A.G. Bell Association

Advisory Council

Educational Audiology Assoc.

Johns Hopkins Hospital

COLLABORATION

The Maryland Department of Health and Mental Hygiene

The Maryland State Dept. of Education

CUSHION (Coalition for the Universal Screening of Hearing in Our Newborns)

  • Md. Academy of Audiology

  • Md. Hospital Assoc.

  • Md. Speech, Language, Hearing Association

  • University of Maryland Hospital


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Awareness & Legislative Support

  • Legislators

    • High Risk registry

    • Public Policy days

    • Constituent lobbying and testimony

    • Professional lobbying

    • Informational materials

  • Insurers

  • State agency support

  • Other citizens and related advocacy organizations


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FINANCIAL CONCERNS

  • Maryland Health Care Commission

  • Insurance Industry

  • Fiscal note: Cost/Benefit study


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All birthing hospitals establish UNHS

Insurers reimburse

Notification provided

Existing program & Advisory Council expanded and administered by DHMH

1999: UNIVERSAL NEWBORN HEARING SCREENING


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From Universal Newborn Hearing Screening to the Hearing Aid Loan Bank

  • Community awareness

    • Public Service Announcement

  • Amplification legislation

    • Grant support

    • Modified prior legislative approach

  • Habilitation: In process


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MEDICAL ASSISTANCE Loan Bank

INSURANCE MANDATE

For minor children

$1400 per ear

Licensed audiologist prescribes, fits and dispenses

Exceptions

Out of state employers and insurers

ERISA plans

2001: REDUCING BARRIERS TO AMPLIFICATION

  • HEARING AID LOAN BANK

    • Maryland State Dept. of Education

    • Children 0-3 years

    • Funding

    • Licensed audiologist prescribes, fits and dispenses

    • First earmolds provided


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Mission Loan Bank

The Hearing Aid Loan Bank will provide access to amplification as soon as possible following a diagnosis of hearing loss in an infant or toddler. This is essential to emerging language and healthy social/emotional development that are the foundation for school readiness and success.


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Getting Started Loan Bank

  • The basics: Getting off the ground

  • How does the loaner program work?

  • Who qualifies for the program?

  • Hearing Aid Loan Period

  • Budget Outline

  • Hearing Aids and Earmolds

  • Manufacturer support


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The Basics: Getting off the ground Loan Bank

  • Application

  • Policies & Procedures

  • Audiologist Survey

  • Brochure

  • Purchasing

  • Public Awareness

  • Family Satisfaction Survey


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How the Loan Bank Works Loan Bank

Universal Newborn Hearing Screening

Protocol

Confirmation Of Hearing Loss

By Hospital/Community Audiologist

Referral to Local Infants &

Toddlers program

Referral to Loan Bank

LITP Service Coordinator

Audiology Services

Permanent Hearing Aids

Or Cochlear Implant


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Who qualifies for the program? Loan Bank

  • Uninsured

  • Underinsured

  • Experience delays in acquiring hearing aids

  • Uncertain audiologic diagnosis

  • Families accessing use of alternativetechnology, i.e, cochlear implant


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How to Apply for Hearing Aids Loan Bank

Referring Audiologist Information:

  • All audiometric data (e.g. OAE/ABR,BOA)

  • A recommendation for suitable amplification

  • Medical Clearance for hearing aids from child’s physician

    Parent/Legal Guardian Information:

  • Statement indicating the reason the parent or guardian has no immediate access to hearing aids

  • Statement indicating insurance coverage, or a lack of coverage

  • A statement indicating the reason assistance from the loan bank is requested


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Hearing Aid Loan Period Loan Bank

  • Standard length of the hearing aid loan is six-months.

  • A loan extension, in 3 month intervals, may be granted upon written request from the parent.


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Budget Outline Loan Bank

  • Personnel

  • Communications

  • Travel

  • Contractual Services

  • Supplies

  • Equipment


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Hearing Aids and Earmolds Loan Bank

  • Digital Hearing Aids - Binaural Fitting

  • Earmolds (1st set)

    The dispensing audiologist is responsible for fitting and monitoring the hearing aid and earmold during the loan period


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Manufacturer Support Loan Bank

  • Educate key sales representative

  • Discount purchasing

  • Donations on individual case basis


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Making a Difference Loan Bank

  • May- Dec. 2003

    20 Hearing Aids disbursed to 10 families

  • In 2004 61 hearing aids were disbursed to 32 families


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The Good News! Loan Bank

As of March, 2005 the return rate for loaned hearing aids is 100%


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Maryland Infants and Toddlers Staff Development Programs Loan Bank

Grants from DHMH/Sponsored by MSDE

  • “Beginning the Journey:Intervention for Infants and Toddlers with Hearing Loss and their Families - 2003

  • “Continuing the Journey: Supporting Families in Understanding: The Grieving Process Associated with Hearing Loss and Intervention with Infants and Toddlers with Cochlear Implants” - 2004

  • “Team Collaboration: Everyone Has a Role to Play” - 2005

    Parent support and participation is an integral part of each conference


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Fast Access Loan Bank

Hearing Aids

Early

Detection

Of Hearing

Loss

Loan Bank

Early Intervention

UNHS

School

Readiness

EI

Loan Bank

UNHS

EI

Loan Bank

EI

UNHS

Loan Bank

EI

Strengths


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FOR MORE LEGISLATIVE INFORMATION… Loan Bank

  • www.mlis.state.md.us

    • 1999: HB 884; UNIVERSAL NEWBORN HEARING SCREENING

    • 2001: HB 160; HEALTH INSURANCE – HEARING AIDS- COVERAGE FOR CHILDREN

    • 2001: HB 282; STATE DEPARTMENT OF EDUCATION – HEARING AID LOAN BANK PROGRAM – ESTABLISHMENT AND OPERATION


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Contact Information Loan Bank

Paul K. Farrell

Director, Maryland Hearing Aid Loan Bank

(410) 767-0739

pfarrell@msde.state.md.us

Sue Griebler

Educational Consultant

(410) 767-2331

sgriebler@msde.state.md.us

Ilene Briskin

Education\Health Care Consultant

Public Policy\Grant Writing

ilenebriskin@comcast.net