1. All specimens received by the laboratory shall be initially examined within five working days of receipt. Abnormal results shall be reported to the Collector within two working days of determination.

1. The Department of Health, in collaboration with consulting medical specialists providing clinical advice on core medical conditions, shall define the levels which constitute positive screening results for each core medical condition listed in the RUSP and included in the Arkansas NBS screening panel.

2. The medical caretaker shall give special consideration to retesting any infant whose case findings, testing circumstances, or family history seems to medically warrant it.

1. Immediately upon obtaining the initial positive screening result, the Department of Health shall notify the attending physician or medical attendant, who shall be responsible for ensuring that prompt follow-up diagnostic testing is conducted.

2. Appropriate, expectant medical management shall not be withheld pending the confirmatory test results. A non-physician Collector shall immediately refer the infant for appropriate medical intervention. It is recommended that a pediatric geneticist, endocrinologist, pulmonologist, or other appropriate specialist consultant, depending on the medical condition, be utilized in the management of these infants.