What Conditions are Screened For in South Dakota?
Amino Acid Disorders
Benign Hyperphenylalaninemia (H-PHE)
Biopterin Defect in Cofactor Biosynthesis (BIOPT-BS)
Biopterin Defect in Cofactor Regeneration (BIOPT-REG)
Citrullinemia, Type I (CIT)
Citrullinemia, Type II (CIT II)
Classic Phenylketonuria (PKU)
Maple Syrup Urine Disease (MSUD)
Tyrosinemia, Type I (TYR I)
Tyrosinemia, Type II (TYR II)
Tyrosinemia, Type III (TYR III)
Fatty Acid Oxidation Disorders
Organic Acid Conditions
About Newborn Screening in South Dakota
All newborns in South Dakota are required by law to have a blood test shortly after birth to screen for metabolic and other inherited conditions. The newborn screening helps identify babies who may have one of these conditions, and can alert the baby's doctor to the need for further testing and special care. With early diagnosis and medical treatment, complications from these serious but uncommon conditions may be prevented.
In order to test your newborn, a sample of blood is obtained by pricking the baby's heel. This sample is then placed on special paper which is sent to the designated laboratory for testing. The lab uses this one sample of blood to test for all the mandated disorders. The sample is usually obtained on the day the baby is discharged from the hospital and the ideal sample is taken anytime between 24-48 hours of birth.
The results of the tests are returned directly to the birth facility where the test was obtained. You can ask about the results when you take your baby in for a regular check-up. Generally, parents are notified only if further testing is needed. If your baby's doctor asks you to bring your baby in for retesting, do so as soon as possible.
There are three main reasons why you may be told a repeat screening test may be needed. These include a possible problem with the sample, the fact that the test was done prior to 24 hours of age, or in very rare instances, the possibility that the test result was abnormal, which may indicate a condition.
Generally, if the results of the repeat screening test are also abnormal, the doctor will discuss the need for further treatment or testing. It is important that your hospital and doctor have your correct address and phone number to contact you. If your baby needs to be retested, get it done as soon as possible.
Policies and Resources
In South Dakota, there is no provision for parents to refuse the newborn screening.
Support for families:
Since having a child with a condition can be financially burdensome for the family, South Dakota seeks to support families with children with various conditions detected during newborn screening through their Children’s Special Health Services: Health KiCC program. This program is funded through federal and state monies and it provides financial assistance for medical appointments, procedures, treatments, medications and travel reimbursement for children with certain chronic health conditions.
To be eligible, the child must be a South Dakota resident under 21 years of age whose family’s income is within 250% of the federal poverty guidelines. If you are eligible, the program will cover 100% of the remaining cost of the coverable services after other 3rd party sources are billed. Assistance is limited to $20,000 per fiscal year. Mileage reimbursement is available for medical appointments specific to the coverable condition. Care coordination is available based on your request or need. At your request, a care coordinator can assist you in explaining the services your child may need. This could include things such as connecting to other resources, identifying the best options for your particular situation or needs, and helping to prepare your child for transitions at childcare, school and into adulthood. If you have questions or would like to receive program application materials, please call 1-800-305-3064 or email DOHcshshealthkicc@state.sd.us.
Families with PKU and Private Insurance:
For families with private insurance, HMO, nonprofit hospital service contract, health benefit plan or group health insurance policy in South Dakota, the law requires the policies to offer coverage for testing, diagnosis, and treatment of phenylketonuria (PKU) including dietary management, formulas, case management, intake and screening, assessment, comprehensive care planning, as well as service referral.