Section 144-283-10 - FOLLOW-UP TESTSA. The Department must report out-of-range NBS results and follow-up recommendations to the infant's designated primary healthcare provider based on the level of urgency and in accordance with this rule. 1. Mildly out-of-range results must be reported within one business day. 2. Moderate and urgent results must be reported on the day the report is received from the laboratory. a. The Department's contract laboratory will report time-critical out-of-range results on weekends and holidays and when the Department is closed.3. If there is no designated primary healthcare provider identified, the Department must report to the infant's parent(s) directly.B. The infant's designated primary healthcare provider must submit a follow-up NBS specimen within the timeframe recommended by the Department. The provider must obtain other laboratory tests specified by the Department and/or consult with pediatric specialty consultant within the timeframe specified by the Department.C. If the infant's designated healthcare provider cannot submit a follow-up test specimen within the specified timeframe, the provider must notify the Department of this fact and the reason for it.D. If the infant's designated healthcare provider processes a requested repeat specimen through a local laboratory, the provider will notify the Department of the results.E. Test results for repeat or follow-up screening tests will be reported directly to the appropriate healthcare provider by providing individual result reports.F. For the purpose of coordinating efforts to detect, prevent, and treat genetic conditions and metabolic disorders, the Department may share individually identifiable health information related to the potential or actual presence of the genetic conditions and metabolic disorders that are listed in this rule with other public health programs and agencies whose mission is to detect, prevent and treat these disorders, including CDS.10-144 C.M.R. ch. 283, § 10