With this project we intend to institute testing for CMV in infants who fail their newborn hearing screen in order to quickly identify those with cCMV. After identification, they will be referred for further audiology testing and referred to Pediatric Infectious Diseases for further diagnostic and confirmatory testing and treatment if indicated. Additionally, by having a confirmed positive cCMV test, the parents and PCP can receive additional counseling on the importance of proper follow up with early intervention specialists in order to improve the infants long-term outcome. A secondary benefit will be improved data on cCMV prevalence in Nebraska.