Hearing loss can too easily be misdiagnosed or overlooked by providers serving young children. Parents and professionals may observe a language delay--an "invisible" condition--while failing to identify the underlying cause. Otoacoustic emissions (OAE) hearing screening technology, used extensively with newborns, is becoming an essential tool, relied on by early childhood service providers in identifying young children who need comprehensive audiologic evaluation and intervention. With accurate screening/evaluation practices, hearing loss can be identified and early and appropriate intervention can be initiated without delay.