Members ages 18 and older can be offered TB screening assessments if risk factors are identified using the following criteria:

• Adult members who receive primary care services in a facility, clinic, center, office, or other setting where primary care services are provided, shall be offered a TB risk assessment and TB screening test, if TB risk factors are identified, based on the latest screening indications recommended by the U.S. Preventive Services Task Force, unless the provider reasonably believes that one of the following conditions applies:
  • The member is being treated for a life-threatening emergency.
  • The member has previously been offered or has been the subject of a TB risk assessment, TB screening test, or both, and has no new TB risk factors since the last TB risk assessment or TB screening test, unless the provider determines that they should be offered again.
  • The member has a documented, previously positive Interferon-Gamma Release Assays test or has previously tested positive for a latent tuberculosis infection (LTBI).
  • The member lacks capacity to consent to the assessment or test and/or consent cannot be obtained from a person legally authorized to make medical decisions on the patient’s behalf.
  • The member is being treated in the emergency department of a general acute care hospital.
• If a member accepts the offer of the TB screening test and the test is positive, providers are required to offer the member follow-up care or refer the member to a provider who can provide follow-up care.

For more information on TB reporting and care management, refer to the Communicable Diseases and Reporting section.