MedicaidCoverageMedium impact
24-1279m Prevent the Spread of Tuberculosis During Regular Check-Ups
Health Net·CA · Family Medicine, Internal Medicine, General Practice·Reimbursement
We identified it
Jun 20, 2026
Summary
Health Net now requires physicians to offer tuberculosis (TB) risk assessments and screening tests for members ages 18 and older in primary care settings when risk factors are identified. If screening is positive, providers must offer follow-up care or referral to appropriate providers.
Action Required
Immediately: Primary care providers must implement TB risk assessment protocols for all adult members (18+) during routine visits. Update intake forms and EMR templates to include TB risk factor screening questions. Train clinical staff on when to offer TB screening tests based on USPSTF guidelines. Establish referral pathways for positive TB screening results and follow-up care coordination.