MedicaidAdministrativeMedium impact
24-1280m Prevent the Spread of Tuberculosis During Regular Check-Ups
Health Net·CA · Family Medicine, Internal Medicine, General Practice·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net now requires providers to offer tuberculosis (TB) screening assessments for Medi-Cal members ages 18 and older during primary care visits if risk factors are identified. Providers must offer follow-up care or referrals for positive TB screening tests, with specific exemptions for emergency situations and previously tested patients.
Action Required
Immediately: Primary care providers must implement TB risk assessment protocols for all Medi-Cal members ages 18+ during routine visits. Update clinical workflows to include TB risk factor screening questions. Train staff on U.S. Preventive Services Task Force screening criteria and exemption conditions. Establish referral pathways for positive TB screening follow-up care. Contact Community Health Plan of Imperial Valley at 833-236-4141 for questions about implementation requirements.