MedicaidAdministrativeMedium impact
03-30-2026 Screening Reporting Treatment Care Coordination and Quality Monitoring of Members with Tuberculosis IM IE LA OC SAC SD
Molina Healthcare·CA · Family Medicine, Internal Medicine, Pediatrics +3 more·Quality Measures
Effective date
Mar 30, 2026
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California has established new provider responsibilities for tuberculosis (TB) screening, reporting, treatment monitoring, and care coordination across all lines of business. Providers must report suspected TB cases to Local Health Departments within 1 day, conduct monthly monitoring until culture conversion, and assess at-risk members for latent TB infection.
Action Required
Immediately: Review TB Provider Toolkit at molinahealthcare.com. Establish workflow to report suspected TB cases to Local Health Department within 1 day via fax or phone. Update EMR to flag TB screening requirements for children at 1, 6, and 12 months, then annually. Create monthly monitoring protocol for TB patients requiring sputum cultures until negative conversion. Train clinical staff on Directly Observed Therapy (DOT) assessment criteria and LHD contact information for each county.