MedicaidDocumentationMedium impact
Provider Bulletin 10-01-2025 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, General Practice +3 more·Quality Measures
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California has established new requirements for providers treating tuberculosis patients, including mandatory reporting to local health departments within 1 day of identification, monthly treatment monitoring, and specific coordination protocols. This affects all lines of business and requires providers to follow detailed screening, reporting, and care coordination protocols outlined in a new TB Provider Toolkit.
Action Required
Immediately: Review and implement the TB Provider Toolkit requirements including: 1) Report all known or suspected active TB cases to local health department within 1 day via electronic transmission, phone, or fax, 2) Obtain monthly sputum smears and cultures until negative conversion is documented, 3) Submit initial and updated treatment plans to LHD monthly until completion, 4) Report drug susceptibility results to LHD within 1 day for positive results, 5) Refer drug-resistant TB cases to LHD within 7 days, 6) Examine LHD-identified contacts within 7 days. Clinical staff must access the TB Toolkit at molinahealthcare.com and establish workflows for LHD reporting and coordination.