Tuberculosis Testing Regulations and TB Patient Education Billing Requirements

Tuberculosis Testing for All Licensed Organizations

The SUPR Administrative Rule, Part 2060.415, mandates the tuberculosis testing requirements for licensed organizations. Rule 2060 was adopted in 1996 based on the Center for Disease Control (CDC) guidelines and updated in 2005. Since then, a written exception request had to be sent to the Director of IDHS/SUPR asking for an exception to CDC 2005 regulations. IDHS/SUPR is granting a blanket exception to the current 2060.415 section of the rule mandating annual staff tuberculosis testing for licensed organizations to eliminate this administrative burden.

Within the next few months, SUPR will include 2005 CDC regulations in a revised licensure rule. Please ensure that your licensed organization(s) comply with the following requirement that incorporates the 2005 CDC guidelines:

  • Each facility licensed for treatment shall have a policy developed by the Medical Director to ensure compliance with The U.S. Department of Labor Rule for Occupational Exposure to Bloodborne Pathogens, 29 CFR 1910.1030 (January 18, 2001) and annual training requirements for healthcare workers and with the Centers for Disease Control (CDC) and Prevention, Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health-Care Settings, 2005; MMWR 2005; 54 (No. RR-17), December 30, 2005. The policy shall be reviewed and updated annually and require a tuberculosis risk assessment for each facility according to the CDC guidelines and utilizing CDC appendices B and C. The policy shall also ensure that each staff member has a TB test upon hire to establish a baseline and then only annually based on the annual risk assessment. Client/patient/resident screening and education regarding infectious disease shall follow current requirements in Part 2060 and the annual risk assessment results.

Tuberculosis Education for SUD Patients - DARTS Billing Requirements for SUPR Funded Organizations

Part 2060 also requires all patients receiving services from a licensed IDHS/SUPR organization receive TB education. For those organizations that also have Substance Abuse Block Grant (SABG) funding, it is required that these services be reported correctly through DARTS for SUPR to demonstrate compliance for continued block grant funding.

  • For any person in Level .5, 1, or 2 care, activity code 10 should be tagged to identify the individual or group session where this information was presented. Patients in Level 3 care should also receive this education, although there is no mechanism to report this education separately from the daily rate. Therefore, please ensure that all TB education is properly documented in the client/patient record.

SUPR appreciates your immediate attention to ensuring compliance with the 2005 CDC TB requirements and, as applicable, the reporting requirements for TB education. Questions should be directed to the SURP Help Desk at .