SNF requirements for TB Screening, specifically the age of the chest x-ray?
Your article R9-10-407 is confusing and is mis-interpreted in my SNF. Is the chest x-ray good for 6 months or 12 months? Is this changing in October 2013? Thank you for your response in advance.
R9-10-112 Tuberculosis Screening
Individual required to be screened must on or before providing services show evidence of freedom from TB by a documented negative Mantoux skin test or other screening test i.e. check x-ray completed within 6 months of start date for providing services.
If an individual has a positive mantoux test or other screening test i.e. chest x-ray, a written statement from a medical practitioner that the individual is free from infectious TB is provided and is dated within 6 months before start date for providing service.
The every 12 months after the date of the most recent screening test or written statement, there must be documentation of a negative Mantoux skin test or screening i.e. chest X-ray administered within 30 days before the anniversary date of the most recent screening test or written statement.
If the individual has a positive Mantoux or screening test, then they need a written statement that they are free of infectious TB signed by a medical practitioner with 30 calendar days before or after the anniversary date of the most screening or written statement.
Start date 9/1/13, had negative Mantoux on 6/15/13————OK to provide services *done within 6 months
Start date 9/1/13, had positive Chest X-ray on 6/15/13, Medical practitioner seen on 7/1/13 and written statement “ is free from infectious TB”
-——OK to provide services
Continued Employment every 12 months
Had negative Mantoux on 6/15/14, anniversary date is 9/1/14 so must have another screening on or 30calendar days before 6/15/14.
Had positive Chest x-ray on 6/15/14, anniversary date is 9/1/14 so must have another written statement of freedom from TB from medical practitioner within 30 calendar days before or after 6/15/14.
Thank you for your question