Rule 15-16-1-48.12.3 - Resident Admission Requirements to Rule Out Active Tuberculosis1. The following are to be performed and documented within 30 days prior to the resident's admission to the licensed facility:A. A TB signs and symptoms assessment by a licensed physician, physician's assistant, or nurse practitioner; andB. A chest x-ray taken and have a written interpretation.2. Admission to the facility shall be based on the results of the required tests as follows: A.Residents with an abnormal chest x-ray and/or signs and symptoms assessment shall have the first step of a two-step TST placed and read by certified personnel OR an IGRA drawn, and results documented within 30 days prior to the resident's admission to the "Licensed Facility." Evaluation for active TB shall be at the recommendation of the MSDH and shall be prior to admission. If TB is ruled out and the first step of the TST is negative, the second step of the two-step TST shall be completed and documented within 10-21 days of admission. TST administration and reading shall be done by certified personnel. If an IGRA is done, a TST (first or second step) is not done.B.Residents with a normal chest x-ray and no signs or symptoms of TB shall have a baseline IGRA OR a TST performed with the initial step of the two-step TST placed on or within 30 days prior to the day of admission. IF TST is done, the second step shall be completed within 10-21 days of the first step. TST administration and reading shall be done by certified personnel. If an IGRA is done, a TST is not done (first or second step).C.Residents with a significant TST OR positive IGRA upon baseline testing or who have documented prior significant TST shall be monitored regularly for signs and symptoms of active TB [cough, sputum production, chest pain, fever, weight loss, or night sweats, especially if the symptoms have lasted longer than three (3) weeks] and if these symptoms develop, shall have an evaluation for TB per the recommendations of the MSDH within 72 hours.D.Residents with a non-significant TST or negative IGRA upon baseline testing shall have an annual TST or IGRA within 30 days of the anniversary of their last test. Note: Once IGRA testing is used, IGRA testing should continue to be used rather than TST testing.E.Residents with a new significant TST or newly positive IGRA on annual testing shall be evaluated for active TB by a licensed physician, physician's assistant, or nurse practitioner.F.Active or suspected active TB admission. If a resident has or is suspected to have active TB, prior written approval for admission to the facility is required from the MSDH TB State Medical Consultant.G.Exceptions to TST/ IGRA requirement may be made if:i. Resident has prior documentation of a significant TST/positive IGRA.ii. Resident has received or is receiving a MSDH approved treatment regimen for latent TB infection or for active TB disease.iii. Resident is excluded by a licensed physician, physician's assistant, or nurse practitioner due to medical contraindications.15 Miss. Code. R. 16-1-48.12.3
Miss. Code Ann. § 43-11-13