L ATENT T UBERCULOSIS I NFECTION T REATMENT

LATENT TUBERCULOSIS INFECTION TREATMENT AT A GLANCE: 2024 INTRODUCTION The Latent Tuberculosis Infection (also referred to as latent TB infection, or LTBI) Treatment At a Glance tool provides an overview of the coverage of key latent TB infection services in Massachusetts as of February 2024 in order to give health care providers quick access to basic coverage information to help inform discussion. [...] In September 2016, the USPSTF recommended that asymptomatic adults at increased risk for infection receive screening for latent tuberculosis infection.1 Because the USPSTF provided a “B” rating for this recommendation, QHPs, ConnectorCare plans, and Medicaid expansion health plans must provide this benefit for the relevant population without cost-sharing. [...] MASSACHUSETTS SILVER-LEVEL QUALIFIED HEALTH PLANS The table below summarizes coverage of latent TB infection treatment and related services in the silver-level Qualified Health Plans (QHPs) available to individuals via the Massachusetts health insurance marketplace (Massachusetts Health Connector). [...] Plan Coverage, related services Coverage, isoniazid Coverage, Priftin Coverage, rifampin Fallon Health – ConnectorCare Plan Type I X-Ray: $0; Blood Work: $0 $1 for oral tablet; $3.65 for oral $3.65 $1 syrup Fallon Health – ConnectorCare Plan Type II X-Ray: $0; Blood Work: $0 $10 for oral tablet; $40 for oral syrup $40 $10 Fallon Health – ConnectorCare Plan Type III X-Ray: $0; Blood Work: $0 $12.50. [...] Insurer Coverage, related services Coverage, isoniazid Coverage, Priftin Coverage, rifampin MassHealth* X-Ray: $0; Blood Work: $0 Covered Covered Covered Fallon Health** X-Ray: $0; Blood Work: $0 Covered Covered Covered Health New England – BeHealthy Partnership X-Ray: $0; Blood Work: $0 Covered Covered Covered Mass General Brigham – Mass General Brigham X-Ray: $0; Blood Work: $0 Covered Covered C.