43.1 Nonfinancial Requirements

Individuals who are infected with tuberculosis (TB) and who are not otherwise eligible for full benefit BadgerCare Plus or Medicaid may be eligible for Tuberculosis (TB)-related Medicaid, a special category of Medicaid.

"Infected with TB" means that a physician has examined them and found that one or more of the following diagnoses apply to them:

They are infected with latent or active TB.
They have a positive TB skin test.
They have a negative TB skin test but a positive sputum culture for the TB organism.
They have a negative test for TB, but a physician certifies that they require TB-related drug therapy, surgical therapy, or both.
A physician certifies that they require testing to confirm the presence or absence of TB.

An individual's statement that they have one or more of the above conditions should be accepted unless the information provided is questionable (see Section 9.10 Questionable Items). If questionable, accept any of the following as verification:

A physician's or registered nurse's written confirmation that the person has one or more of the above conditions.
Wisconsin Tuberculosis Record (Form P-03429). This card identifies the person and the physician's diagnosis and has the name and telephone number of the treatment provider.

To be eligible for TB-Related Medicaid, a person must also meet the following criteria:

Be a Wisconsin resident (see Chapter 3 Residence)
Be a U.S. citizen or qualified immigrant (see Chapter 4 Citizenship and Immigration Status)
Provide documentation of citizenship and identity or of immigration status (see Section 4.1 U.S. Citizens and Nationals)
Cooperate with establishing medical support and third-party liability (TPL) (see Chapter 5 Medical Support and Third Party Liability)
Sign over to the state their rights to payments from a third party for medical expenses (see Section 5.2 Medical Support/Child Support Agency Cooperation)
Meet BadgerCare Plus SSN requirements (see Chapter 6 Social Security Requirements)
Cooperate with verification requests when information is mandatory or deemed questionable (see Chapter 9 Verification)

This page last updated in Release Number: 23-04
Release Date: 12/18/2023
Effective Date: 12/18/2023

The information concerning the BadgerCare Plus program provided in this handbook release is published in accordance with: Titles XI, XIX and XXI of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapter 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2 and 101 through 109 of the Wisconsin Administrative Code.

Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.

Publication Number: P-10171