Section 360.200 - Admissions(A) Admission to the Tuberculosis Treatment Unit, as established by the Tuberculosis Program, is for the following persons with a confirmed case of tuberculosis or clinically suspected tuberculosis who cannot or should not be managed in the outpatient setting: (1) Persons demonstrating continued inability or unwillingness to adhere to proper medical treatment for confirmed or clinically suspected tuberculosis in a communicable form. The admission may be voluntary or involuntary. If the admission is involuntary, the procedures set forth in M.G.L. c. 111, §§ 94A through 94C shall be followed. Least restrictive measures shall be used first, and the patient shall be given the opportunity for voluntary admission prior to an involuntary admission.(2) Persons with complex medical management challenges that require close supervision in an inpatient setting. These challenges include, but are not limited to: drug resistant tuberculosis; progressive tuberculosis disease that is not improving with outpatient management; toxic reactions to therapy; and concurrent illnesses that interfere with or prohibit successful outpatient treatment of tuberculosis.(3) Persons with a confirmed case of tuberculosis or clinically suspected tuberculosis, in a communicable form, whose living arrangements are in congregate settings where respiratory isolation is not possible and they present an immediate or imminent public health threat.(B) Boards of health, hospitals, health care providers, or Tuberculosis Program staff who initiate the admission process shall review the appropriateness and the procedure for the admission with the medical director of the Tuberculosis Treatment Unit or with his or her designee.(C) The Tuberculosis Treatment Unit shall notify the Tuberculosis Program of all admissions in accordance with Tuberculosis Program policies and procedures.(D) The Tuberculosis Treatment Unit is responsible for billing third-party payors and for seeking insurance benefits for those who are eligible for such benefits. The Commonwealth is the payor of last resort; however, no patient shall be denied care and treatment for tuberculosis because of inability to pay.Amended by Mass Register Issue 1316, eff. 7/1/2016.