Do my caregivers need a TB test?
Under Georgia’s private home care rule, staff must have a satisfactory TB screening test when they are hired and once a year after that, and the result must be kept in their personnel file. Employees must also report known exposure to tuberculosis or hepatitis. Check your own waiver and license requirements with DCH.
For licensed private home care agencies, Georgia’s rule (Ga. Comp. R. & Regs. 111-8-65-.09) says:
- Staff must have a satisfactory TB screening test on employment and annually after that.
- The result must be documented in the personnel record.
- Employees must report known exposure to tuberculosis and hepatitis to the employer.
What should be in a caregiver file, according to the same rule: employment history, qualifications, the TB screening, a job description, training records and an annual evaluation.
A tip: put the TB date in a reminder system the day you hire someone. Annual means annual, and a lapse is an easy thing for a surveyor or auditor to find.
This rule is for agencies that need a private home care license. Waiver programs have their own manuals, and It is not confirmed here whether the waiver manual repeats the same TB rule. Ask your license program at DCH (404-657-5700) or the waiver unit.
Sources
- Ga. Comp. R. & Regs. 111-8-65-.09 Administration and Organization (private home care providers) · Cornell Legal Information Institute (Georgia rules)
- Private Home Care Program · Georgia DCH
Reviewed by Beth Bledsoe, Care Business Advisor®, 28 Oct 2026. Rules change. Confirm with your state Medicaid agency before you act.
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