SIGNED FINAL MOU _TB Program Reedsburg Area Medical Center and Sauk County Public Health 7-15-2024

The intent of this Agreement is to collaborate between Sauk County Health Department (SCHD) and 
Reedsburg Area Medical Center (RAMC) for the purpose of providing Interferon-Gamma Release Assay 
tests (IGRA) for clients without insurance and demonstrated financial need.
SCHD agrees to:

1. Identify patients who are uninsured, underinsured, and not eligible for Medicaid or TB only 
Medicaid and also demonstrate financial need.
2. Communicate with the identified department at RAMC who the patient is and that RAMC is
to bill SCHD for the lab services (service code: blood draw 36415 and IGRA 86480/86481). A signed 
release of information will be completed for exchange of patient information.
3. SCHD will keep track of number of clients, so as not to exceed the maximum of 8 (eight) patients 
per calendar year.
4. SCHD will reimburse RAMC for IGRA testing at current Medicaid rate. TB Program rates may change 
subject to Medicaid rates throughout the year.

RAMC agrees to:

1. Accept the patients refened for IGRA's from SCHD, max of 8 (eight) per calendar year.
2. RAMC will bill only SCHD and will accept the cunent Medicaid rate for payment for IGRA testing; 
costs exceeding the maximum reimbursement rate allowed by the TB program will not be the 
responsibility of SCHD, the State of Wisconsin TB Program, or the patient.