Beginning in 2022, the Department of Homeland Security’s United States Citizenship and Immigration Services created and expanded several humanitarian parolee programs aimed at assisting individuals from certain countries impacted by ongoing conflicts. As part of these programs, program beneficiaries two years of age or older are required to complete a medical screening for tuberculosis (TB), including an IGRA test within 90 days of arrival to the United States.
To support humanitarian parolees to comply with this requirement, the TB Program has provided funding to local health districts to support free of charge IGRA testing for program beneficiaries.
If you have come to Virginia through a Humanitarian Parolee Program and need of TB testing, you can find your nearest health department on this page.
For information on newly arrived refugees and other qualified individuals, please refer to the Newcomer Health Program.
Media and Communications Materials
To support outreach and engagement efforts with humanitarian parolees in communities across Virginia, the TB Program has developed a variety of resources for use in print and social media.
Reimbursement Process and Forms for Local Health Districts
Please reference the table below for guidance regarding required documentation and the relevant submission process based on the parolee’s country of origin, dates of entry, and entrance process. Please note, this table has been updated to reflect additional information related to Office of Refugee Resettlement (ORR) benefits and services eligibility for Afghan and Ukrainian Parolees and their relatives.
For individuals from countries that are not currently eligible for Office of Refugee Resettlement (ORR) benefits, which are Nicaragua and Venezuela, the TB Program has a limited amount of funding budgeted to pay or reimburse IGRA testing. If you are requesting payment or reimbursement for such charges, please refer to this guidance.
| Country of Origin | Dates of Entry | Eligible for ORR Benefits? | Charge IGRA to… | Exceptions |
| Afghanistan | Before July 31, 2021 | No | TB Program* | None |
| July 31, 2021 – September 30, 2023 | Yes | Newcomer Health Program** | N/A | |
| October 1, 2023 – present | No | TB Program* | If relative+ was already in the US prior to September 30, 2023, OR client holds another ORR-eligible immigration status or category, such as refugee, Special Immigrant Visa (SIV) holder, or asylee, then client is eligible for benefits via Newcomer Health Program. | |
| Ukraine | Before February 24, 2022 | No | TB Program* | None |
| February 24, 2022 – September 30, 2024++ | Yes | Newcomer Health Program** | N/A | |
| Haiti | Any time | Yes | Newcomer Health Program** | Certain visa classes may not qualify |
| Cuba | Any time | Yes | Newcomer Health Program** | Certain visa classes may not qualify |
| Nicaragua | Any time | No | TB Program* | None |
| Venezuela | Any time | No | TB Program* | None |
* To seek reimbursement from VDH TB program, submit encrypted email with Humanitarian Parolee Tuberculosis Screening and Testing Form and redacted IGRA invoice to tuberculosis@vdh.virginia.gov or fax to 804-416-5178.
** For parolees with ORR benefits, please complete the Newcomer Health Program Initial Health Screening Report and submit via encrypted email to newcomerhealth@vdh.virginia.gov or fax to 804-864-7913 by the 15th of the month following the screening date. Please assign charges to the Newcomer Health Org in Web Vision.
+ Relative is defined as “spouse or child” of an ORR-eligible parolee per INA § 101(b) (8 U.S.C. § 1101(b)) OR parent or legal guardian of an unaccompanied child parolee who meets the definition in 6 U.S.C. § 279(g)(2).
++ Please see Policy Letter 22-13 for additional information on ORR eligibility for Ukrainian Humanitarian Parolees.