This article will help you understand:
- Answers to Checkr Health FAQs
- How long does it take?
- What if a candidate misses the deadline?
- What if a candidate needs to change the location for their appointment?
- What are ‘negative’ and ‘non-negative’ drug test results?
- What if the candidate has questions or disputes?
- A drug screen came back canceled. Why would that happen and will the customer be charged?
- What are the different types of drug tests?
- What is the standard panel of drugs tested for during pre-employment screening?
- What is a dilute specimen?
- What does a negative dilute result mean?
- What are adulterants? Can labs screen them?
- What’s the difference between DOT and Non-Regulated drug tests?
- What is an SAMHSA Certified Lab?
- How does legal marijuana affect drug testing in the workplace?
- How much time can be added to a screening pass? How many times can it be updated? Can it be extended once the screening pass has expired?
- I’m curious if you have clinics available in “XYZ” Zip Codes for certain tests. Can you provide this information?
- What do MRO Notes Mean?
- What are common MRO Notes?
- A Positive drug test was changed to a Negative drug test after the result was already posted in the Checkr Dashboard. Why would this happen?
- I received an invoice for a drug screen that did not come from Checkr? What should I do?
- What does a "substituted" result mean and why is it treated as a non-negative result?
Find description and details in the Checkr Health article.
Checkr Health FAQs
How long does it take?
Results are usually available within 2-3 business days after the screening is complete. Results sent to a Medical Review Officer may take an additional 72+ hours to complete, while the MRO conducts their interview.
What if a candidate needs to change the location for their appointment?
Candidates can now change the location of their scheduled drug / health screen directly in the Candidate Portal:
What if a candidate misses the deadline?
Clients can now send an updated screening pass to a candidate that missed their screening window (pass expired). By clicking the send updated screening pass button:
1) A new screening pass will be emailed to the candidate
2) The report will be pushed out of suspended status and into pending status.
3) The same clinic previously used will be applied to the new passport.
4) The expiration date of the screening pass will be updated according to the account / package setting.
If a candidate had NOT scheduled (chosen a clinic) the customer can still resend the screening invitation. By clicking the re-send screening invitation button:
1) the report will un-suspend
2) the candidate will be emailed a link to schedule their drug test
3) the expiration date of the screening pass will be updated according to the account / package setting.
What are ‘negative’ and ‘non-negative’ drug test results?
- Negative indicates that the test revealed no evidence of the listed substance.
- Non-Negative indicates that the test revealed evidence of one or more of the listed substance(s). Non-Negative results are submitted to a Medical Review Officer (MRO) for additional processing.
What if the candidate has questions or disputes?
Candidates may contest the Medical Review Officer's findings by contacting the lab they visited to provide their sample.
NOTE: Checkr cannot help candidates dispute their drug test results.
A drug screen came back canceled. Why would that happen and will the customer be charged?
A drug screen may be canceled by the vendor for many reasons.
If the screen was canceled due to an error on our side (the specimen was lost in transit, spilt, etc) there will be no charge for the screen. The candidate will need to go back to the clinic and take a new test. We recommend that you create a new screen and screening pass for the candidate.
Here is an example of a canceled screen that was due to a human error at the collection site and a mix up of the Specimen ID number. This drug test would not be billed to the customer:
If the screen was canceled due to something that looks like an adulterated specimen, or error on the candidate’s part. For example, the temperature of the specimen at the collection site was not within legal range, etc. These tests will result in a charge and a “Consider” status on the report. If you’d like to give the candidate a second chance to retake their drug test, you can do so by ordering a new report.
Here is an example of a canceled screen that was due to something abnormal with the specimen. This drug test would be billed to the customer:
What are the different types of drug tests?
Urine is the most common specimen for drug screening. Each drug test consists of a “panel” of various drugs to be tested at certain thresholds. Businesses rely on laboratory-based urine testing for its cost-effectiveness, capacity to screen for a variety of different illicit drugs and ability to withstand most legal challenges. Other specimens include saliva, hair and blood draws. Checkr partners with Alere eScreen to offer a comprehensive and customizable selection of drug tests to suit each company’s needs.
What is the standard panel of drugs tested for during pre-employment screening?
The most commonly ordered 5 panel drugs include: Amphetamines, Cannabinoids (THC), Cocaine, Opiates and Phencyclidine (PCP). You can also review Checkr’s most common panels (PDF attached) for a broader list of test types.
What is a dilute specimen?
- A specimen that contains too much water as a result of the donor drinking too much water or adding water to their sample
- A specimen with creatinine (natural byproduct of physical activity) and specific gravity (density) values that are considered abnormally low for human urine
- A dilute specimen can bear results of either Positive-Dilute or Negative-Dilute
What does a negative dilute result mean?
See attached documentation: Neg-Dilute Information.pdf.
What are adulterants? Can labs screen them?
Adulterants are substances added to a specimen to produce a false negative that donors can consume through over the counter products. An adulterated specimen may contain a substance that is not normally found in human urine. Labs can screen for adulterants, but may encounter difficulty with identifying the drugs the donor was trying to conceal.
What’s the difference between DOT and Non-Regulated drug tests?
- Regulated by the Federal Government
- Strict Guidelines (DOT Rule, CFR Part 40 describes required procedures for conducting workplace drug and alcohol testing)
- Urine specimen only – cannot be altered
- DOT lab test (Standard 5 panel expanded for MDMA and 6-AM) – cannot be altered
- Alcohol testing may be required
- Under the DOT, each agency must conduct random drug screening on all employees working in a safety sensitive position. Checkr does not offer random drug screening solutions natively in our app today, but has network partners you may leverage.
- Not regulated by any government agency
- Client has freedom to customize their drug screening program for any type of screen that suits your policy.
- Variety of specimens (urine, hair, saliva, blood)
- Client able to select their panel
What is an SAMHSA Certified Lab?
SAMHSA is the Substance Abuse and Mental Health Services Administration. They are an agency of The Department of Health and Human Services (DHHS) that regulates and inspects federally accredited drug-testing laboratories. A SAMHSA Certified Lab is any United States laboratory certified by DHHS under the National Laboratory Certification Program that meets the minimum standards of Subpart C of the HHS Mandatory Guidelines for Federal Workplace Drug Testing Programs; or, in the case of foreign laboratories, a laboratory approved for participation by DOT under this part. Checkr’s partner Alere eScreen leverages SAMHSA certified labs for all testing. A list of SAMHSA certified labs can be found here: http://www.samhsa.gov/sites/default/files/workplace/certified-lab-list-july-2015.pdf
How does legal marijuana affect drug testing in the workplace?
It is up to the customer to decide whether or not to test for marijuana in states where it has been legalized. Checkr, via our Alere eScreen partnership, will provide an MRO note where a marijuana test is positive and the candidate noted that they have a valid prescription. It is the customer’s responsibility to make a determination on qualification, hiring, or termination of a candidate based on positive / negative test results and local law. Today there is no central US repository for legal marijuana prescriptions and CRAs can not access the local state databases. Customers should consult with their legal counsel to determine specific needs and obligations
How much time can be added to a screening pass? How many times can it be updated? Can it be extended once the screening pass has expired?
As long as the screening is not already expired, we do not restrict client’s on how much time can be added or how many times the window is extended. The client can continue updating it in perpetuity to a new date in the future, so long as it’s an active pass (not expired). Once the pass has expired, the “Add More Time” button will disappear and the client should use tools to “renew screening pass” or “resend invitation”. Client’s should use this button in conjunction with their internal hiring policies and expectations for completing a drug/health test.
I’m curious if you have clinics available in “XYZ” Zip Codes for certain tests. Can you provide this information?
If the customer (or candidate) are searching a zip code and no locations are returned, that likely means that there are no clinics available in 60 mile radius that perform the required test. There might be clinics closer by that are not enabled for the customer account settings. For example “Out Of Network” clinics are more expensive, and require customer agreement be in place to leverage these locations. If you need to inquire further about available clinics in a particular zip code you may reach out to firstname.lastname@example.org and we can run a zip code search to help your candidate.
What do MRO Notes Mean?
MRO Notes are an optional field that the MRO (Medical Review Officer) will input according to the results of the drug screen. The example above shows an MRO note where the screen result was canceled due to a broken seal. Another example may be a note where MRO denotes a prescription was provided for Medical Marijuana where a donor tested positive.
What are common MRO Notes?
You can view a full list of MRO note possibilities attached in MRO Notes - Sheet1.pdf.
A Positive drug test was changed to a Negative drug test after the result was already posted in the Checkr Dashboard. Why would this happen?
From a legal standpoint we are required to accept information if a candidate provide a medical explanation for a positive result. There is no time frame as to when Checkr/eScreen can not accept a prescription. If it is more than a couple weeks eScreen would contact the Client to let them know the circumstances. If it a long period of time, for example several months, eScreen would contact the Client to see how they wanted to proceed. Some companies are concerned that it puts them in an awkward position if they receive a negative (clear) test update after a positive (consider) result was posted. Client’s must take action on candidate hiring based on the information, (positive result) that they have at the time. If a result is updated at a later date to a negative the Client should discuss options for hiring with their legal team.
I received an invoice for a drug screen that did not come from Checkr? What should I do?
While this is not expected it may happen from time to time that a clinic bills a client directly in error. Many times, that client also has a local relationship with the clinic from a “previous life”, and they inherit their billing protocol from that. The customer should send Customer Success (email@example.com) the invoice that they received. Customer success will notify you to ignore the invoice and simply use the Checkr invoice as the source of truth. Checkr will follow up with eScreen to inform them of the mistake.
What does a "substituted" result mean and why is it treated as a non-negative result?
A substituted result means that the lab has found the sample to not be consistent with human urine.