• How long does it take to get results of a drug screening?

    Read More

    Question

    How long does it take to get the results of a drug screening?

    Answer

    Drug screening results are usually available within 2 to 10 business days after the screening is complete. However, the turnaround time for the following scenarios may be longer than the expected 2 to 10 business days:

    • Drug screening specimens that need to be shipped to the lab for additional testing; 
    • Screenings performed using paper-based clinics; or
    • Screening results that require MRO follow-up (see below). 

    Medical Review Officer review

    All drug screenings are passed through a Medical Review Officer (MRO) for review. If MRO follow-up is needed, the MRO will attempt to call the candidate 3 times within 1 business day. If they are unable to reach the candidate during those attempts, the results will remain Pending for an additional 72 hours to allow the candidate time to return the call. To prevent delays in the results, ensure that the candidate performs any MRO follow-up promptly.

    Related articles:

  • How do I send my candidate an updated drug screening pass?

    Read More

    Question

    My candidate missed their drug screening deadline and their pass expired. How can I send them a new screening pass?  

    Answer

    Once the screening window has closed the pass will expire. To send an updated screening pass:

    1. Open the Candidate’s report in the Checkr Dashboard.
    2. Navigate to the Health screening appointment section.
    3. Select Email Candidate > Send updated screening pass.

    mceclip2.png

    After an updated screening pass is shared:

    • The same clinic previously used will be applied to the new passport
    • The expiration date of the screening pass will be updated according to the account/package setting

    Please note that reports suspend within 48-72 hours of the pass expiring. If a report has been suspended due to a pass expiring, sending an updated screening pass will push the report out of a suspended status and into a pending status.

    If a candidate had NOT scheduled at their chosen clinic, the customer can still resend the screening invitation by selecting Email CandidateRe-send screening invitation within the Health screening appointment section.

    mceclip0.png

  • What if a candidate needs to change the location for their drug screening appointment?

    Read More

    Question

    What if a candidate needs to change the location for their appointment?

    Answer

    Candidates can now change the location of their scheduled drug/health screen directly in the Candidate Portal:

    1. Navigate to the Health screening information section
    2. Select Change Location

    mceclip0.png

  • What is the standard panel of drugs tested for during pre-employment screening?

    Read More

    Question

    What is the standard panel of drugs tested for during pre-employment screening?

    Answer

    The most commonly ordered 5-panel drugs include: 

    1. Amphetamines
    2. Cannabinoids (THC)
    3. Cocaine
    4. Opiates 
    5. Phencyclidine (PCP)

    You can also review Checkr’s most common panels (PDF attached) for a broader list of test types.

  • Find a clinic location for a drug screening

    Read More

    Question

    I cannot find a clinic located in the zip code I searched.

    Answer

    If the customer (or candidate) is searching a zip code and no locations are returned, that likely means that there are no clinics available in a 60-mile radius that perform the required test. There may be “Out of Network” clinics that are not enabled in the customer account settings available. These clinics are typically more expensive and require customer agreement in place before leveraging these additional locations. If you need to inquire further about available clinics in a particular zip code please contact Checkr Customer Support and we will assist in running a zip code search to identify if alternative locations may be available to your candidate.

  • Can Checkr expedite a drug screening?

    Read More

    Question

    Can Checkr expedite a drug screening? 

    Answer

    No, Checkr is unable to expedite the screening process as Checkr is not involved in the collection or processing of a sample. Once eScreen submits the results to Checkr, the screening results will become available immediately.

     

    Find an outline of the screening process as follows:  

    mceclip0.png

  • Drug screenings using paper-based clinics

    Read More

    When no electronic clinics exist within a candidate’s zip code or there are limited clinics in the area, the candidate will be given the option to select a paper-based clinic. If candidates see the phrase ‘Paperwork will be mailed to you’ under the clinic name, this indicates that it is a paper-based clinic.

    When a candidate selects a paper-based clinic, a message will appear asking the candidate “Are you sure?” with additional information explaining the extended turnaround times. This messaging will also appear on the candidate’s report within the Checkr Dashboard. To proceed with the selected clinic, the candidate will select “Add Address” and enter their address on the following page. After adding their address, the candidate will complete the remaining pages of the apply flow.  

    When the apply flow is completed, the expiration date of the screening pass is automatically pushed to 30 days instead of the customer set default. 

    Note: While candidates won’t be blocked from adding a P.O. Box, they should ONLY enter a physical address. This is a requirement by our lab provider and their shipment partner.

    Once the candidate has completed the apply flow, our lab provider will send the required paperwork (a custody control form) via Fedex to the address provided by the candidate.

    If a candidate attempts to complete their screening without the required paperwork, or the screening pass has expired, the clinic will refuse service. 

    mceclip0.png

    mceclip1.png

     

    Viewing this information in the Checkr Dashboard

    To see if a paper-based clinic was selected, navigate to the 'Health screening appointment' section of the candidate's report. If the phrase 'Paperwork will be mailed' appears  under the clinic name > screening location, this indicates that a paper-based clinic was selected.

    mceclip2.png

  • The candidate shared a paper copy of their drug or health screening results — can Checkr upload them?

    Read More

    Question

    Can Checkr upload drug or health screening results shared by the candidate?

    Answer

    Checkr cannot directly upload drug screening or occupational health screening documentation nor manually update a candidate’s screening. However, if your candidate received paperwork after completing their screening, and provided it to you, Checkr can send that paperwork to eScreen. eScreen will then determine if the paperwork can be used to update a candidate’s screening. 

    Updates may happen at any point during the screening process, including after the screening is “complete.”

  • Extending time on an active drug screening pass

    Read More

    Question

    How do I extend the timeframe of an active screening pass?

    Answer

    To update an active screening pass:

    1. Open the Candidate’s report in the Checkr Dashboard.
    2. Navigate to the Health screening appointment section.
    3. Select Add more time.

    mceclip0.png

    There are no limitations to how much time can be added to active screening passes or how often they can be updated. Customers should use the Add More Time button in conjunction with their internal hiring policies and expectations for completing a drug/health test. 

    If the pass has expired, the Add More Time button will disappear and the client should use tools to Send updated screening pass or Re-send screening invitation. 

  • Received an invoice for a drug screen that did not come from Checkr

    Read More

    Question

    We received an invoice for a drug screen that did not come from Checkr. What should we do?

    Answer

    Submit the invoice to Checkr Customer Support. Checkr will follow up with eScreen to correct the mistake.

  • Marijuana screenings

    Read More

    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 eScreen partnership, will provide an MRO note where a marijuana test is positive and the candidate noted that they have a valid prescription. 

    The result will still be released as a positive regardless of the prescription. The MRO does not validate marijuana prescriptions. 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 cannot access the local state databases. Customers should consult with their legal counsel to determine specific needs and obligations. 

     

    Does Checkr offer a drug screening panel that excludes THC?

    Yes, contact Checkr Customer Support to add this screening option to your account.

     

    As a reminder, this does not constitute and is not intended to be construed as legal advice. Please consult your legal counsel regarding your compliance obligations and best practices.
  • A drug screen came back canceled

    Read More

    Question

    A drug screen came back canceled.  Why would that happen and will the customer be charged?

    Answer

    Two common reasons a drug screen may be canceled:

    1. An error occurred on our side. For example, the specimen was lost in transit or spilled, etc. There will be no charge for the screen. The candidate will need to go back to the clinic and take a new test. You will create a new order for the candidate to begin this process.

    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:

    mceclip1.png

    1. The screen was canceled due to something that looks like an adulterated specimen, or an error on the candidate’s part. For example, the temperature of the specimen at the time of collection was not within an acceptable 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:

    mceclip0.png

  • What are the different types of drug tests?

    Read More

    Question

    What are the different types of drug tests?

    Answer

    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. 

    Contact Checkr Customer Support for screening options. Checkr partners with eScreen to offer a comprehensive and customizable selection of drug tests to suit each company’s needs.

    Also see What is the standard panel of drugs tested for during pre-employment screening?

  • Help me understand MRO reviewed results of a drug screening?

    Read More

    Question

    Help me understand MRO reviewed results of a drug screening.

     

    Answer

    Checkr’s partner eScreen works with a certified Medical Review Officer for the review of all testing. The Medical Review Officer (MRO) is a licensed physician with special certification to receive, review and evaluate drug-testing laboratory results.  

     

    The Medical Review Officer (MRO) process is when a non-negative result comes back from the lab. The MRO will:

    • Review the result with the candidate to determine if they have any prescriptions which would account for the positive drug analyte. 
    • Verify the prescription with the pharmacy. 
      • If it aligns with the positive drug, the result will be released as a Negative
      • If it does not align with the positive drug, the result will be released as a Positive.

    *Note: The MRO is NOT verifying the level of the drug compared to the prescription. Only if the drug positive matches the prescription. Results can be delayed if the candidate does not respond to the MRO in a timely fashion.

     

    Use the following guide to interpret MRO results:

    MRO Reviewed Result

    Result Meaning

    Next Steps 

    Positive UTCD

    If the candidate has a positive analyte from the lab result, the MRO will contact the candidate before releasing the results to Checkr to see if they have a prescription for that substance.

    If they are unable to connect with the candidate, they will release the results to the report to “Positive UTCD” (Positive Unable To Contact Donor) due to the candidate still testing positive for a substance without a prescription verification confirmation.

    Take the drug test at face value or send another invitation to the candidate. If a new invitation is sent, the candidate must go to a clinic and provide another urine collection.

    Negative-dilute

    Urine from the donor has been diluted either by drinking excessive amounts of water or by adding water directly to the sample after voiding, in an effort to reduce the concentration of drug metabolites in it.

    Send another invitation to the candidate. Once sent, the candidate must go to a clinic and provide another urine collection.

    Substituted

    The candidate provided a sample that was either not urine or not their own urine at the time of collection.

    Send another invitation to the candidate. Once sent, the candidate must deposit another sample.

    Abnormal PH

    Urine samples always have their PH level tested. If the PH does not fall within the normal range, it will be reported invalid.

    Send another invitation to the candidate. Once sent, the candidate must go to a clinic and provide another urine collection.

    GC/MS (Immunoassay) Interference

    Interference with the initial stage of testing, preventing a result. result of medication that the donor has been taking, an attempt to adulterate, or neither.

    Send another invitation to the candidate. Once sent, the candidate must go to a clinic and provide another urine collection.

    Test Cancelled

    Results cannot be determined. Can be due to a myriad of reasons. Please look at the notes section for more details. 

    Send another invitation to the candidate. Once sent, the candidate must go to a clinic and provide another urine collection.

    Positive

    Upon review of the positive lab result, the MRO will contact the candidate to review their prescriptions.  If no prescription validates the positive drug, the result will be released to the employer as a positive.

    Take the result at face value.

    As a reminder, this does not constitute and is not intended to be construed as legal advice. Please consult your legal counsel regarding your compliance obligations and best practices.

  • What are adulterants

    Read More

    Question

    What are adulterants? Can labs screen them?

    Answer

    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 do screen for adulterants, but may encounter difficulty with identifying the drugs the donor was trying to conceal.

    Also see Help me understand MRO reviewed results of a drug screening.

  • What is a dilute specimen?

    Read More

    Question

    What is a dilute specimen?

    Answer

    • 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 (a 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

    Also see Help me understand MRO reviewed results of a drug screening? or the attached document for further explanation of a negative dilute result: Neg-Dilute Information.pdf. 

     

  • What does a "substituted" result mean and why is it treated as a non-negative result?

    Read More

    Question

    What does a "substituted" result mean and why is it treated as a non-negative result?

    Answer

    A substituted result means the lab has found the that sample is not consistent with human urine. See Help me understand MRO reviewed results of a drug screening for more details.

  • What if the candidate challenges the results of their drug screening?

    Read More

    Question

    What if the candidate challenges the results of their drug screening?

     

    Answer

    Checkr cannot help candidates update their drug screening results. Checkr’s partner eScreen works with a certified Medical Review Officer for the review of all testing. The Medical Review Officer (MRO) is a licensed physician with special certification to receive, review and evaluate drug-testing laboratory results.  

    Candidates may proactively ask questions or contest their results by contacting the Medical Review Officer (MRO):

    • Hours: Monday-Friday 7:00AM-7:00PM CST
    • MRO Services: 888-382-2281

    Candidates may also reference Health Checks for more information

  • What’s the difference between DOT and Non-Regulated drug tests?

    Read More

    Question

    What’s the difference between DOT and Non-Regulated drug tests?

    Answer

    DOT (Regulated):

    • 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.

    Non-Regulated:

    • Not regulated by any federal government agency
    • The customer has freedom to customize their drug screening program for any type of screen that suits your policy.
    • Variety of specimens (urine, hair, saliva, blood)
    • The Customer is able to select their panel
    As a reminder, this does not constitute and is not intended to be construed as legal advice. Please consult your legal counsel regarding your compliance obligations and best practices.
  • Why did a Positive drug test change to Negative in the Checkr Dashboard?

    Read More

    Question

    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?

    Answer

    Checkr is required by law to accept supporting documentation from the Candidate which provides a medical explanation of a Positive result. There are no time constraints on when documentation will be accepted. When supporting documentation is received, results will be updated accordingly and Checkr will contact the Customer to inform them of the change. Please consult your legal counsel regarding your compliance obligations and best practices.

     

    As a reminder, this does not constitute and is not intended to be construed as legal advice. Please consult your legal counsel regarding your compliance obligations and best practices.
  • Can Checkr run drug screenings on candidates outside the United States?

    Read More

    Question

    Does Checkr offer drug screenings for candidates outside the United States?

     

    Answer

    No, Checkr does not offer drug screenings outside the United States at this time. 

  • What is an SAMHSA Certified Lab

    Read More

    Question

    What is a SAMHSA Certified Lab?

    Answer

    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 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 

    As a reminder, this does not constitute and is not intended to be construed as legal advice. Please consult your legal counsel regarding your compliance obligations and best practices.