August 5, 2025
Not every positive drug test related to commercial drivers belongs in the FMCSA Clearinghouse, but sometimes, mistakes happen. One situation that’s come up more and more is when a driver tests positive during a DOT physical, and that result gets wrongly entered into the Clearinghouse.
Let’s break down what’s going on and what you can do about it.
As part of the process to get or renew a DOT medical certificate, drivers undergo evaluations by DOT-certified medical examiners. Some medical examiners may request additional testing, including:
Here’s where confusion creeps in: a drug test conducted solely as part of the medical certification process is not a DOT test under Part 40 and should not be reported in the Clearinghouse.
Let’s say a medical examiner, or one who also acts as a Medical Review Officer (MRO), orders a drug screen as part of a physical. The driver tests positive.
That’s not a DOT test under Part 40 or Part 382.
But sometimes, that result gets mistakenly entered into the FMCSA Clearinghouse, triggering a requirement for SAP evaluation and follow-up testing. That’s a problem — and it shouldn’t happen.
When a driver is referred to a Substance Abuse Professional (SAP) after a physical-related drug screen:
If the driver wants to return to work before the appeal is resolved, a SAP can support them through a return-to-duty process, but this is a workaround, not an admission that the violation was valid. If the violation is successfully removed from the Clearinghouse, the SAP plan and follow-up testing requirements will be lifted.
Drivers can challenge mistaken entries through the DataQs system, which allows them to:
Here’s the catch: right now, due to a federal communication freeze, many FMCSA and DOT offices aren’t processing appeals or responding to inquiries quickly. Some drivers who used to see a resolution within weeks may now face serious delays. That’s why many choose to complete the SAP process in the meantime so they can get back to work while their appeal is in limbo.
Not all positive tests are created equal. If you or someone you know tested positive during a DOT physical and was told to complete a SAP process:
DOT safety is serious business, but so is accuracy. Knowing the rules helps everyone stay protected.
Need help crafting a DataQs appeal or figuring out if a test was wrongly reported? I’m here to guide you through every step. Let’s set the record straight together.