Your agency-paid offer still applies

Get started

Your caregiver-paid offer still applies

Get started

Answers before you start

What your team needs to know.

We check TB records first, arrange testing when needed and deliver your physician-signed TB certificate after clearance.

Covers TB clearance. Your agency handles other hiring requirements.

California home care TB clearance

Questions agencies ask.

What does ClearToStart do?

We request records, arrange testing when needed and deliver physician-signed files.

  • Home care: TB clearance.
  • Home health: health assessments.
  • Employers and staffing: programs built around your requirements.
Can you use a caregiver’s previous TB test?

Yes. We request prior TB records for physician review. If the records and health questionnaire support clearance, no new test is needed.

What if a new test is needed?

We arrange one TB blood draw at Quest. No return visit for a skin-test reading. A past TB vaccine does not affect the result.

What does it cost, and who pays?

Your agency pays. Caregivers pay $0.

The caregiver pays. Your agency pays $0 unless you choose to cover the cost.

Clearance pathFirst caregiverAdditional caregivers
Clearance from existing records$0$69
New Quest blood test$69$99
Clearance pathFirst caregiverAdditional caregivers
Clearance from existing records$0$45 through March 20, 2027
New Quest blood test$69$99

Includes the records search, physician review and signed TB certificate with its supporting result. The new-test price also includes one Quest blood draw.

The two prices are not added together. The new-test price applies only if the test is taken.

One designated caregiver per new agency receives the introductory offer. Outside follow-up costs are separate.

Caregivers see prices before adding a card. Want your agency to pay instead? Contact our team.

When is my agency billed?When is the caregiver charged?

We bill when the signed TB certificate reaches your dashboard.

If a new blood test is positive, we bill the test price before clearance: $69 for your introductory caregiver or $99 afterward. Outside follow-up costs are separate.

Only after the physician signs the TB certificate—even if follow-up is needed. No signed certificate, no ClearToStart charge. Outside follow-up costs are separate.

Which price applies to my agency?

Your invitation may include a different price or payment arrangement. Use your agency’s original link to see the offer that applies to you.

Who pays, and what is included?

For HCO TB clearance, your offer shows whether the agency or caregiver pays.

Each price includes the records search, physician review and signed certificate. The new-test price includes one Quest blood draw. The two prices are not added together.

HHA and employer programs have separate prices. Outside follow-up costs are separate.

When is payment taken?

Agency-paid HCO: We bill after the signed TB certificate is delivered. A positive new blood test is billed at the applicable test price before clearance.

Caregiver-paid HCO: The caregiver pays only after the physician signs—even after follow-up. No signed certificate, no ClearToStart charge.

Outside follow-up costs are separate. HHA and employer programs have their own billing terms.

How long does TB clearance take?How long does clearance take?

Timing depends on whether we use records or a new test:

  • Lab records usually arrive the same day.
  • Clinic records usually take two to three days to retrieve.
  • New blood-test results take about 48 hours.

The physician then completes the review. Missing information or follow-up can add time.

Who signs the TB certificate?

A California-licensed physician signs after clearance. Usually, no separate office or video visit is needed. If a visit or more information is needed, we explain the next step.

What if the TB blood test is positive?

We coordinate an X-ray appointment and follow-up. Once the physician confirms clearance, we deliver the signed TB certificate.

ClearToStart does not cover the cost of the X-ray or other outside care.

Had a positive TB result before? Tell the clinical team during sign-up so the physician can review the earlier records.

What can my agency see in the dashboard?

Track each worker’s progress and next step. When their file is complete, authorized users can download the signed documents for the program.

Track each caregiver’s progress and next step. After clearance, download the physician-signed TB certificate and supporting result.

Health questionnaire answers and unrelated medical records stay with the clinical team.

How do we start HCO TB clearance?How do we get started?

Request your agency’s link. We send it within one business day.

Text or email it to your caregiver. They complete a short health questionnaire; we check records and arrange testing when needed.

After clearance, download the signed TB certificate and supporting result.

Still have questions?

Our team can help you choose the correct offer. For an active file, use the support contact in your instructions.Our team can help. For an active clearance, use the support contact in your instructions.