Ask X3What does 49 CFR 40.141 (How does the MRO obtain information for the verification decision?) require?
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Based on 49 CFR 40.141, to make a verification decision, the Medical Review Officer (MRO) must:
1. Conduct a medical interview, which includes reviewing the employee's medical history and any other relevant biomedical factors the employee presents. The MRO may also direct the employee to undergo further medical evaluation.
2. If the employee claims a drug or metabolite is present because of a legally valid prescription, the MRO must review and take all reasonable and necessary steps to verify the authenticity of the medical records provided. This may include contacting the employee's physician, other medical personnel, or the pharmacy. If staff under the MRO's operational control contact the pharmacy, the MRO must oversee their hiring, firing, evaluation, and performance (such as scripting calls or monitoring for quality control).
3. Request further testing from an HHS-certified laboratory with validated protocols (for D,L stereoisomers of amphetamine/methamphetamine or THC-V), if the MRO determines it is necessary for verifying the lab results.